音乐辅助治疗应用于无痛人工流产术临床研究.docVIP

音乐辅助治疗应用于无痛人工流产术临床研究 　　【摘要】目的：探讨音乐辅助治疗在无痛人工流产术中的作用。方法：选择640例宫内早孕初次行无痛人流孕妇，随机分为两组。音乐辅助治疗即音乐组(M组)，另一组为对照组(C组)，观察两组术前的焦虑程度，术中SBP、HR的变化，呼吸抑制的情况，术后梦幻多语，苏醒期躁动，恶心呕吐情况，以及丙泊酚用量。结果：两组术前焦虑程度差异有显著性(P0.05)，术中呼吸抑制和苏醒期躁动发生率差异有显著性(P 　　【关键词】音乐辅助治疗；无痛人工流产术；丙泊酚 　　文章编号：1009-5519（2008）01-0011-02 中图分类号：R71 文献标识码：A 　　Clinical study of adjunctive music therapy for painless artificial abortion 　　PAN Qi1，CHEN An-ji2，PAN Dao-bO2 　　（1.Maternal and Child Health Hospital of Changde，Changde 415003，China；2.Department of Anesthesiology，The First Peoples Hospital of Changde，Changde 415003，China） 　　【Abstract】Objective：To investigate the effect of adjunctive music therapy in painless artificial abortion.Methods：640 ASAI pregnant women undergoing the primary painless artificial abortion were enrolled in this study,and randomly divided into the adjunctive music therapy group(group M) and control group(group C),with 320 cases in each group.The preoperative anxious extent，intraoperative change of SBP，HR and SpO2 as well as respiratory depression status，postoperative illusion and PONV，recovery restlessness and propofol dosage in two groups were observed and compared.Results：There were significant differences in preoperative anxious extent，intraoperative respiratory depression status,recovery restlessness and propofol dosage between two groups.There was no significant difference in intraoperative SBP，HR and SpO2,postoperative illusion and PONV between two groups.Conclusion：Adjunctive music therapy for painless artificial abortion can effectively reduce the propofol dosage，and decrease the incidence of adverse reaction. 　　【Key words】Adjunctive music therapy；Painless artificial abortion；Propofol 　　 　　1 资料和方法 　　 　　1.1 一般资料：选择640例宫内早孕初次行无痛人流的孕妇，妊娠时间6~10周，ASA Ⅰ级，年龄18~31岁，体重45~68公斤，手术历时6~10分钟，文化程度高中以上，均无心血管系统、内分泌系统疾病，无脑??肺、肝、肾等重要脏器疾病史，随机分为两组（n=320），丙泊酚辅助音乐治疗即音乐组（M组），另一组为丙泊酚对照组(C组)，音乐组通过术前访视了解孕妇所喜欢的音乐类型或歌曲，术前30分钟入手术室用MP3戴耳机播放音乐，音量由孕妇控制，持续至术后完全苏醒10分钟，术前10分钟测试孕妇的焦虑情况，采用Zung氏焦虑自评量表(SAS)，统一指导语，孕妇自行答卷，对照组不听