音乐放松疗法对下颌阻生牙拔除患者焦虑及疼痛的影响  

The influence of music relaxation therapy on anxiety and vital signs for patients accepting mandibular impacted teeth extraction

作　　者：李丽[1] 姚志清[1] 王增香[1] 梁青[1] 王蓓[1] 刘江炎 

机构地区：[1]南京大学医学院附属口腔医院,江苏南京210008

出　　处：《护士进修杂志》2016年第24期2219-2222,共4页Journal of Nurses Training

基　　金：江苏省南京市医学科技发展项目(编号:YKK14108)

摘　　要：目的探讨音乐放松疗法对下颌阻生牙拔除患者的心率、呼吸、血压以及焦虑和疼痛程度的影响。方法将102例下颌阻生牙拔除患者采用随机数字表法分为观察组和对照组,各51例,对照组接受阻生牙拔除常规护理,观察组在常规护理的基础上实施音乐结合放松想象疗法持续至手术结束。观察两组患者术前、术中、术后的心率、呼吸、血压变化;术前、术后采用焦虑自评量表(Self-rating Anxiety scale,SAS),术后采用疼痛视觉模拟评分量表(Visual analogue scale,VAS)进行评估。结果术前两组患者焦虑评分比较差异无统计学意义(P>0.05),术后观察组焦虑评分明显低于对照组,差异有统计学意义(P<0.01);术后观察组疼痛评分明显低于对照组,差异有统计学意义(P<0.01);术前两组患者心率、呼吸、血压比较差异无统计学意义(P>0.05),术中对照组心率、呼吸、血压变化幅度大,而观察组心率、呼吸、血压较稳定,两组心率、呼吸、血压比较差异有统计学意义(P<0.01)。结论应用音乐放松疗法可明显稳定下颌阻生牙拔除患者术中生理指标,并能减轻焦虑和疼痛程度。Objective To study the influence of music therapy on physiological indexes including heart rate, respiration and blood pressure, and the anxiety of patients accepting removal of mandibular impacted teeth. Methods 102 patients accepting mandibular impacted teeth extraction were randomly divided into intervention group and control group. Patients of control group received routine care. Patients of intervention group received music relaxation therapy based on the routine care till the end of extraction. Then changes of heart rate, respiration and blood pressure of all cases were observed before, during, and after the operation respectively. Anxiety and pain degrees of all patients were evaluated by Self-rating Anxiety Scale （SAS）,and Visual analogue scale （VAS） before and after the operation. Results There was no statistical significant difference between the two groups in terms of anxiety scores before the operation（ P〉0.05）. However, the anxiety score of intervention group was significantly lower than that of control group after the operation（ P 〈0.01）. In terms of the pain level score of intervention group cases after the operation was significantly lower than that of before the operation（ P 〈0.01）. In terms of heart rate, respiration and blood pressure, there were no significant differences between the two groups before the operation（ P 〉0.05）. During the operation, the heart rate and blood pressure of control group cases obviously changed. However, both the heart rate and blood pressure of patients in intervention group were stable. In terms of the changes of heart rate and blood pressure, there were significant differences between the two group cases （P 〈0. 01）. Conclusion Music relaxation therapy can improve stress state of patients accepting removal of mandibular impacted teeth. It can stabilize intra-op- erative physiological indexes of patients and reduce their anxiety degree as well.

关 键 词：下颌阻生牙 音乐放松疗法 焦虑 疼痛 护理 

分 类 号：R473[医药卫生—护理学] R782.11[医药卫生—临床医学]