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[Music versus diazepam to reduce preoperative anxiety: a randomized controlled clinical trial].[音乐与地西泮减轻术前焦虑：一项随机对照临床试验]
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现场古典钢琴音乐对眼科手术患者生命体征的影响。

The effect of live classical piano music on the vital signs of patients undergoing ophthalmic surgery.

作者信息

Camara Jorge G, Ruszkowski Joseph M, Worak Sandra R

机构信息

Division of Ophthalmology, Department of Surgery, University of Hawaii-John A. Burns School of Medicine, Honolulu, Hawaii, USA.

出版信息

Medscape J Med. 2008 Jun 25;10(6):149.

PMID:18679538
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2491669/
Abstract

CONTEXT

Music and surgery.

OBJECTIVE

To determine the effect of live classical piano music on vital signs of patients undergoing ophthalmic surgery.

DESIGN

Retrospective case series.

SETTING AND PATIENTS

203 patients who underwent various ophthalmologic procedures in a period during which a piano was present in the operating room of St. Francis Medical Center. [Note: St. Francis Medical Center has recently been renamed Hawaii Medical Center East.]

INTERVENTION

Demographic data, surgical procedures, and the vital signs of 203 patients who underwent ophthalmic procedures were obtained from patient records. Blood pressure, heart rate, and respiratory rate measured in the preoperative holding area were compared with the same parameters taken in the operating room, with and without exposure to live piano music. A paired t-test was used for statistical analysis.

MAIN OUTCOME MEASURE

Mean arterial pressure, heart rate, and respiratory rate.

RESULTS

115 patients who were exposed to live piano music showed a statistically significant decrease in mean arterial blood pressure, heart rate, and respiratory rate in the operating room compared with their vital signs measured in the preoperative holding area (P < .0001). The control group of 88 patients not exposed to live piano music showed a statistically significant increase in mean arterial blood pressure (P < .0002) and heart rate and respiratory rate (P < .0001).

CONCLUSION

Live classical piano music lowered the blood pressure, heart rate, and respiratory rate in patients undergoing ophthalmic surgery.

摘要

背景

音乐与手术。

目的

确定现场古典钢琴音乐对接受眼科手术患者生命体征的影响。

设计

回顾性病例系列研究。

地点和患者

203例患者在圣弗朗西斯医疗中心手术室放置钢琴期间接受了各种眼科手术。[注：圣弗朗西斯医疗中心最近更名为夏威夷医疗中心东区。]

干预措施

从患者记录中获取203例接受眼科手术患者的人口统计学数据、手术过程和生命体征。将术前等候区测量的血压、心率和呼吸频率与在手术室测量的相同参数进行比较，比较有无现场钢琴音乐的情况。采用配对t检验进行统计分析。

主要观察指标

平均动脉压、心率和呼吸频率。

结果

115例接触现场钢琴音乐的患者在手术室的平均动脉血压、心率和呼吸频率与术前等候区测量的生命体征相比有统计学显著下降（P < .0001）。88例未接触现场钢琴音乐的对照组患者平均动脉血压有统计学显著升高（P < .0002），心率和呼吸频率也有统计学显著升高（P < .0001）。

结论

现场古典钢琴音乐降低了接受眼科手术患者的血压、心率和呼吸频率。