Tirupathi Sunny Priyatham, Rajasekhar Srinitya
Department of Pedodontics & Preventive Dentistry, Malla Reddy Institute of Dental Sciences, Hyderabad Telangana, India.
Department of Pedodontics & Preventive Dentistry, Malla Reddy Dental College for Women, Hyderabad, Telangana, India.
J Dent Anesth Pain Med. 2020 Dec;20(6):357-365. doi: 10.17245/jdapm.2020.20.6.357. Epub 2020 Dec 28.
To evaluate the effectiveness of vibration as a counter-stimulatory measure in reducing subjective pain due to local anesthesia administration in children.
Electronic databases (PubMed, Ovid SP, Cochrane Central Register of Controlled Trials) were searched until April 2020. Studies were screened by titles and abstracts, followed by full text evaluation of the included studies.
A total of seven studies involving 376 children aged 5-17 years were included in the systematic review and meta-analysis. The meta-analysis compared vibration as a counter-stimulatory measure with no vibration as a comparator. The primary outcome evaluated was pain perception or subjective pain reported by the child. The secondary outcome evaluated was objective pain evaluated in each study. The pooled mean difference favored vibration to be effective for the first outcome.
Within the limits of this systematic review, low quality evidence suggests that vibration as a counter-stimulatory measure is effective in reducing the subjective pain reported by children during local anesthesia administration.
评估振动作为一种对抗刺激措施在减轻儿童局部麻醉给药引起的主观疼痛方面的有效性。
检索电子数据库（PubMed、Ovid SP、Cochrane对照试验中央注册库）直至2020年4月。通过标题和摘要筛选研究，随后对纳入研究进行全文评估。
系统评价和荟萃分析共纳入7项涉及376名5至17岁儿童的研究。荟萃分析将振动作为一种对抗刺激措施与无振动作为对照进行比较。评估的主要结局是儿童报告的疼痛感知或主观疼痛。评估的次要结局是每项研究中评估的客观疼痛。汇总平均差表明振动对第一个结局有效。
在本系统评价的范围内，低质量证据表明振动作为一种对抗刺激措施在减轻儿童局部麻醉给药期间报告的主观疼痛方面是有效的。
