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催眠和儿童牙科麻醉:一项前瞻性对照研究。

Hypnosis and dental anesthesia in children: a prospective controlled study.

机构信息

UFR d’Odontologie, 2 avenue du Pr Léon Bernard, Rennes Cedex, France.

出版信息

Int J Clin Exp Hypn. 2011 Oct-Dec;59(4):424-40. doi: 10.1080/00207144.2011.594740.

DOI:10.1080/00207144.2011.594740
PMID:21867378
Abstract

The authors of this prospective study initially hypothesized that hypnosis would lower the anxiety and pain associated with dental anesthesia. Thirty children aged 5 to 12 were randomly assigned to 2 groups receiving hypnosis (H) or not (NH) at the time of anesthesia. Anxiety was assessed at inclusion in the study, initial consultation, installation in the dentist's chair, and at the time of anesthesia using the modified Yale preoperative anxiety scale (mYPAS). Following anesthesia, a visual analogue scale (VAS) and a modified objective pain score (mOPS) were used to assess the pain experienced. The median mYPAS and mOPS scores were significantly lower in the H group than in the NH group. Significantly more children in the H group had no or mild pain. This study suggests that hypnosis may be effective in reducing anxiety and pain in children receiving dental anesthesia.

摘要

本前瞻性研究的作者最初假设催眠术可降低与牙科麻醉相关的焦虑和疼痛。将 30 名 5 至 12 岁的儿童随机分为两组,在麻醉时接受催眠(H)或不接受催眠(NH)。使用改良耶鲁术前焦虑量表(mYPAS)在纳入研究、初始咨询、牙医椅安装和麻醉时评估焦虑。麻醉后,使用视觉模拟评分(VAS)和改良客观疼痛评分(mOPS)评估疼痛。H 组的中位数 mYPAS 和 mOPS 评分明显低于 NH 组。H 组中有更多的儿童没有或仅有轻度疼痛。本研究表明,催眠术可能有助于降低接受牙科麻醉的儿童的焦虑和疼痛。

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