Ebneshahidi Amin, Mohseni Masood
Department of Anesthesiology, Sadi Hospital, Isfahan, Iran.
J Altern Complement Med. 2008 Sep;14(7):827-31. doi: 10.1089/acm.2007.0752.
After cesarean section surgery, routine pharmacologic methods of analgesia--opioids and benzodiazepines--may impair the immediate close contact of mother and neonate for their sedative and emetic effects.
The aim of this study was to explore the effect of patient-selected music on postoperative pain, anxiety, opioid requirement, and hemodynamic profile.
A total of 80 patients, American Society of Anesthesiologists (ASA) physical status I-II, scheduled to undergo general anesthesia and elective cesarean section surgery were enrolled. Patients were randomly allocated to receive 30 minutes of music or silence via headphones postoperatively. Pain and anxiety were measured with a visual analogue scale. Total postoperative morphine requirement as well as blood pressure and heart rate were recorded after the intervention period.
Pain score and postoperative cumulative opioid consumption were significantly lower among patients in the music group (p < 0.05), while there were no group differences in terms of anxiety score, blood pressure, or heart rate (p > 0.05).
Postoperative use of patient-selected music in cesarean section surgery would alleviate the pain and reduce the need for other analgesics, thus improving the recovery and early contact of mothers with their children.
剖宫产手术后，常规的药物镇痛方法——阿片类药物和苯二氮䓬类药物——可能因其镇静和催吐作用而影响母婴的即时亲密接触。
本研究旨在探讨患者自主选择的音乐对术后疼痛、焦虑、阿片类药物需求及血流动力学指标的影响。
共纳入80例美国麻醉医师协会（ASA）身体状况为I-II级、计划接受全身麻醉及择期剖宫产手术的患者。患者术后随机分配通过耳机接受30分钟的音乐或安静环境。采用视觉模拟量表测量疼痛和焦虑程度。在干预期后记录术后吗啡总需求量以及血压和心率。
音乐组患者的疼痛评分和术后累积阿片类药物消耗量显著较低（p < 0.05），而焦虑评分、血压或心率方面无组间差异（p > 0.05）。
剖宫产手术中术后使用患者自主选择的音乐可减轻疼痛并减少对其他镇痛药的需求，从而改善母亲的恢复情况及与孩子的早期接触。
