急性程序性疼痛的催眠疗法：一项批判性综述。
Hypnosis for Acute Procedural Pain: A Critical Review.
作者信息
Kendrick Cassie, Sliwinski Jim, Yu Yimin, Johnson Aimee, Fisher William, Kekecs Zoltán, Elkins Gary
机构信息
a Baylor University , Waco , Texas , USA.
出版信息
Int J Clin Exp Hypn. 2016;64(1):75-115. doi: 10.1080/00207144.2015.1099405.
Abstract
Clinical evidence for the effectiveness of hypnosis in the treatment of acute procedural pain was critically evaluated based on reports from randomized controlled clinical trials (RCTs). Results from the 29 RCTs meeting inclusion criteria suggest that hypnosis decreases pain compared to standard care and attention control groups and that it is at least as effective as comparable adjunct psychological or behavioral therapies. In addition, applying hypnosis in multiple sessions prior to the day of the procedure produced the highest percentage of significant results. Hypnosis was most effective in minor surgical procedures. However, interpretations are limited by considerable risk of bias. Further studies using minimally effective control conditions and systematic control of intervention dose and timing are required to strengthen conclusions.
摘要
基于随机对照临床试验（RCT）的报告，对催眠疗法治疗急性程序性疼痛有效性的临床证据进行了严格评估。符合纳入标准的29项RCT结果表明，与标准护理组和注意力控制组相比，催眠疗法可减轻疼痛，且其效果至少与类似的辅助心理或行为疗法相当。此外，在手术前多阶段进行催眠产生显著效果的比例最高。催眠疗法在小型外科手术中效果最佳。然而，这些解读因存在相当大的偏倚风险而受到限制。需要进一步开展研究，采用最低有效对照条件，并对干预剂量和时机进行系统控制，以强化相关结论。
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