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[经皮电刺激神经疗法(TENS)镇痛的研究]

[Studies on pain suppression by means of transcutaneous electric nerve stimulation (TENS)].

作者信息

Wilder-Smith P

机构信息

Universitätsklinik für Mund-, Zahn- und Kieferkrankheiten Heidelberg.

出版信息

Dtsch Zahnarztl Z. 1990 Jun;45(6):356-9.

PMID:2269125
Abstract

TENS is used in many fields of medicine to provide safe and effective pain relief, yet the application of this technique to dentistry remains almost unexplored. In this study the effects of TENS at various stimulation frequencies on pulpal sensitivity to electrical vitality testing and to cavity preparation were investigated. Pulpal sensitivity to electric vitality testing was reduced by approximately 14% after TENS, with no significant differences between individual stimulation frequencies. During cavity preparation, TENS eliminated or minimised pain in approximately 67% of treatments, the best results being obtained under TENS at 99 Hz (the highest frequency investigated). Patients preferred high-frequency TENS because of the accompanying sensations of warmth and relaxation.

摘要

经皮电刺激神经疗法(TENS)在医学的许多领域中都被用于提供安全有效的疼痛缓解,但该技术在牙科中的应用几乎仍未得到探索。在本研究中,研究了不同刺激频率的TENS对牙髓对电活力测试和窝洞制备的敏感性的影响。TENS后,牙髓对电活力测试的敏感性降低了约14%,各刺激频率之间无显著差异。在窝洞制备过程中,TENS在约67%的治疗中消除或减轻了疼痛,在99Hz(研究的最高频率)的TENS下获得了最佳效果。由于伴有温暖和放松的感觉,患者更喜欢高频TENS。

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