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催眠作为辅助静脉镇静用于第三磨牙拔除的效果:一项随机、盲法、对照研究。

Effects of hypnosis as an adjunct to intravenous sedation for third molar extraction: a randomized, blind, controlled study.

机构信息

Department of Nursing, West Chester, University of Pennsylvania, 855 S. New Street, West Chester, PA 19348, USA.

出版信息

Int J Clin Exp Hypn. 2010 Jan;58(1):21-38. doi: 10.1080/00207140903310782.

DOI:10.1080/00207140903310782
PMID:20183736
Abstract

The effects of hypnosis/therapeutic suggestion in connection with intravenous sedation and surgery have been described in many clinical publications; however, few randomized, controlled, and blind studies have been performed in the outpatient area. This study aimed to evaluate the use of hypnosis/therapeutic suggestion as an adjunct to intravenous (IV) sedation in patients having 3rd molar removal in an outpatient setting. The patients were randomly assigned to a treatment (n = 46) or control (n = 54) group. The treatment group listened to a rapid conversational induction and therapeutic suggestions via headphones throughout the entire surgical procedure along with a standard sedation dose of intravenous anesthetic. The control group listened to only music without any hypnotic intervention. Intraoperative Propofol administration, patient postoperative pain ratings, and postoperative prescription pain reliever consumption were all significantly reduced in the treatment compared to the control group. Implications of these results are discussed.

摘要

催眠/治疗性暗示与静脉镇静和手术相关的效果已在许多临床出版物中描述;然而,在门诊环境中进行的随机、对照和盲法研究很少。本研究旨在评估在门诊环境中接受第三磨牙拔除术的患者中,将催眠/治疗性暗示作为静脉(IV)镇静的辅助手段的使用情况。患者被随机分配到治疗(n = 46)或对照组(n = 54)。治疗组在整个手术过程中通过耳机聆听快速对话诱导和治疗性建议,同时给予标准镇静剂量的静脉麻醉剂。对照组仅听音乐,没有任何催眠干预。与对照组相比,治疗组术中异丙酚的使用、患者术后疼痛评分和术后处方止痛药的消耗均显著降低。讨论了这些结果的意义。

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