催眠对针刺受试者疼痛及恐惧心理的影响  

Effect of hypnosis on pain and fear in the acupuncture subjects

作　　者：杨小兵[1] 刘红云[1] 李强[1,2,3] YANG Xiao-bing;LIU H ong-yun;LI Qiang(Psychology Teaching and Research Section;Acupuncture-Moxibustion Teaching and Research Section,Hunan College of TCM,Zhuzhou 412000,China;Graduate School of Tianjin University of TCM)

机构地区：[1]湖南中医药高等专科学校心理学教研室 [2]湖南中医药高等专科学校针灸教研室,株洲412000 [3]天津中医药大学研究生院

出　　处：《中国针灸》2020年第1期37-40,共4页Chinese Acupuncture & Moxibustion

基　　金：湖南省教育厅科技处课题：16C1266

摘　　要：目的:观察催眠对针刺健康受试者疼痛及恐惧心理的作用。方法:将52名健康受试者随机分为观察组和对照组,每组26名。观察组在催眠状态下接受第1次针刺,唤醒,间隔30 min后清醒状态下接受第2次针刺;对照组先在清醒状态下接受第1次针刺,间隔30 min后在催眠状态下接受第2次针刺。采用Likert量表调查两组受试者针刺前(平常状态)、第1次及第2次针刺后的放松度、疼痛感和再次接受针刺的意愿度;测量两组受试者平常状态和第1次针刺后的脉搏、血压变化。结果:与平常状态相比,观察组第1次针刺(催眠后针刺)和第2次针刺(唤醒后针刺)的放松度均升高,疼痛感均减轻,意愿度均增强(P<0.001),观察组催眠后针刺与唤醒后针刺的各指标比较差异无统计学意义(P>0.05)。与平常状态相比,对照组在第1次针刺后(清醒时针刺)放松度降低,疼痛感减轻,再次接受针刺的意愿度增强(P<0.001,P<0.05);第2次针刺(催眠后针刺)与平常状态相比,疼痛感减轻,意愿度增强(P<0.001),放松度比较差异无统计学意义(P>0.05);与第1次针刺后比较,催眠后再针刺放松度升高,疼痛感减轻,意愿度增强(P<0.05,P<0.001)。与对照组第1次针刺后(清醒时针刺)比较,观察组催眠后针刺和唤醒后针刺的放松度和意愿度升高,疼痛感减轻(P<0.001);与对照组第2次针刺(催眠后再针刺)比较,观察组催眠后针刺和唤醒后针刺的放松度升高,疼痛感减轻(P<0.01,P<0.001),意愿度比较差异无统计学意义(P>0.05)。对照组第1次针刺后(清醒时针刺)与平常状态相比,脉搏加快,舒张压和收缩压升高(P<0.05,P<0.01),观察组催眠后针刺与平常状态相比,脉搏减缓,血压下降(P<0.01);观察组第1次针刺(催眠后针刺)与对照组第1次针刺(清醒时针刺)相比,脉搏减缓,血压下降(P<0.001)。结论:针刺过程中结合催眠可以减轻针刺受试者的恐惧心理,降低受试者的疼痛感,增加受试�Objective To observe the effect of hypnosis on pain and fear in the healthy acupuncture subjects.Methods A total of 52 healthy subjects were randomized into an observation group and a control group, 26 cases in each one. In the observation group, the subjects received the first-time acupuncture under hypnosis. After wakened up and 30 min later, the subjects received the second-time acupuncture under clear consciousness condition. In the control group, the subjects received the first-time acupuncture under clear consciousness condition, 30 min later, received the second-time acupuncture under hypnosis. Likert scale was adopted to investigate the relaxation, pain sensation and the willingness in the subjects at the normal condition before acupuncture, after the first-time and the second-time acupuncture of the two groups separately. Using Boeran electronic blood pressure monitor, the pulse and blood pressure were measured in the subjects at the normal condition and after the first-time acupuncture of the two groups. Results Compared with the normal condition, the relaxation degree was increased, the pain sensation decreased and the willingness enhanced after acupuncture either after hypnosis or after wakened-up in the observation group(P<0.001). The difference was not significant in each index between acupuncture after hypnosis and acupuncture after wakened-up in the observation group(P>0.05). In the control group, compared with the normal condition, after the first-time acupuncture(acupuncture in clear consciousness), the relaxation degree was decreased, pain was alleviated and the willingness was increased when acupuncture was exerted once again(P<0.001, P<0.05);compared with the normal condition, after the second-time acupuncture(acupuncture after hypnosis), pain was alleviated and the willingness increased(P<0.001), but the difference in relaxation was not significant(P>0.05);compared with the first-time acupuncture, the relaxation degree was increased, pain alleviated and willingness enhanced after the second-

关 键 词：疼痛 催眠 针刺 恐惧心理 

分 类 号：K246[历史地理—历史学]