中文摘要：

目的探讨团体沙盘游戏治疗缓解儿童牙科畏惧症患者焦虑情绪的效果.方法采用随机对照的研究方法,以改良中文版儿童畏惧调查量表-牙科分量表（CFSS-DS）和行为分级法中的Frankl量表为筛选评定工具,从口腔门诊5～12岁就诊儿童中筛选出中度以上焦虑的牙科畏惧症患者60例,等分为干预组和对照组.对照组给予常规的就诊治疗,干预组患者在接受初次牙科治疗后实施团体沙盘游戏治疗,2组均用改良中文版CFSS-DS量表评定临床效果.结果对照组患者初次常规治疗前后CFSS-DS值差异无统计学意义（P〉0.05）,干预组团体沙盘游戏治疗后与初次就诊前比较CFSS-DS值差异有统计学意义（P〈0.01）,干预组团体沙盘游戏治疗后与对照组初次就诊后比较CFSS-DS值差异有统计学意义（P〈0.01）.结论团体沙盘游戏治疗技术用于儿童牙科畏惧症患者可有效地缓解焦虑情绪,适宜在儿童牙病患者中推广应用.

英文摘要：

Objective To explore the efficacy of the group sandplay therapy on relieving anxiety of patients with children＇s dental fear. Methods The research approach of randomized controls was adopted, and the Chinese version of the modified Children＇s Fear Survey Schedule-Dental Subseale （CFSS-DS） and the Frankl table in behavioral measurements were used as the screening assessment tool. Sixty dental fear patients with moderate to severe anxieties were selected and divided into an intervention group and a control group equally from the consultation-seeking children aged 5-12 years. The control group was given the regular consultation and treatments, while the intervention group was subjected to the group sandplay therapy after taking the initial dental treatments. The CFSS-DS scale schedule was used to assess the clinical efficacies. Results There was no significant difference in the CFSS-DS values before and after the initial consultation and treatment in the control group （P 〉 0.05） . While the CFSS-DS values after the group sandplay therapy had significant difference compared with that before the initial consultation in the intervention group （P 〈 0.01） . And there was significant difference in the CFSS-DS values in the intervention group after the group sandplay therapy compared with that in the control group after the initial consultation （P 〈 0.01） . Conclusion Groups sandplay therapy for children＇s dental fear patients can effectively alleviate anxiety, and is suitable for promotion and applications among children patients with dental diseases.