Bruxelle J
Unité d'évaluation et de traitement de la douleur, hôpital Tarnier, Paris.
Rev Prat. 1994 Sep 15;44(14):1919-23.
The placebo induces a significant analgesia on average in 35% patients with some variations according to the studied pathology and the modalities of the therapy. This placebo effect is especially influenced by the expectations and beliefs of the patient, the doctor, the environment and the quality of the doctor-patient relationship. As with a real psychogenic analgesia, this effect could partly result in a release of endogenous opioid substances. By a good relationship with his patient and a treatment corresponding to his expectations and his beliefs, the doctor induces a powerful placebo effect which increases the specific effects of his analgesic treatment.
安慰剂平均能使35%的患者产生显著的镇痛效果，根据所研究的病理情况和治疗方式会有一些差异。这种安慰剂效应尤其受到患者、医生的期望和信念、环境以及医患关系质量的影响。与真正的心理性镇痛一样，这种效应可能部分导致内源性阿片类物质的释放。通过与患者建立良好的关系以及给予符合其期望和信念的治疗，医生会诱导出强大的安慰剂效应，从而增强其镇痛治疗的特定效果。
