MONITORING ASSESSMENT OF THE EFFECT OF TRANSCRANIAL ELECTRICAL STIMULATION ON THE PSYCHO-EMOTIONAL STATE IN THE WOUND PROCESS AFTER SURGICAL INTERVENTIONS IN THE ORAL CAVITY
Authors: Domishche M. Yu. , Krulko D. V. 
Published: January 2023

The Goal is evaluation of the analgesic effect and psychoemotional state of patients against the background of the use of TES therapy in the wound process after dental interventions in patients.

Materials and methods We selected two representative clinical groups by age, medical and social status, and the nature of the pathology. The first group (main) included 105 patients, where after primary radical operations; treatment of the wound process was carried out comprehensively with the use of transcranial electrical stimulation (TES). Group II (comparison) consisted of 128 patients who received traditional therapy according to the clinical protocol. In all patients with open wounds, pain syndrome, psychoemotional state, and clinical course of the wound process were evaluated by generally accepted methods.

Research results It has been established that long-term pathological processes in stomatological pathology increase both depression and contribute to the development of psychological dysfunction (Table 2). The assessment of the pain syndrome in a comparative aspect was carried out in the main and comparison groups starting from the second day, since the residual effect of painkillers can be observed on the first day. The results are shown in Table 3

It follows from our data that a significant decrease in pain syndrome was observed in patients on the background of TES therapy already on the 2nd day after surgical interventions (p < 0.001). And starting from the 3rd day, the pain syndrome had a pronounced tendency to decrease, and on the 5th day in the II and III main groups it was (2.78 ± 0.32 and 1.13 ± 0.08) points. and on the 8th day (1.62 ± 0.08 and 0.80 ± 0.02) points, respectively, which is significantly higher than the comparison group (р < 0.05).

The analysis of the psychological state indicates that against the background of TES-therapy, there is a more significant decrease in the level of reactive anxiety, as well as situational and personal anxiety compared to the comparison group, which has a positive effect, as evidenced by clinical observations, on the course of the wound process and wound healing.

From the data in Table 4, on the background of TES therapy, there is only a significant decrease in the level of reactive anxiety both in patients of the 1st group, and in the 2nd and 3rd groups compared to patients on the background of traditional treatment.

In addition, in the II and III groups, compared to the comparison group, the level of situational anxiety decreased to (31.4 ± 2.3 and 35.0 ± 2.4) points, which almost corresponds to the level of the control group

(p > 0.05). Personal anxiety in these groups was at the level of (37.5 ± 4.3 and 39.6 ± 4.1) points, which is significantly higher than the control group (p < 0.05). In the comparison groups, both situational and personal anxiety even on the 5th day of postoperative intervention was significantly higher than the control group (p < 0.05).

Conclusions:

Timely assessment of pain syndrome and psycho-emotional state before and after dental intervention allows for their timely correction, which has a positive effect on wound healing.

The use of TES therapy in the wound process in the complex treatment of the wound process is more effective than traditional therapy in terms of correcting the pain syndrome and psycho-emotional state of patients.

High efficiency, lack of negative impact on the human body makes it possible to recommend the TES-therapy method in dental practice.