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针刺对人类牙齿疼痛感知阈值的影响。

Effect of acupuncture on the pain perception thresholds of human teeth.

作者信息

Bakke M

出版信息

Scand J Dent Res. 1976 Nov;84(6):404-8. doi: 10.1111/j.1600-0722.1976.tb00514.x.

Abstract

The effect of acumpuncture on the pain perception threshold of maxillary incisors and canines as determined by a Bofors Pulp Tester was studied in 33 dental students 19-30 years of age. Test teeth were cleaned with pumice and 10% alcohol, air-dried, and insulated at the approximal surfaces with strips of rubber dam. Based on a comparison of bipolar and monopolar stimulation the latter method was chosen, with the cathode placed on the incisal third of the facial surface, the indifferent electrode in the subject's hand. In separate groups of subjects thresholds were assessed four times at intervals of 15 min without acupuncture (1), with acupuncture performed manually (2) and electrically (3), and during electrical stimulation with surface electrodes over acupuncture points (4). On separate days acupuncture and surface stimulation was applied unilaterally at the points S2 (cheek), Li4 (hand), or S44 (foot). Compared with control threshold (8.44 muA) acupuncture was accompanied by a small increase, most pronounced after 45 min (1.51 muA, P less than 0.0005). However, the hypalgesia observed was insufficient to justify acupuncture as a means of pain control in conservative dentistry.

摘要

在33名年龄在19至30岁的牙科学生中,研究了针刺对由博福斯牙髓测试仪测定的上颌切牙和尖牙疼痛感知阈值的影响。测试牙齿用浮石和10%酒精清洁,吹干,并用橡胶坝条在邻面进行绝缘。基于双极和单极刺激的比较,选择了后一种方法,阴极置于面部表面切缘三分之一处,无关电极置于受试者手中。在不同的受试者组中,在无针刺的情况下每隔15分钟评估一次阈值(1),手动针刺(2)和电针刺(3)时评估一次,以及在针刺穴位上方用表面电极进行电刺激时评估一次(4)。在不同的日子里,在穴位S2(脸颊)、LI4(手部)或S44(足部)单侧进行针刺和表面刺激。与对照阈值(8.44微安)相比,针刺后阈值有小幅升高,45分钟后最为明显(1.51微安,P<0.0005)。然而,观察到的痛觉减退不足以证明针刺可作为保守牙科中控制疼痛的一种手段。

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