Mackey Edward F
a West Chester University of Pennsylvania , West Chester , PA , USA.
Am J Clin Hypn. 2018 Apr;60(4):378-385. doi: 10.1080/00029157.2017.1416279.
The effects of hypnosis/therapeutic suggestion in connection with intravenous sedation and surgery have been described in many clinical publications; however, few randomized, controlled, and blind studies have been performed in the outpatient area. The original study published in 2010 aimed to evaluate the use of hypnosis/therapeutic suggestion as an adjunct to intravenous sedation in patients having third molar removal in an outpatient setting. The patients were randomly assigned to a treatment or control group. The treatment group listened to a rapid conversational induction and therapeutic suggestions via headphones throughout the entire surgical procedure along with a standard sedation dose of intravenous anesthetic. The control group received intravenous anesthesia but listened to only music without any hypnotic intervention. The current replication study addressed several of the limitations of the original. Sample size was increased and selection of participants from a different geographic area in Pennsylvania. Intra-operative propofol administration, patient post-operative pain ratings, and post-operative prescription pain reliever consumption were all significantly reduced in the treatment compared to the control group. Implications of these results are discussed.
催眠/治疗性暗示与静脉镇静及手术相关的效果已在许多临床出版物中有所描述；然而，门诊领域进行的随机、对照及盲法研究较少。2010年发表的原始研究旨在评估在门诊环境中接受第三磨牙拔除术的患者使用催眠/治疗性暗示作为静脉镇静辅助手段的情况。患者被随机分配至治疗组或对照组。治疗组在整个手术过程中通过耳机聆听快速的对话诱导和治疗性暗示，同时给予标准剂量的静脉麻醉镇静剂。对照组接受静脉麻醉，但仅聆听音乐，无任何催眠干预。当前的重复研究解决了原始研究的一些局限性。样本量增加，且参与者选自宾夕法尼亚州不同地理区域。与对照组相比，治疗组术中丙泊酚的使用量、患者术后疼痛评分及术后处方止痛药的消耗量均显著降低。文中讨论了这些结果的意义。
