深度压力输入对智慧牙抽取期间自主调节的影响:从等待室到手术
Hsin-Yung Chen1, Hsiang Yang2,3,4, Ching-En Men2,5
1Department of Occupational Therapy, College of Medicine, I-Shou University, Kaohsiung, Taiwan.
Journal of dental sciences
|April 14, 2025
概括
使用加重背心和毯子进行深度压力刺激,通过增强副交感神经系统活动,有效地减少了拔牙期间的焦虑和压力. 这种方法为管理牙科手术焦虑提供了一个有希望的非药物治疗方法.
科学领域:
- 牙科 牙科是指牙科的专业.
- 心理生理学 心理生理学
- 自主神经系统研究 自主神经系统研究
背景情况:
- 拔牙往往会引起患者的严重焦虑,主要是在手术前的等待期间.
- 自主神经系统 (ANS),包括交感 (SNS) 和副交感 (PsNS) 分支,调节压力反应.
- 众所周知,深度压力刺激 (DPS) 通过将ANS平衡转向PsNS来促进放松.
研究的目的:
- 通过加重的服装研究DPS在智慧牙抽取期间调节ANS活动的有效性.
- 评估DPS对接受牙科手术的患者生理压力标志物的影响.
主要方法:
- 进行了一项随机对照试验,对健康的成年人进行了智慧牙切除.
- 实验小组在等待期间使用加重背心和提取期间使用加重毯子接受DPS.
- 对照组在没有DPS的情况下进行了程序.
- 心率 (HR) 和心率变化 (HRV) 组件 (LF-HRV,HF-HRV) 被测量以评估ANS活动.
主要成果:
- 对照对象表现出压力指标:HR增加,LF-HRV升高,HF-HRV降低,表明SNS激活.
- 实验对象表现出减弱的应激反应:显著降低HR和更高的HF-HRV,表明持续的PsNS主导地位.
- DPS有效调节了ANS活动,减少了同情反应,增强了副同情反应.
结论:
- 深度压力刺激是一种有效的非侵入性方法,可以减少牙拔牙患者的焦虑和压力.
- DPS促进了副交感激活,为管理牙科焦虑提供了潜在的治疗策略.
- 需要进一步的大规模临床研究来支持DPS在高焦虑症患者的临床应用.
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