Department of Pedodontics and Preventive Dentistry, University College of Medical Sciences, Guru Teg Bahadur Hospital University of Delhi, New Delhi, 110095, Delhi, India.
Department of Psychiatry, University College of Medical Sciences, Guru Teg Bahadur Hospital University of Delhi, New Delhi, 110095, Delhi, India.
Eur Arch Paediatr Dent. 2021 Oct;22(5):823-832. doi: 10.1007/s40368-021-00619-0. Epub 2021 Mar 29.
Hypnosis (H) and Progressive Muscle Relaxation (PMR) have proven to be effective in a variety of medical settings; there is a paucity of their practical application in paediatric dentistry. The study aimed to comparatively evaluate the role of H and PMR on anxiety, heart rate (HR), oxygen saturation (SPO), blood pressure (BP), pain, and analgesic requirement during extraction in children.
Sixty children aged 8-12 years undergoing primary molar extractions were randomly allocated to three groups-H, PMR, and control (C). The anxiety (proposed Visual Facial Anxiety scale), HR, and SPO were measured pre/post-operatively with/without interventions (H, PMR, C) at 4 intervals. The BP and pain (Wong-Baker faces pain scale) were recorded pre- and post-operatively. Need for analgesic post-operatively was assessed.
Statistically significant reduction in anxiety was noted post-extraction in H (0.30 ± 0.80), PMR (0.50 ± 0.69) (p < 0.001*). HR showed a statistically significant drop after H, PMR application. (p < 0.001*) No significant difference in SPO was noted in the three groups (p > 0.05). Pain control was well achieved using H (85%), PMR (70%); BP was well-regulated in the H, PMR compared to C group (p < 0.001*). Need for analgesics was reduced in H (45%), PMR (50%) versus C (100%). Both techniques H, PMR were comparable in all measures.
Hypnosis and PMR are effective techniques for anxiolysis and pain control in paediatric dental patients.
催眠（H）和渐进性肌肉放松（PMR）已被证明在多种医疗环境中有效；但在儿科牙科中，它们的实际应用却很少。本研究旨在比较评估 H 和 PMR 在儿童拔牙过程中对焦虑、心率（HR）、血氧饱和度（SPO）、血压（BP）、疼痛和镇痛需求的作用。
将 60 名 8-12 岁接受乳磨牙拔除的儿童随机分为三组：H 组、PMR 组和对照组（C）。在干预（H、PMR、C）前后，用/不用干预措施，在 4 个时间点测量术前/术后的焦虑（提出的视觉面部焦虑量表）、HR 和 SPO。记录术前/术后的 BP 和疼痛（Wong-Baker 面部疼痛量表）。术后评估镇痛需求。
H 组（0.30±0.80）和 PMR 组（0.50±0.69）拔牙后焦虑显著降低（p<0.001*）。H、PMR 应用后 HR 明显下降。（p<0.001*）三组 SPO 无显著差异（p>0.05）。H 组（85%）和 PMR 组（70%）镇痛效果较好；H、PMR 组 BP 调节优于 C 组（p<0.001*）。与 C 组（100%）相比，H 组（45%）和 PMR 组（50%）需要的镇痛药减少。H 和 PMR 在所有指标上都相当。
催眠和 PMR 是儿科牙科患者焦虑和疼痛控制的有效技术。
