在内牙科手术之前,期间和之后,导致疼痛的心理因素:一个范围审查
Atieh Sadr1, Ali Gholamrezaei2, Amy G McNeilage2
1Sydney Dental School / Discipline Endodontics, The University of Sydney, NSW.
British journal of pain
|December 29, 2025
概括
心理因素,如焦虑和抑郁症显著影响内牙痛. 了解这些联系对于改善牙疼痛管理和患者护理策略至关重要.
科学领域:
- 牙科研究 牙科研究
- 心理学 心理学 心理学
- 疼痛管理 疼痛管理
背景情况:
- 关于内牙痛的心理因素的有限研究.
- 医疗保健中的生物心理社会方法越来越多.
- 需要确定治疗的心理变量.
研究的目的:
- 确定关于心理变量和内牙疼痛的证据范围.
- 建立一个解决牙痛心理因素的基础.
- 为未来的研究和临床实践提供信息.
主要方法:
- 根据JBI"证据综合手册"进行范围审查.
- 在多个数据库 (MEDLINE,EMBASE,PsycINFO等) 中进行全面的文献搜索. 和灰色文学.
- 两个独立审查员对记录进行了选,并对数据提取进行了交叉验证.
主要成果:
- 包括48项研究,评估了12个心理构造.
- 术前的疼痛与焦虑有关.
- 手术和手术后的疼痛与焦虑,疼痛预期,抑郁和疼痛信念有关.
结论:
- 不同的心理因素与不同时间段的内牙疼痛有关.
- 需要进一步的研究来加强有关协会和干预的证据.
- 识别心理贡献者可以改善疼痛预测,沟通和临床策略.
相关概念视频
Analgesia and Pain Management
1.4K
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
1.4K
Pain
1.2K
Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...
1.2K
Blood and Nerve Supply to the Bones
13.4K
Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
13.4K


