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对被认为患有过度换气综合征的患者在催眠状态下心理挑战的生理反应:对诊断和治疗的意义。

Physiological responses to psychological challenge under hypnosis in patients considered to have the hyperventilation syndrome: implications for diagnosis and therapy.

作者信息

Freeman L J, Conway A, Nixon P G

出版信息

J R Soc Med. 1986 Feb;79(2):76-83. doi: 10.1177/014107688607900206.

DOI:10.1177/014107688607900206
PMID:3081708
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1290187/
Abstract

Thirty patients who were considered to have the hyperventilation syndrome on clinical grounds (history and observation) were referred for testing: 29 patients completed a forced hyperventilation provocation test, and 28 underwent hypnosis during which time a psychological challenge was introduced which was meaningful to each individual patient. In 19/27 of these patients the PetCO2 fell by an average of 18.2 mmHg and persisted spontaneously for more than three minutes. In 10 normal controls studied in a similar fashion there was an average fall of 5 mmHg. The difference in response between responders and controls/non-responders was highly significant (P less than 0.001). A review of the literature is presented for comparison. It is considered that a psychological challenge under hypnosis may have important implications for diagnosis and therapy in some patients considered to have the hyperventilation syndrome.

摘要

根据临床依据(病史和观察)被认为患有过度通气综合征的30名患者被转诊进行检测:29名患者完成了强迫性过度通气激发试验,28名患者接受了催眠,在此期间引入了对每位患者都有意义的心理挑战。在这些患者中的19/27中,呼气末二氧化碳分压(PetCO2)平均下降了18.2 mmHg,并自发持续超过三分钟。以类似方式研究的10名正常对照者平均下降了5 mmHg。反应者与对照者/无反应者之间的反应差异非常显著(P小于0.001)。为作比较,对文献进行了综述。认为催眠状态下的心理挑战可能对一些被认为患有过度通气综合征的患者的诊断和治疗具有重要意义。

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Physiological responses to psychological challenge under hypnosis in patients considered to have the hyperventilation syndrome: implications for diagnosis and therapy.对被认为患有过度换气综合征的患者在催眠状态下心理挑战的生理反应:对诊断和治疗的意义。
J R Soc Med. 1986 Feb;79(2):76-83. doi: 10.1177/014107688607900206.
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The low specificity of the Hyperventilation Provocation Test.过度通气激发试验的低特异性。
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Evaluation of the clinical usefulness of capnography curves during a hyperventilation provocation test in the diagnosis of hyperventilation syndrome.在过度通气激发试验中二氧化碳波形图曲线对过度通气综合征诊断的临床实用性评估。
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[Primary care in the hyperventilation syndrome].
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J Clin Med. 2022 Oct 31;11(21):6482. doi: 10.3390/jcm11216482.
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Bispectral Index Alterations and Associations With Autonomic Changes During Hypnosis in Trauma Center Researchers: Formative Evaluation Study.创伤中心研究人员在催眠过程中双谱指数变化及其与自主神经变化的关联:形成性评估研究
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Breathing and feeling: capnography and the individually meaningful psychological stressor.

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J R Soc Med. 1988 May;81(5):277-9. doi: 10.1177/014107688808100514.
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Variations in respiration and in respiratory symptoms during changes in emotion.情绪变化期间呼吸及呼吸症状的变化
Psychosom Med. 1952 Nov-Dec;14(6):476-90. doi: 10.1097/00006842-195211000-00006.
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The effects of psychological stress on respiration: a preliminary study of anxiety and hyperventilation.心理压力对呼吸的影响:焦虑与换气过度的初步研究
Psychophysiology. 1980 Nov;17(6):535-40. doi: 10.1111/j.1469-8986.1980.tb02293.x.
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Role of stress in the development of the hyperventilation syndrome.压力在过度换气综合征发展中的作用。
Psychother Psychosom. 1980;33(4):214-25. doi: 10.1159/000287434.
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Hypnotic control of anticipatory emesis in patients receiving cancer chemotherapy.催眠对接受癌症化疗患者预期性呕吐的控制作用
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Hyperventilation syndromes: infrequently recognized common expressions of anxiety and stress.过度通气综合征:焦虑和压力的常见表现,但常未被认识到。
Medicine (Baltimore). 1982 Jul;61(4):219-36.
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Third International Workshop on Respiratory Psychophysiology. Bordeaux, September 1-2, 1983. Abstracts.第三届呼吸心理生理学国际研讨会。波尔多,1983年9月1日至2日。摘要
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