音乐疗法配合床上呼吸操训练干预腰椎内固定围手术期患者临床观察  

Effect of Music Therapy Combined with Respiratory Exercise on Bed in Intervening Patients with Internal Fixation of the Lumbar Spine

作　　者：曾秀云[1] 朱丹[1] 李红梅[1] 林红连 

机构地区：[1]广东省中医院,广东广州510006

出　　处：《新中医》2017年第8期142-144,共3页New Chinese Medicine

摘　　要：目的 :观察音乐疗法配合床上呼吸操训练对腰椎内固定围手术期患者焦虑及疼痛的影响。方法 :纳入100例腰椎内固定手术患者,采用随机数字表法分为观察组和对照组。对照组给予常规护理,观察组在常规护理基础上增加音乐疗法并配合床上呼吸操训练。记录2组不同时段汉密尔顿焦虑量表(HAMA)评分、视觉模拟评分法(VAS)评分及不适症状发生情况。结果:术后6 h及术后1、2、3天,2组HAMA评分均较术前1天降低(P<0.05);观察组术后6 h及术后1、2天的HAMA评分均低于对照组同期(P<0.05);2组术后第3天的HAMA评分比较,差异无统计学意义(P>0.05)。对照组术后6 h、术后1天及观察组术后6 h的VAS评分均较术前升高(P<0.05);2组术后2天及术后3天的VAS评分均低于术前1天(P<0.05);术后6 h及术后1、2、3天,观察组的VAS评分均低于对照组同期(P<0.05)。术后3天,观察组恶心呕吐、腹胀、失眠及眩晕的发生率均低于对照组,差异均有统计学意义(P<0.01)。结论:音乐疗法配合床上呼吸操训练能有效减轻腰椎内固定术患者的焦虑,减轻疼痛,缓解术后的各种不适。Objective： To observe the clinical effect of music therapy combined with respiratory exercise on bed in treating pain and anxiety of patients with internal fixation of the lumbar spine. Methods： Selected 100 patients with internal fixation of the lumbar spine and divided them into the observation group and the control group, according to random table method. The control group was given routine treatment, while the observation group was given music therapy combined with respiratory exercise on bed on the basis of the treatment of the control group. Recorded Hamilton depressive scale （HAMD） score and visual analogue scale （VAS） score and incidence of discomfort of the two groups in different period. Results： Six hours, one day and two days or three days after operation, HAMA scores of the two groups were all lower than those one day before treatment （P〈 0.05）. Six hours, one day and two days after operation, HAMA scores of the observation group were all lower than those of the control group in the same period （P〈 0.05）. There was no significant difference in HAMA scores of the two groups three days after operation （P 〉0.05）. Six hours, one day after operation, VAS scores of the control group were both higher than those before treatment; six hours after operation, the scores of the observation group were higher than those before treatment （P〈 0.05）. Two days or three days after operation, VAS scores of the two groups were all lower than those one day before treatment （P 〈 0.05） ; six hours, one day and two days or three days after operation, VAS scores of the observation group were all lower than those of the control group （P 〈 0.05）. After three days of operation, incidence of nausea and vomiting, abdominal distension, insomnia and vertigo of the observation group were all lower than those of observation group, the differences being significant （P 〈 0.01）. Conclusion： Music therapy combined with respiratory exercise on bed can effectively improve anxiety, pa

关 键 词：腰椎间盘突出症 腰椎内固定术 音乐疗法 床上呼吸操 焦虑 疼痛 

分 类 号：R681.5[医药卫生—骨科学]