音乐干预与臂丛麻醉患者应激状态的相关性研究  

The Research of the Relationship between Music Intervention and Brachial Plexus Anesthetic Patients’ Stress State

作　　者：朱芩芩[1] 方丹青[1] 刘岷[1] 杨煜[1] 胡建荣[1] 

机构地区：[1]上海市黄浦区中西医结合医院麻醉科,上海200010

出　　处：《中国医药指南》2012年第30期5-6,共2页Guide of China Medicine

摘　　要：目的探讨音乐干预对臂丛麻醉患者应激状态的影响。方法 80例ASAI^II级臂丛麻醉患者,随机分为实验组(I)和对照组(II),每组各40例。I组患者入室后即予播放自选的音乐至术毕,II组患者术中不播放音乐。观察两组患者的镇静情况,记录术中镇静药、镇痛药的用量、血流动力学及血液应激激素指标的变化。研究音乐干预对麻醉期患者的影响,并与对照组患者比较。结果 I组患者血流动力学指标的变化幅度、四项血液应激激素指标及辅助性镇静镇痛药物的使用量均显著小于II组(P<0.05);I组的VAS疼痛评级,Ramesay镇静评分显著优于II组(P<0.05)。结论音乐干预对臂丛麻醉患者可以起到稳定血流动力学、降低麻醉期应激反应、减少麻醉性辅助药物用量的作用,是一种安全,有效,简单的方法。Objective To investigate the effect for music intervention on brachial plexus anesthetic patients’ stress state.Method Eighty brachial plexus anesthetic patients（ASA grade I-II） were randomly assigned into study group（Group I） and control group（Group II）,and each group contained 40 patients.During the operation,the music was played for Group I until the end of the operation while no music for GroupII.Study indexes contained anesthetic situation,the total dose of sedative and analgesic,hemodynamic criterion and biochemical criterion.Result The hemodynamic fluctuation,the biochemical criterion and the dose of assistant sedative and analgesic for Group 1 were both significantly lower than Group II（P〈0.05）;VAS analgesia level and Ramesay tranquilizer level for Group 1 were much better than Group 2（P〈0.05）.Conclusion Music intervention could stabilize hemodynamic,retrain irritated responsiveness and reduce the using for anesthetic.It was a easy,safe and effective method.

关 键 词：音乐干预 臂丛麻醉 应激状态 

分 类 号：R614[医药卫生—麻醉学]