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针刺疗法作为口腔外科镇痛方法的应用,尤其涉及牙科手术。

Acupuncture applied as a method of analgesia for oral surgery with particular reference to dental operations.

作者信息

Borzecki M, Borzecki M

出版信息

Anaesth Resusc Intensive Ther. 1975 Jul-Sep;3(3):251-7.

PMID:1217697
Abstract

The purpose of the first, experimental part of this work was an attempt to elaborate a simple method of analgesia by means of acupuncture for oral surgical procedures in out-patients. The experiments were carried out on 60 volunteers using various points and types of stimulation. Analgesia was obtained in 78.3% of cases but only in very small areas which could make possible procedures on premolar and molar teeth or in the vicinity of palatine tonsils. Stimulation with rectangular, alternating-current impulses applied through the needles was found to be most effective. The volunteers were divided into two groups--those in group I were told in advance what the procedure would be, these in group II were not. Similar results obtained in both groups would rule out the effects of suggestion or hypnosis as the mechanism of acupuncture. In the 2nd part of this work the method was applied in 10 patients undergoing dental surgery and sufficient analgesia was achieved in 7 cases. The unreliability of the method, the length of time necessary for induction of analgesia and the very small area of analgesia make this method unsuitable for widespread use in outpatient practice.

摘要

本研究第一部分即实验部分的目的是尝试开发一种简单的针刺镇痛方法,用于门诊口腔外科手术。实验在60名志愿者身上进行,采用了不同的穴位和刺激类型。78.3%的病例获得了镇痛效果,但仅在非常小的区域有效,这使得对前磨牙和磨牙或腭扁桃体附近进行手术成为可能。发现通过针施加矩形交流电脉冲刺激最为有效。志愿者被分为两组——第一组事先被告知手术过程,第二组则未被告知。两组获得相似结果将排除暗示或催眠作为针刺机制的影响。在本研究的第二部分,该方法应用于10例接受牙科手术的患者,7例获得了足够的镇痛效果。该方法的不可靠性、诱导镇痛所需的时间以及镇痛区域非常小,使得该方法不适用于门诊实践中的广泛应用。

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