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立体测试中的催眠疗法的有效性和可靠性:一项随机研究

Sabina Catalano Chiuvé¹, Shahan Momjian^2,3, Adriana Wolff⁴

¹Neurology Department, Neuropsychology Unit, Geneva University Hospitals, Geneva, Switzerland.

Acta neurochirurgica

|February 27, 2024

概括

催眠并没有减少帕金森病患者在刻板印象框架固定期间的直接疼痛. 然而,随着时间的推移,它调节了疼痛记忆,可能防止了消极的程序体验.

科学领域:

神经外科神经外科
心理学心理学心理学
疼痛管理疼痛管理

背景情况:

接受深度大脑刺激 (DBS) 的帕金森病 (PD) 患者在立体框架 (SF) 固定过程中可能会感到疼痛.
这项研究调查了催眠在缓解手术期间疼痛和痛苦方面的有效性.

研究的目的:

评估催眠在降低疼痛,压力,焦虑和痛苦中的作用,在帕金森病患者的刻板印象框架固定期间,他们接受了醒着的双边亚thalamic核 (STN) DBS.

主要方法:

一项随机研究包括19名PD患者,分为催眠组 (用局部麻醉催眠) 或对照组 (仅用局部麻醉).
主要结局是疼痛感知 (视觉模拟量表 (VAS)). 二次结局包括压力,焦虑,抑郁 (医院焦虑和抑郁量表 - - HADS) 和程序性痛苦 (周期性痛苦清单 - - PDI-13).

主要成果:

在催眠和对照组之间,立即疼痛 (VAS) 或痛苦得分没有显著差异.
然而,在随访期间,催眠组的VAS和PDI-13得分随着时间的推移显著降低.
在整个研究过程中,HADS和PSS分数在各组之间是相似的.

结论:

催眠没有显著影响立即疼痛,焦虑,或困扰在刻板的框架固定期间.
催眠可以调节疼痛记忆,可能会阻止疼痛手术被整合到PD患者的负面自传记忆中.
需要进一步的随机对照研究来证实这些发现.

关键词:

深度大脑刺激是什么?催眠催眠是一种催眠.疼痛疼痛疼痛疼痛帕金森病是帕金森氏症的一种疾病.

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