目的：通过收集阻生齿拔除术患者术前焦虑和术后疼痛及心理护理后各项心理指标变化的临床调查问卷,对比分析心理护理对阻生齿拔除术患者的术前焦虑水平与术后疼痛的影响。方法：随机选取2017-01～2019-12于内蒙古医科大学附属医院口腔颌面外科行阻生齿拔除术患者150例随机分为观察组和对照组各75例并分别填写问卷调查表,术后对患者进行疼痛视觉模拟评分法(Visual Analogue Scale,VAS)评分,由测评者即时记录。比较两组术前焦虑与术后疼痛的关系及心理护理后各项心理指标的变化情况。结果：①实验观察组的MDAS 12.79+2.85明显低于常规对照组的9.36+3.06；②实验观察组的VAS值5.32+1.27明显大于实验观察组的值3.42+0.97；③MDAS与VAS之间存在一定的正相关关系(P<0.05)。结论：术前焦虑与术后疼痛存在一定正相关关系,术前进行心理护理可以较好的缓解患者的焦虑情绪,并且可一定程度减轻患者术后疼痛程度,提示我们要采取心理护理等人性化服务措施降低患者术前焦虑水平。

Abstract: Objective: To compare and analyze the influence of psychological nursing on preoperative anxiety and postoperative pain of patients with impacted tooth extraction by collecting clinical questionnaires of preoperative anxiety and postoperative pain of patients with impacted tooth extraction and changes of psychological indexes after psychological nursing. Methods: 150 patients with impacted tooth extraction in the Department of oral and maxillofacial surgery, Affiliated Hospital of Inner Mongolia Medical University from January 2017 to December 2019 were randomly divided into the observation group and the control group, 75 cases in each group, and the questionnaires were filled in respectively. The patients were scored with visual analogue scale (Visual Analogue Scale ,VAS) after operation, and the evaluators recorded immediately. The relationship between preoperative anxiety and postoperative pain and the changes of psychological indexes after psychological nursing were compared between the two groups. Results: ① the MDAS 12.79 + 2.85 of the experimental observation group was significantly lower than that of the conventional control group (9.36 + 3.06); ② the vas value of the experimental observation group (5.32 + 1.27) was significantly higher than that of the experimental observation group (3.42 + 0.97); ③ there was a positive correlation between MDAS and VAS (P < 0.05). Conclusion: there is a positive correlation between preoperative anxiety and postoperative pain, preoperative psychological nursing can better relieve the anxiety of patients, and can reduce the degree of postoperative pain to a certain extent, suggesting that we should take humanistic service measures such as psychological nursing to reduce the preoperative anxiety level of patients.