Sen Hüseyin, Yanarateş Omer, Sızlan Ali, Kılıç Emre, Ozkan Sezai, Dağlı Güner
Department of Anesthesiology and Reanimation, Gülhane Military Medical Academy, Haydarpaşa Training Hospital, İstanbul, Turkey.
Agri. 2010 Oct;22(4):145-50.
The aim of this study was first to find out the effect of music therapy on postoperative analgesia and second to determine the duration of its effect.
Seventy patients who were undergoing elective cesarean delivery were enrolled. The patients were randomly allocated into two groups as follows: In Group 1, patients listened to music through a headphone for one hour after surgery, while in Group 2, patients did not listen to any music during the same period. In the postanesthesia care unit, patients were connected to a Patient Controlled Analgesia (PCA) device. The PCA device (tramadol 3 mg/ml) was set to deliver a bolus of 20 mg, with a lockout interval of 15 min and 4-hour maximal dose of 150 mg. Postoperative pain was assessed with a visual analog scale (VAS) and consumption of tramadol was recorded at 4, 8, 12, 16, 20 and 24 hours.
There was a significant decrease in Group 1 with respect to PCA delivery frequency at the 4th hour postoperatively (p<0.05). Concerning the postoperative tramadol consumption, values measured at the 4th hour were significantly lower in Group 1 (p<0.05). The total amount of tramadol consumption and additional analgesic use in the postoperative 24 hours were again lower in Group 1 when compared with Group 2 (p<0.05). All VAS values were lower in Group 1 when compared with Group 2 (p<0.05).
We suggest that music therapy given after surgery decreases postoperative pain in the first 24 hours and the analgesic consumption during the first four hours.
本研究的目的一是探究音乐疗法对术后镇痛的效果，二是确定其效果的持续时间。
纳入70例行择期剖宫产的患者。患者被随机分为两组：在第1组中，患者术后通过耳机听1小时音乐，而在第2组中，患者在同一时期不听任何音乐。在麻醉后护理单元，患者连接到患者自控镇痛（PCA）装置。PCA装置（曲马多3mg/ml）设置为给予20mg的单次剂量，锁定间隔为15分钟，4小时最大剂量为150mg。术后疼痛采用视觉模拟评分法（VAS）进行评估，并在4、8、12、16、20和24小时记录曲马多的消耗量。
术后第4小时，第1组的PCA给药频率显著降低（p<0.05）。关于术后曲马多消耗量，第1组在第4小时测得的值显著更低（p<0.05）。与第2组相比，第1组术后24小时的曲马多总消耗量和额外镇痛药物的使用量再次更低（p<0.05）。与第2组相比，第1组的所有VAS值均更低（p<0.05）。
我们建议术后给予音乐疗法可在术后24小时内减轻疼痛，并减少前4小时的镇痛药物消耗量。
