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临床催眠与神经语言程序学(NLP)在外部胎儿倒转术(ECV)前的效果:一项前瞻性非中心随机、双盲、对照试验。

The Effects of Clinical Hypnosis versus Neurolinguistic Programming (NLP) before External Cephalic Version (ECV): A Prospective Off-Centre Randomised, Double-Blind, Controlled Trial.

机构信息

Department of Obstetrics and Gynaecology, Faculty of Medicine, Johann Wolfgang Goethe University of Frankfurt am Main, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany.

出版信息

Evid Based Complement Alternat Med. 2012;2012:626740. doi: 10.1155/2012/626740. Epub 2012 Jun 21.

DOI:10.1155/2012/626740
PMID:22778774
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3388481/
Abstract

Objective. To examine the effects of clinical hypnosis versus NLP intervention on the success rate of ECV procedures in comparison to a control group. Methods. A prospective off-centre randomised trial of a clinical hypnosis intervention against NLP of women with a singleton breech fetus at or after 37(0/7) (259 days) weeks of gestation and normal amniotic fluid index. All 80 participants heard a 20-minute recorded intervention via head phones. Main outcome assessed was success rate of ECV. The intervention groups were compared with a control group with standard medical care alone (n = 122). Results. A total of 42 women, who received a hypnosis intervention prior to ECV, had a 40.5% (n = 17), successful ECV, whereas 38 women, who received NLP, had a 44.7% (n = 17) successful ECV (P > 0.05). The control group had similar patient characteristics compared to the intervention groups (P > 0.05). In the control group (n = 122) 27.3% (n = 33) had a statistically significant lower successful ECV procedure than NLP (P = 0.05) and hypnosis and NLP (P = 0.03). Conclusions. These findings suggest that prior clinical hypnosis and NLP have similar success rates of ECV procedures and are both superior to standard medical care alone.

摘要

目的。研究临床催眠与 NLP 干预对 ECV 成功率的影响,并与对照组进行比较。方法。对 37 周(259 天)及以上、羊水指数正常的单臀位胎儿孕妇进行前瞻性、非中心、随机对照试验,对接受临床催眠干预的孕妇与接受 NLP 干预的孕妇进行比较。所有 80 名参与者均通过耳机收听 20 分钟的记录干预。主要评估指标为 ECV 成功率。干预组与仅接受标准医疗护理的对照组(n = 122)进行比较。结果。42 名孕妇在 ECV 前接受催眠干预,ECV 成功率为 40.5%(n = 17),38 名孕妇接受 NLP 干预,ECV 成功率为 44.7%(n = 17)(P > 0.05)。对照组与干预组的患者特征相似(P > 0.05)。在对照组(n = 122)中,有 27.3%(n = 33)的孕妇 ECV 成功率明显低于 NLP 组(P = 0.05)和催眠与 NLP 组(P = 0.03)。结论。这些发现表明,临床催眠和 NLP 对 ECV 手术的成功率相似,均优于单纯标准医疗护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3952/3388481/532b3e720a46/ECAM2012-626740.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3952/3388481/532b3e720a46/ECAM2012-626740.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3952/3388481/532b3e720a46/ECAM2012-626740.001.jpg

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本文引用的文献

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The Early External Cephalic Version (ECV) 2 Trial: an international multicentre randomised controlled trial of timing of ECV for breech pregnancies.《早期经外阴胎儿倒转术(ECV)2 试验:一项针对臀位妊娠 ECV 时机的国际多中心随机对照试验》
BJOG. 2011 Apr;118(5):564-77. doi: 10.1111/j.1471-0528.2010.02837.x. Epub 2011 Feb 4.
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A prospective study of the factors associated with the success rate of external cephalic version for breech presentation at term.一项关于与足月臀位行外倒转术成功率相关因素的前瞻性研究。
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