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催眠治疗对疼痛和阿片类药物使用的影响肩部置换手术后:试点可行性研究

Georges Haidamous^1,2, Mark Jensen³, Lynne Couchara⁴

¹Orthopedics - Shoulder and Elbow Surgery, University of South Florida Morsani College of Medicine, Tampa, USA.

The International journal of clinical and experimental hypnosis

|September 22, 2025

概括

治疗性催眠 (TH) 减少了肩膀手术患者的术后疼痛和阿片类药物使用. 这项研究表明TH是可行的,并保证了进一步的临床试验来治疗疼痛.

科学领域:

疼痛管理疼痛管理
外科手术的结果
补充疗法补充疗法补充疗法

背景情况:

严重的术后疼痛是一个重要的问题,可能导致慢性疼痛和长期阿片类药物依赖.
需要有效的非药物干预来控制疼痛,并减少手术后的阿片类药物消费.
肩部置换手术通常涉及相当大的术后疼痛,影响恢复和患者的满意度.

研究的目的:

评估治疗性催眠 (TH) 与标准护理 (SC) 对术后疼痛的可行性和初步影响.
评估TH对接受肩部置换手术的患者阿片类药物使用的影响.
为了确定患者对手术前TH干预的坚持和满意度.

主要方法:

一项可行性研究,将治疗性催眠 (TH) 与肩部置换患者的标准护理 (SC) 进行比较.
参与者从手术前7天开始,通过音频录音接受TH.
测量了疼痛强度和阿片类药物消费,并在各组之间进行了比较.

主要成果:

在TH干预方面报告了高坚持率 (97%) 和满意度 (90%).
与SC相比,TH参与者经历的疼痛强度较低,在第10天观察到的效果大小中等.
在手术后的第一天 (第1-3天) 中,TH组使用了大约一半的阿片类药物.

结论:

治疗性催眠是一种可行的干预措施,用于管理术后疼痛,并减少在肩部置换手术中使用阿片类药物.
积极的可行性和初步结果支持进行更大,全功率的临床试验.
作为标准护理的辅助疗法,TH显示出有前途的希望,以改善手术恢复和患者的结果.

关键词:

催眠催眠是一种催眠.在阿片类药物阿片类药物.术后疼痛术后疼痛术后疼痛肩部关节整形手术肩部关节整形手术

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