Auricular acupuncture for dental anxiety:: A randomized controlled trial
Auricular acupuncture for dental anxiety:: A randomized controlled trial
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DOI：
10.1213/01.ane.0000242531.12722.fd
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发表时间：
2007-02-01
影响因子：
5.7
通讯作者：
Fink, Matthias
中科院分区：
文献类型：
--
作者：
Karst, Matthias;Winterhalter, Michael;Fink, Matthias
耳针可以有效地治疗急性焦虑症，但缺乏针灸与经证实的标准药物治疗的直接比较。在这项研究中，我们比较了耳针与鼻内咪达唑仑，安慰剂针灸，以及没有治疗降低牙科焦虑症的疗效。拔牙患者（n = 67）被随机分配到（i）耳针，（ii）安慰剂针灸，（iii）鼻内咪达唑仑，并与无治疗组进行比较。在干预前、30分钟和拔牙后评估焦虑。连续评估生理变量。与未治疗组相比，耳针组和咪达唑仑组在30 min时的焦虑程度均显著低于安慰剂组（Spielberger Stait-Trait Anxiety Inventory X1，P = 0.012和< 0.001）。此外，如果进行耳针或鼻内咪达唑仑应用，牙医评估的患者依从性显著改善（分别为P = 0.032和0.049）。总之，耳针和鼻内咪达唑仑治疗牙科焦虑症的效果相似。
Auricular acupuncture can be an effective treatment for acute anxiety, but there is a lack of direct comparisons of acupuncture to proven standard drug treatments. in this study we compared the efficacy of auricular acupuncture with intranasal midazolam, placebo acupuncture, and no treatment for reducing dental anxiety. Patients having dental extractions (n = 67) were randomized to (i) auricular acupuncture, (ii) placebo acupuncture, and (iii) intranasal midazolam and compared with a no treatment group. Anxiety was assessed before the interventions, at 30 min, and after the dental extraction. Physiological variables were assessed continuously. With the no treatment group as control, the auricular acupuncture group, and the midazolam group were significantly less anxious at 30 min as compared with patients in the placebo acupuncture group (Spielberger Stait-Trait Anxiety Inventory X1, P = 0.012 and < 0.001, respectively). In addition, patient compliance assessed by the dentist was significantly improved if auricular acupuncture or application of intranasal midazolam had been performed (P = 0.032 and 0.049, respectively). In conclusion, both, auricular acupuncture and intranasal midazolam were similarly effective for the treatment of dental anxiety.