Poreba A, Dudkiewicz D, Drygalski M
Katedry i Oddziału Klinicznego Połoznictwa i Ginekologii w Tychach, Slaskiej Akademii Medycznej w Katowicach.
Ginekol Pol. 2000 Aug;71(8):915-20.
The influence of the sounds of music on adults' organisms is well investigated. It is widely known that low rhythm music can diminish psychophysical tension acting as a relaxing and anxiolytic agent, while fast rhythm of the music may have just opposite action-excitement. Despite the big number of publications about the influence of the sounds on human organism only very few papers about fetal reactions on music have been reported. A prospective study of 38 patients with mature pregnancies was made to evaluate the changes in the chosen cardiotocographic (CTG) parameters while listening to the different kinds of the music. Only physiological pregnancies were qualified. In the procedure all the patients were performed a Non Stress Test, than continuing CTG observation were exposed to three kinds of music: low (relaxation), medium (activation), fast rhythm (excitation). Uterine contractility, fetal heart rate (FHR), fetal movements (FM), incidence of accelerations and decelerations, oscillation mid-value were noted. A proportional positive correlation between the uterine contractility, fetal movements and the increase of the rhythm of the music was observed. No influence of the music on fetal heart rate and oscillation mid value was observed. An increased incidence of accelerations while playing the music was reported comparing to the control (i.e. pregnant patients not exposed to the music). No decelerations were observed.
音乐声音对成年人机体的影响已得到充分研究。众所周知，慢节奏音乐可减轻心理生理紧张，起到放松和抗焦虑作用，而快节奏音乐可能产生相反作用——兴奋。尽管有大量关于声音对人体机体影响的出版物，但关于胎儿对音乐反应的论文却很少。对38例妊娠成熟的患者进行了一项前瞻性研究，以评估在听不同类型音乐时所选产时胎心监护（CTG）参数的变化。仅纳入生理妊娠患者。在该过程中，所有患者均进行了无应激试验，然后在持续CTG观察的情况下接触三种类型的音乐：慢节奏（放松）、中等节奏（激活）、快节奏（兴奋）。记录子宫收缩力、胎儿心率（FHR）、胎儿运动（FM）、加速和减速的发生率、振荡中值。观察到子宫收缩力、胎儿运动与音乐节奏加快之间呈正比正相关。未观察到音乐对胎儿心率和振荡中值有影响。与对照组（即未接触音乐的孕妇患者）相比，播放音乐时加速发生率增加。未观察到减速情况。
