【摘要】 目的 探讨口服咪达唑仑溶液在咽反射敏感儿童口腔治疗中的临床效果。方法 选取在儿童口腔科就诊的42例咽反射敏感患儿，随机将其分为对照组与试验组，各21例。对照组给予盐酸丁卡因胶浆，试验组给予咪达唑仑溶液。比较两组的生理指标、治疗依从性、术中疼痛程度、恐惧程度及咽反射敏感疗效。结果 试验组在术前、术中的心率（HR）、血氧饱和度无显著差异（P>0.05）。试验组的Frankl治疗依从性量表评分高于对照组，Wong-Baker面部表情量表评分低于对照组（P<0.05）。术后，试验组的儿童畏惧调查表-牙科分量表（CFSS-DS）评分低于对照组（P<0.05）。试验组的咽反射次数低于对照组（P<0.05）；试验组的治疗总有效率高于对照组（P<0.05）。结论 口服咪达唑仑溶液可有效缓解患儿的咽反射敏感，改善治疗依从性，减轻其对口腔疾病治疗的恐惧感及术中疼痛程度。更多还原

【Abstract】 Objective To explore the clinical effect of oral midazolam solution in dental treatment of children with pharyngeal reflex sensitivity.Methods Forty-two children with pharyngeal reflex sensitivity who were treated in the pediatric dentistry department of our hospital were randomly divided into control group and experimental group, with 21 cases in each group. The control group was given tetracaine hydrochloride mucilage, and the experimental group was given midazolam solution. The physiological indexes, treatment compliance, intraoperative pain degree, fear degree and the efficacy of pharyngeal reflex sensitivity were compared between the two groups.Results There were no significant differences in heart rate（HR） and blood oxygen saturation（SpO₂） between the experimental group before and during surgery（P>0.05）. The Frankl Treatment Compliance Scale score of the experimental group was higher than that of the control group, and the Wong-Baker Facial Expression Scale score was lower than that of the control group（P<0.05）. After surgery,the Children’s Fear Survey Schedule-Dental Subscale（CFSS-DS） score of the experimental group was lower than that of the control group（P<0.05）. The number of pharyngeal reflexes in the experimental group was lower than that in the control group（P<0.05）; the total effective rate of treatment in the experimental group was higher than that in the control group（P<0.05）.Conclusion Oral midazolam solution can effectively alleviate the pharyngeal reflex sensitivity of children, improve treatment compliance, reduce their fear of oral disease treatment and intraoperative pain.更多还原