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耳针疗法用于管理正畸疼痛:一项随机对照的初步研究。

Auriculotherapy used to manage orthodontic pain: a randomized controlled pilot study.

机构信息

"Sapienza" University of Rome, Department of Oral and Maxillofacial Sciences (Rome, Italy).

"Paracelso Institute" of Rome, Moral Institution of the Ministry of Health, (Rome, Italy).

出版信息

Dental Press J Orthod. 2021 Dec 17;26(6):e2119381. doi: 10.1590/2177-6709.26.6.e2119381.oar. eCollection 2021.

Abstract

INTRODUCTION

Several methods are commonly used to decrease orthodontic pain, but versatile tools and standardized protocols are still lacking.

OBJECTIVE

In response to the need for alternatives to conventional analgesic methods, this study evaluates the analgesic effects of auriculotherapy (AT) during the first three months of fixed orthodontic treatment.

METHODS

A sample of 36 subjects was selected, with patients randomly allocated into two homogeneous groups, Study Group (SG) and Control Group (CG), depending on the application/non-application of AT. Patients rated their pain scores monthly from 0 to 10, on visual analogue scales (VAS) at the time of bonding (T0) and again at two appliance adjustments (T1 and T2). At each of these treatment phases, VAS was applied in six different time moments (TM): immediately before, immediately after, after 4 hours, after 8 hours, after 24 hours, and after 72h hours. Descriptive statistical analysis, a Student's t-test, and a Chi-square test were applied to the collected data (statistical significance for p< 0.05).

RESULTS

SG patients reported lower pain levels than CG patients, both at T0, T1 and T2. Moreover, average pain intensity values were lower in the SG for all TM analyzed, with the t-test significant (p< 0.05) for most TMs.

CONCLUSION

AT was effective in the pain treatment of patients with fixed orthodontic appliances. Further studies are needed with a sham control group to confirm the validity of these results.

摘要

简介

有几种常用的方法可以减轻正畸疼痛,但仍缺乏通用工具和标准化方案。

目的

针对对传统镇痛方法的替代方法的需求,本研究评估了耳针疗法(AT)在固定正畸治疗的头三个月中的镇痛效果。

方法

选择了 36 名受试者作为样本,根据 AT 的应用/非应用,将患者随机分为两组,即研究组(SG)和对照组(CG)。患者在每月从 0 到 10 的视觉模拟量表(VAS)上对疼痛评分进行评分,在粘接时(T0)以及在两次矫正器调整时(T1 和 T2)再次进行评分。在这些治疗阶段中的每一个阶段,VAS 都在六个不同的时间点(TM)进行应用:在治疗前、治疗后、治疗后 4 小时、治疗后 8 小时、治疗后 24 小时和治疗后 72 小时。对收集的数据进行描述性统计分析、学生 t 检验和卡方检验(统计学意义 p<0.05)。

结果

SG 患者在 T0、T1 和 T2 时报告的疼痛水平均低于 CG 患者。此外,在所有分析的 TM 中,SG 的平均疼痛强度值均较低,且 t 检验具有统计学意义(p<0.05)。

结论

AT 对固定正畸矫治器患者的疼痛治疗有效。需要进一步的研究,包括假对照试验,以确认这些结果的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df04/8690330/8db51e1f2ac2/2177-6709-dpjo-26-06-e2119381-gf1.jpg

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