Ramírez-Carrasco A, Butrón-Téllez Girón C, Sanchez-Armass O, Pierdant-Pérez M
Posgrado de Estomatología Pediátrica, Facultad de Estomatología, Universidad Autónoma de San Luis Potosí, Avenida Manuel Nava 2, 78290 San Luis Potosí, SLP, Mexico.
Laboratorio de Bioquímica, Microbiología y Patología, Facultad de Estomatología, Universidad Autónoma de San Luis Potosí, Avenida Manuel Nava 2, 78290 San Luis Potosí, SLP, Mexico.
Pain Res Manag. 2017;2017:1434015. doi: 10.1155/2017/1434015. Epub 2017 Apr 11.
. Anxiety/pain are experiences that make dental treatment difficult for children, especially during the time of anesthesia. Hypnosis is used in pediatric clinical situations to modify thinking, behavior, and perception as well as, recently, in dentistry; therefore the aim of this study was to evaluate the effectiveness of hypnosis combined with conventional behavior management techniques during infiltration anesthetic. . Anxiety/pain were assessed with the FLACC scale during the anesthetic moment, as well as heart rate variability and skin conductance before and during the anesthetic moment, between the control and experimental group. . A marginal statistical difference ( = 0.05) was found in the heart rate between baseline and anesthetic moment, being lower in the hypnosis group. No statistically significant differences were found with the FLACC scale or in the skin conductance ( > 0.05). . Hypnosis combined with conventional behavior management techniques decreases heart rate during anesthetic infiltration showing that there may be an improvement in anxiety/pain control through hypnotic therapy.
焦虑/疼痛是使儿童牙科治疗变得困难的体验，尤其是在麻醉期间。催眠术在儿科临床情境中用于改变思维、行为和感知，最近也应用于牙科领域；因此，本研究的目的是评估在浸润麻醉期间，催眠术结合传统行为管理技术的有效性。在麻醉时刻，使用FLACC量表评估焦虑/疼痛情况，同时在对照组和实验组的麻醉时刻前后，评估心率变异性和皮肤电传导情况。在基线和麻醉时刻之间，心率存在边缘统计学差异（P = 0.05），催眠组的心率较低。在FLACC量表或皮肤电传导方面未发现统计学显著差异（P>0.05）。催眠术结合传统行为管理技术可降低麻醉浸润期间的心率，表明通过催眠疗法可能改善焦虑/疼痛控制。
