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首页> 外文期刊>Journal of Clinical and Diagnostic Research >The Effect Of Music Therapy On Sedative Requirements And Haemodynamic Parameters In Patients Under Spinal Anaesthesia; A Prospective Study
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The Effect Of Music Therapy On Sedative Requirements And Haemodynamic Parameters In Patients Under Spinal Anaesthesia; A Prospective Study

机译：音乐疗法对脊麻下患者镇静需求和血液动力学参数的影响;前瞻性研究

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Background: Music therapy is the application of music in the treatment of physiological and psychological aspects of an illness or disability. Music has been shown to modulate the stress response in minor operations, intensive care and other various hospital settings. We designed this study to determine the effects of music therapy on intraoperative sedative requirements in achieving similar degrees of sedation and on Haemodynamic parameters in patients undergoing surgery under spinal anaesthesia. Methods: We prospectively studied 100 cases of ASA Grade I and II between 15-65 years of age from both sexes, undergoing abdominal, urological and lower extremity surgery under spinal anaesthesia. The patients were randomized into Group M (those who listened to music) and Group C (those who didn't listen to music). After the induction of spinal anaesthesia, and after achieving the desired effects and levels, headphones were applied to all the patients and music was started in group M. The intraoperative vital parameters and total sedative requirements were recorded and compared in both the groups. Observations: The total midazolam requirements were significantly lower in patients who listened to music intraoperatively (2.17 ± 0.53 mg versus 3.25 ± 0.77 mg; P =0.02), for achieving similar degree of sedation (Ramsay grade 3). The mean pulse rate was significantly lower in group M as compared to group C (from 68-76 versus 86-98; P 0.05), though the patients in group M reported a higher sense of satisfaction and well- being postoperatively.Conclusions: Our findings suggest an important role of music in perianesthetic patient care. We conclude that music is a non-pharmacological alternative which is suitable for decreasing intraoperative sedative requirements under spinal anaesthesia.
机译：背景：音乐疗法是音乐在疾病或残疾的生理和心理方面的治疗中的应用。在小手术，重症监护和其他各种医院环境中，音乐可以调节压力反应。我们设计了这项研究，以确定在脊柱麻醉下接受手术的患者中，音乐疗法对术中镇静要求的效果，以达到相似的镇静程度以及血液动力学参数。方法：我们前瞻性研究了100例15-65岁之间的ASA I级和II级ASA患者，年龄在15-65岁之间，分别在腹部麻醉，脊柱麻醉下进行了泌尿外科和下肢外科手术。将患者随机分为M组（听音乐的人）和C组（不听音乐的人）。诱导脊髓麻醉后，达到所需的效果和水平后，在所有患者中均戴上耳机，并开始M组音乐。两组均记录并比较术中的生命参数和总镇静要求。观察结果：术中听音乐的患者对咪达唑仑的总需求量明显降低（2.17±0.53 mg对3.25±0.77 mg; P = 0.02），以达到类似的镇静程度（Ramsay 3级）。 M组患者的平均脉搏率明显低于C组（从68-76对86-98，P = 0.05），尽管M组患者的满意度和术后幸福感更高。研究结果表明音乐在麻醉患者护理中的重要作用。我们得出的结论是，音乐是一种非药理学替代方法，它适合于降低脊髓麻醉下的术中镇静剂需求。

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