歯科治療中の精神的緊張度測定に関する基礎及び臨床的研究

牙科治疗期间精神紧张测量的基础与临床研究

• 批准号: 06771956
• 负责人: 石橋 肇
• 金额: $ 0.64万
• 依托单位: Nihon University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Encouragement of Young Scientists (A)
• 财政年份: 1994
• 资助国家: 日本
• 起止时间: 1994 至 无数据
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-06771956/
• 关键词: 精神性発汗; 末梢温; 歯科治療; 笑気吸入鎮静法; 交感神経緊張

【基礎的研究】健康な成人ボランティア15名を対象とし、30%笑気の吸入が母指掌側遠位部の精神生発汗と末梢温に与える影響をKenz Perspiro OSS-100とサーミスタ温度計とにより観察し、以下の結論を得た。1.笑気吸入により、発汗量の増加する群(n=9)と増加しない群(n=6)にわけることができた。2.発汗増加群において発汗増加の開始は笑気吸入開始から平均3分12秒後で終了は7分11秒後、持続時間は3分59秒であった。また、発汗増加群の発汗増加時の発汗量は対照値の約1.8倍であった。3.発汗増加群では発汗量の増加に伴い皮膚温の下降がみられた。無変化群では大きな変化はみられなかった。4.発汗増加群における発汗量の増加と皮膚温の低下から笑気吸入初期に交感神経緊張状態が惹起されることが示唆された。【臨床的研究】本学付属病院外来及び入院患者で、本研究の意義及び方法などを説明し、同意の得られた24名(男性11名、女性13名)42症例の患者を対象とした。治療の内容は、一般歯科治療20例、抜歯19例、上顎洞根治術1例、歯根嚢胞摘出術1例、下顎骨骨折非観血的整復固定術1例であった。42例中7例に静脈内鎮静法を33例に笑気吸入鎮静法を施行した。基礎研究と同様に精神性発汗を観察し、以下の結論を得た。1.歯科治療中の局所麻酔、形成・印象採得などの種々の操作により精神性発汗は一過性に増加した。2.体位変換、会話などの刺激によっても精神性発汗の増加はみられた。3.静脈内鎮静法により、上記の精神性発汗の増加は抑制されたが、笑気吸入鎮静法での抑制は少なかった。4.精神性発汗量の観察により歯科治療中の精神的緊張度を測定できる可能性が示唆された。

[Basic study] Healthy adults: 15 subjects: 30% of subjects: 30% of subjects 1. There was an increase in the number of inhalers and sweaters (n=9) and an increase in the number of inhalers and sweaters (n=6). 2. The increase in sweat starts at 3 minutes and 12 seconds, and ends at 7 minutes and 11 seconds. The duration is 3 minutes and 59 seconds The amount of sweat generated by the sweat growth group is about 1.8 times higher than that of the corresponding value. 3. The increase of sweat is accompanied by the decrease of skin temperature. No change, no change, no change. 4. The increase in sweat production due to the increase in sweat production due to the decrease in skin temperature due to the increase in sympathetic nervous tension due to the increase in sweat production due to the increase in sweat production due to the increase in skin temperature due to the decrease in sympathetic nervous tension due to the increase in sweat production due to the increase in sweat production due to the decrease in skin temperature due to the decrease in sympathetic nervous tension due to the increase in sweat production. [Clinical study] 24 patients (11 males and 13 females) from 42 patients admitted to our hospital were enrolled in this study. Among them, 20 cases were treated by general dentistry, 19 cases by dentistry, 1 case by maxillary cavity radical operation, 1 case by dental root extraction, 1 case by mandibular fracture non-bleeding reduction and fixation. Intravenous sedation was used in 7 of the 42 cases, while inhalation sedation was used in 33 cases. Basic research and the same mental development were observed, and the following conclusions were drawn. 1. Mental sweating increases temporarily during dental treatment due to local anesthesia, impression acquisition, and operation. 2. Change of body position, change of speech, increase of mental activity, etc. 3. Intravenous sedation is the most effective method to inhibit the increase of psychoactive sweating, and inhalation sedation is the most effective method to inhibit the increase of psychoactive sweating. 4. The possibility of measuring mental stress in dental treatment is also discussed.