音乐对父母陪伴下小儿麻醉诱导的影响  

Effects of Music on Induction of Anesthesia on Parental Presence

作　　者：李冶秋 许强[2] 周婷[2] 王磊[2] 

机构地区：[1]武汉市东西湖区人民医院麻醉科,武汉430040 [2]华中科技大学同济医学院附属协和医院麻醉科,武汉430022

出　　处：《华中科技大学学报（医学版）》2011年第6期750-752,共3页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

摘　　要：目的评价音乐对父母陪伴下小儿麻醉诱导的影响。方法以父母和小儿术前焦虑程度为首要研究目标,父母满意程度为次要研究目标。将100例ASAⅠ或Ⅱ级的择期手术患儿,年龄2～10岁,随机分成2组:音乐辅助组(音乐辅助父母陪伴)和对照组(单纯父母陪伴)。通过术前焦虑评分(mYPAS评分)测定两组小儿术前焦虑程度;通过状态-特质焦虑问卷(STAI)测定父母术前焦虑程度;通过视觉模拟评分(VAS)评价父母满意程度。结果音乐辅助组父母术前焦虑评分降低(P<0.05),满意评分略升高,但差异无统计学意义(P>0.05);音乐辅助组小儿焦虑评分较低,但是两组之间的差异无统计学意义。结论音乐辅助可以减轻父母在陪伴小儿麻醉诱导期间的焦虑心理,但对小儿的焦虑心理作用有限。Objective To determine whether music can reduce parental and children preoperative anxiety and thus allow children to benefit from parental presence during induction of anesthesia.Methods The children and the parental anxiety throughout the perioperative period was taken as the primary endpoint of the study,and the parental satisfaction as the secondary endpoint.One hundred children were assigned randomly to a music group（parental presence with music）or a control group（parental presence without music）.By using Modified Yale Preoperative Anxiety Scale（mYPAS）,preoperative anxiety of children was measured;By using State-Trait Anxiety Inventory,anxiety of parents was measured;By using VAS Inventory,satisfaction of parents was measured.Results Music group had a lower level anxiety of parents and a higher level satisfaction of parents.Both groups had the same level of mYPAS.Conclusion Music is effective in reducing the anxiety of parents at induction of anesthesia,but the children can not be benefited.

关 键 词：小儿麻醉 父母陪伴 音乐治疗 术前焦虑 

分 类 号：R614[医药卫生—麻醉学]