Ashton R C, Whitworth G C, Seldomridge J A, Shapiro P A, Michler R E, Smith C R, Rose E A, Fisher S, Oz M C
Department of Surgery, College of Physicians & Surgeons, Columbia University, New York, NY, USA.
J Altern Complement Med. 1995 Fall;1(3):285-90. doi: 10.1089/acm.1995.1.285.
The effects of complementary techniques and alternative medicine on allopathic therapies is generating much interest and research. To properly evaluate these techniques, well controlled studies are needed to corroborate the findings espoused by individuals practicing complementary medicine therapies. To this end, we evaluated the role of one of these therapies, self-hypnosis relaxation techniques, in a prospective, randomized trial to study its effects on quality of life after coronary artery bypass surgery. Subjects were randomized to a control group or a study group. Study group patients were taught self-hypnosis relaxation techniques the night prior to surgery. The control group received no such treatment. Patients then underwent routine cardiac management and care. The main endpoint of our study was quality of life, assessed by the Profile of Moods Scale. Results demonstrated that patients undergoing self-hypnosis the night prior to coronary artery bypass surgery were significantly more relaxed than the control group (p = 0.0317). Trends toward improvement were also noted in depression, anger, and fatigue. This study demonstrates the beneficial effects of self-hypnosis relaxation techniques on coronary surgery. This study also identifies endpoints and a study design that can be used to assess complementary medicine therapies. Results of this preliminary investigation are encouraging and demonstrate a need for further well-controlled studies.
辅助技术和替代医学对传统疗法的影响正引发众多关注和研究。为了恰当地评估这些技术,需要进行严格对照的研究,以证实从事辅助医学疗法的人员所支持的研究结果。为此,我们在一项前瞻性随机试验中评估了其中一种疗法——自我催眠放松技术的作用,以研究其对冠状动脉搭桥手术后生活质量的影响。受试者被随机分为对照组或研究组。研究组患者在手术前一晚接受自我催眠放松技术培训。对照组未接受此类治疗。患者随后接受常规心脏管理和护理。我们研究的主要终点是生活质量,通过情绪量表进行评估。结果表明,在冠状动脉搭桥手术前一晚进行自我催眠的患者比对照组明显更放松(p = 0.0317)。在抑郁、愤怒和疲劳方面也注意到了改善趋势。这项研究证明了自我催眠放松技术对心脏手术的有益作用。这项研究还确定了可用于评估辅助医学疗法的终点和研究设计。这项初步调查的结果令人鼓舞,并表明需要进一步进行严格对照的研究。