选择性手术期间的音乐可以减少腹壁重建后的疼痛吗? 一个双盲随机对照试验
Sara M Maskal1, Corey K Gentle2, Ryan C Ellis2
1Cleveland Clinic Foundation, Crile Building, A100, 2049 E 100th Street, Cleveland, OH, 44195, USA. maskals2@ccf.org.
概括
在腹壁重建 (AWR) 患者中,术后音乐没有减少术后疼痛. 这项研究发现,在AWR手术后,音乐和沉默组之间的疼痛得分没有显著差异.
科学领域:
- 手术 手术 手术
- 疼痛管理 疼痛管理
- 临床试验 临床试验
背景情况:
- 在某些手术过程中,建议在手术期间使用音乐来减轻手术后的疼痛.
- 它在腹壁重建 (AWR) 的有效性以前没有被调查.
研究的目的:
- 评估手术期间音乐对在开放腹壁重建 (AWR) 后的早期术后疼痛的影响.
主要方法:
- 一项随机对照试验,涉及321名成年患者,接受了带回肌网的开放AWR.
- 患者被分配到患者选择的音乐或沉默,对患者,外科医生和评估人员视而不见.
- 使用NRS-11尺度评估术后24±3小时的疼痛.
主要成果:
- 在24小时内,在音乐和沉默组之间没有观察到NRS-11疼痛评分的显著差异 (5.18对5.27,p=0.75).
- 对共变量进行调整的多变量分析也没有显示疼痛减轻的显著差异.
- 在以后的时间点,镇静或麻醉剂使用时,没有注意到疼痛评分的差异.
结论:
- 术前音乐对接受腹壁重建 (AWR) 的患者的早期术后疼痛减轻没有益处.
- 常规的多模式疼痛控制与在AWR手术期间加入音乐一样有效.
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