音乐对女性在通用麻醉诱导期间血液动力学波动的影响:一项前性随机受控多中心试验
Jie Wang1, Linghui Jiang1, Wannan Chen1
1Department of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, PRC.
Clinics (Sao Paulo, Brazil)
|August 3, 2024
概括
在接受选择性非心脏手术的妇女中,音乐干预显著降低了手术前的焦虑,并在麻醉诱导期间防止了血液动力学不稳定. 这种音乐治疗方法提供了一个有前途的非药物选择,可以改善患者的治疗结果.
科学领域:
- 麻醉学 麻醉学
- 心血管生理学心血管生理学
- 心理医学 心理医学
背景情况:
- 血液动力学波动和手术前的焦虑在接受选择性非心脏手术麻醉的患者中很常见.
- 音乐对缓解这些问题的潜力仍然是非药物干预的兴趣领域.
研究的目的:
- 为了研究音乐在全身麻醉诱导期间对血液动力学稳定性的影响.
- 评估音乐在减轻接受选择性非心脏手术的妇女手术前焦虑的疗效.
主要方法:
- 一个多中心,双盲,随机对照试验,涉及164名患者.
- 患者被分配到音乐干预 (MI) 组或控制组.
- 血液动力学参数 (心率,平均动脉压) 和焦虑水平 (州道焦虑库存) 被监测.
主要成果:
- 音乐干预组在麻醉诱导期间表现出明显较低的平均动脉压不稳定的发生率.
- 心率不稳定性在心脏病发作组中也较少发生.
- 与对照组相比,心脏病发作组的术前焦虑评分显著降低.
结论:
- 手术前的音乐干预是有效的预防在麻醉诱导期间血液动力学不稳定.
- 在接受选择性非心脏手术的女性中,音乐显著降低了手术前的焦虑.
- 音乐疗法是一个可行的非药物治疗策略,用于改善手术环境中的患者护理.
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