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针刺按压对 5-10 岁儿童下颌神经阻滞麻醉注射时疼痛的影响:一项实验研究。

Effect of Acupressure on Pain during Inferior Alveolar Nerve Block Injection in Children Aged 5-10 Years Old - An Experimental Study.

机构信息

Department of Pediatric and Preventive Dentistry, VSPM'S Dental College and Research Centre, Nagpur, Maharashtra, India.

出版信息

J Acupunct Meridian Stud. 2023 Aug 31;16(4):127-132. doi: 10.51507/j.jams.2023.16.4.127.

DOI:10.51507/j.jams.2023.16.4.127
PMID:37609767
Abstract

BACKGROUND

Acupressure, which is related to acupuncture, is a noninvasive therapy suitable for use in children. However, data examining acupressure's effects on the pain of local anesthetic injection in children are sparse.

OBJECTIVES

The purpose of this study was to evaluate acupressure's effects on the pain of local anesthetic injection in children.

METHODS

This randomized, double-blind, parallel-group clinical study included 37 5- to 10-year-olds who had an inferior alveolar nerve block (IANB) for a mandibular extraction and were randomized to one of two groups: acupressure (study group) or non-acupressure (control group). The Wong-Baker FACES Pain Rating Scale (WBFPS) and the Sound, Eye, Motor (SEM) scale were utilized for subjective and objective pain assessment during injection.

RESULTS

The objective and subjective assessment of pain during injection significantly differed between the groups, with the acupressure group displaying lower scores.

CONCLUSION

Acupressure at the extra one point (EX-HN1) reduced pain during IANB injection in 5- to 10-year-olds and can be used as an adjunct to conventional measures like topical anesthesia to reduce pain.

摘要

背景

与针灸相关的穴位按压是非侵入性疗法,适用于儿童。然而,关于穴位按压对儿童局部麻醉注射疼痛影响的数据较为匮乏。

目的

本研究旨在评估穴位按压对儿童局部麻醉注射疼痛的影响。

方法

这是一项随机、双盲、平行组临床试验,纳入了 37 名 5 至 10 岁需行下颌神经阻滞(IANB)以拔除下颌牙齿的儿童,将其随机分为穴位按压组(研究组)和非穴位按压组(对照组)。采用 Wong-Baker FACES 疼痛评估量表(WBFPS)和声音、眼睛、运动(SEM)量表对注射过程中的主观和客观疼痛进行评估。

结果

两组儿童在注射过程中的客观和主观疼痛评估存在显著差异,穴位按压组的评分较低。

结论

穴位按压(EX-HN1)可减轻 5 至 10 岁儿童 IANB 注射时的疼痛,可作为局部麻醉等常规措施的辅助手段,以减轻疼痛。

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