催眠治疗临床疼痛的辅助使用:系统性审查和元分析
Hannah G Jones1,2, Rodrigo R N Rizzo3,4, Brian W Pulling1,5
1IIMPACT in Health, University of South Australia, Adelaide, South Australia, Australia.
Pain reports
|September 12, 2024
概括
辅助催眠,当与其他治疗相结合时,在减少各种疾病的疼痛强度方面显示出小到中等的效果. 然而,证据质量非常低,需要进一步的研究来证实这些止痛作用.
科学领域:
- 疼痛管理 疼痛管理
- 综合医学是一个整体医学.
- 临床心理学 临床心理学
背景情况:
- 以前的评论表明,独立的催眠暗示可以改善疼痛结果.
- 在临床实践中,催眠经常与其他干预措施一起使用,因此需要对其辅助效应进行审查.
研究的目的:
- 系统地审查和总结催眠作为临床疼痛的成年人的辅助疗法时,催眠的止痛作用.
主要方法:
- 在七个数据库 (MEDLINE,Embase,PsycINFO,Emcare,SCOPUS,CENTRAL,Cochrane) 进行了系统的搜索,直到2024年1月.
- 包括随机对照试验,比较辅助催眠 (催眠+初级干预) 与单独的初级干预.
- 使用随机效应模型的元分析计算了疼痛强度 (0-100) 的平均差异.
主要成果:
- 70项研究 (n=6078) 进行了元分析. 辅助催眠疗法在常规护理中增加时,对慢性疼痛,医疗/手术疼痛和烧伤护理产生了额外的微小止痛作用.
- 在催眠是教育的辅助时,观察到慢性疼痛的中等额外止痛效应,但不是术后疼痛.
- 当与心理干预相结合时,催眠在三个月后为慢性疼痛提供了轻微增加的止痛效果. 药物辅助的催眠疗法在慢性疼痛中表现出中等的止痛作用.
结论:
- 证据的总体确定性非常低,表明对辅助催眠的止痛作用的不确定性.
- 催眠与教育一起使用,可能会减少慢性疼痛病的疼痛强度.
- 需要进一步的研究来澄清辅助催眠的治疗目标和潜在机制.
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