Hermes D, Gerdes V, Trübger D, Hakim S G, Sieg P
Klinik für Kiefer- und Gesichtschirurgie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck.
Mund Kiefer Gesichtschir. 2004 Mar;8(2):111-7. doi: 10.1007/s10006-004-0533-0. Epub 2004 Feb 6.
Surgical treatment under local anesthesia is commonly restricted by limited compliance of patients. Hypnosis may represent an alternative to sedation or general anesthesia. As the procedure demonstrated promising prospects during 1-year experience, the observed hypnosis-induced effects are now being evaluated in clinical studies.
The prospective study included 50 patients scheduled for dental surgery. All procedures were performed under standardized surgical conditions. The experimental group (n=25) received supplementary standardized tape hypnosis, whereas the control group received standard treatment (only local anesthesia). Individual and situative anxiety levels were determined by the State-Trait Anxiety Inventory (STAI).
After simultaneous increase of preoperative state anxiety, anxiety levels in the hypnosis group showed a significant intraoperative reduction to baseline level, whereas intraoperative anxiety of the control group (n=25) remained unchanged.
Hypnosis reduces intraoperative anxiety of oral and maxillofacial patients significantly. Further clinical studies on the use of hypnosis are considered useful.
局部麻醉下的外科手术通常受到患者依从性有限的限制。催眠可能是镇静或全身麻醉的一种替代方法。由于该手术在为期1年的实践中展现出了有前景的效果，目前正在临床研究中评估观察到的催眠诱导效应。
这项前瞻性研究纳入了50例计划接受牙科手术的患者。所有手术均在标准化手术条件下进行。实验组（n = 25）接受辅助标准化磁带催眠，而对照组接受标准治疗（仅局部麻醉）。通过状态-特质焦虑量表（STAI）确定个体和情境焦虑水平。
术前状态焦虑同时增加后，催眠组的焦虑水平在术中显著降低至基线水平，而对照组（n = 25）的术中焦虑保持不变。
催眠可显著降低口腔颌面患者的术中焦虑。关于催眠应用的进一步临床研究被认为是有益的。
