Lucas O N
Ann N Y Acad Sci. 1975 Jan 20;240:263-6. doi: 10.1111/j.1749-6632.1975.tb53358.x.
The influence of emotional stress on the onset and control of bleeding episodes is a well-known fact. Oral surgical procedures are a common cause of severe states of anxiety in hemophiliacs. Anxiety has been shown to trigger and/or complicate an existing hemorrhagic episode in hemophiliacs. This is true in adults as well as children. Hypnosis, when applicable, has been found to be an excellent adjunct for the control of anxiety. It has been observed that in a relaxed and tranquil hemophiliac, his hemorrhagic tendency during and after surgery is considerably decreased. Induction to a hypnotic state depends on each individual's susceptibility, and therefore different approaches are used depending on the patient's knowledge of hypnosis. In addition to the control of fear, salivary secretions, pain, and capillary bleeding can well be brought under control during surgery and postoperatively by means of posthypnotic suggestions. Good oral hygiene habits such as daily brushing and flossing, so important as preventive measures for the prevention of caries and periodontal disease, can be reinforced through hypnotic suggestions. Preventive dentistry in hemophiliacs is of paramount importance.
情绪应激对出血发作及控制的影响是一个众所周知的事实。口腔外科手术是血友病患者严重焦虑状态的常见原因。焦虑已被证明会引发血友病患者现有的出血发作和/或使其复杂化。这在成人和儿童中都是如此。在适用的情况下，催眠已被发现是控制焦虑的极佳辅助手段。据观察，在放松平静的血友病患者中，其手术期间及术后的出血倾向会显著降低。诱导进入催眠状态取决于每个人的易感性，因此根据患者对催眠的了解程度会采用不同的方法。除了控制恐惧外，通过催眠后暗示，唾液分泌、疼痛和毛细血管出血在手术期间及术后也能得到很好的控制。良好的口腔卫生习惯，如每日刷牙和使用牙线，作为预防龋齿和牙周疾病的重要预防措施，可以通过催眠暗示得到强化。血友病患者的预防性牙科治疗至关重要。
