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眼动脱敏和再处理疗法作为儿童牙拔牙期间疼痛管理的辅助 - 一个随机对照试验

Apoorva Rathore¹, Namita Kalra¹, Rishi Tyagi¹

¹Department of Pediatrics and Preventive Dentistry, University College of Medical Sciences, Guru Teg Bahadur Hospital (University of Delhi), Delhi, India.

Journal of dental anesthesia and pain medicine

|October 15, 2024

概括

眼动脱敏和再处理 (EMDR) 疗法显著减少了小儿牙科患者接受局部麻醉和提取的疼痛和焦虑. 这种方法也改善了整体的牙科经验,并降低了术后的止痛药需求.

科学领域:

儿科牙科儿科牙科
疼痛管理疼痛管理
心理治疗方法心理治疗方法

背景情况:

儿童牙科手术往往涉及疼痛和焦虑,需要有效的局部麻醉 (LA).
眼动脱敏和再处理 (EMDR) 疗法已被认可用于管理焦虑和与疼痛相关的疾病,但其在儿科牙科中的应用是新的.
这项研究调查了EMDR治疗对LA和儿童抽取过程中的疼痛的影响.

研究的目的:

评估接受EMDR治疗的儿科牙科患者的疼痛趋势,与局部麻醉和提取期间的标准护理相比.
为了评估抽取后的止痛药消耗和两组的整体牙科经验.

主要方法:

一项随机对照临床试验,涉及60名8至12岁的儿童,接受了牙提取.
参与者被分为两组:EMDR治疗和温柔的爱和关怀 (对照组).
疼痛是在三次间隔测量;统计分析包括未配对的t测试和重复测量ANOVA.

主要成果:

在EMDR组中,在局部LA凝,LA注射和提取后观察到明显较低的疼痛水平.
在提取后24小时内,EMDR组显示出降低止痛药消费的趋势.
接受EMDR治疗的儿童报告说,整体牙科体验明显改善.

结论:

治疗EMDR是有效的减少疼痛和增强牙科经验的儿童接受牙科手术.
经过EMDR治疗培训的儿童牙医可以推它作为疼痛管理的宝贵工具.
进一步的研究支持EMDR治疗作为儿童牙科推的做法.

关键词:

孩子孩子孩子孩子牙科护理牙科护理提取提取提取眼球运动脱敏和再处理局部麻醉局部麻醉疼痛疼痛疼痛疼痛

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