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手术治疗期间通过催眠对一名牙科焦虑症患者神经生理参数的影响

Changes in neurophysiologic parameters in a patient with dental anxiety by hypnosis during surgical treatment.

作者信息

Eitner S, Schultze-Mosgau S, Heckmann J, Wichmann M, Holst S

机构信息

Department of Prosthodontics, Maxillofacial Surgery and Neurology and Psychiatry, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany.

出版信息

J Oral Rehabil. 2006 Jul;33(7):496-500. doi: 10.1111/j.1365-2842.2005.01578.x.

Abstract

It was hypothesized that dental anxiety, which leads to neurophysiologic alterations in heart rate, respiratory rate and blood pressure prior, during and subsequent to dental treatment, can be influenced by medical hypnosis. We report the positive impact from non-invasive hypno-sedation during dental implant surgery on a 54-year-old female patient who experienced neurophysiologic reactions as a result of the psychosomatic process of dental anxiety (dental anxiety scale value = 13). The neurophysiologic changes during dental surgery performed with and without hypnosis were compared after the patient underwent the same surgical treatment protocol. This case report was part of a study designed to evaluate hypnosis as a non-invasive therapy for dental-anxious patients over six sessions using subjective experience and objective parameters, which included electroencephalogram, electrocardiogram, heart rate, blood pressure, oxygen saturation of the blood, respiration rate, salivary cortisol concentration and body temperature.

摘要

据推测,牙科焦虑会在牙科治疗前、治疗期间和治疗后导致心率、呼吸频率和血压的神经生理改变,而医学催眠可能会对其产生影响。我们报告了一名54岁女性患者在种植牙手术期间接受非侵入性催眠镇静的积极影响,该患者因牙科焦虑的身心过程出现了神经生理反应(牙科焦虑量表值 = 13)。在患者接受相同的手术治疗方案后,比较了有催眠和无催眠情况下牙科手术期间的神经生理变化。本病例报告是一项研究的一部分,该研究旨在通过主观体验和客观参数(包括脑电图、心电图、心率、血压、血氧饱和度、呼吸频率、唾液皮质醇浓度和体温),对牙科焦虑患者进行六次催眠治疗,并将其作为一种非侵入性疗法进行评估。

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