Sorbonne Paris Cité, Assistance Publique-Hôpitaux de Paris, Hôpital Lariboisière, Fédération de Rhumatologie, Université Paris Diderot, 75010 Paris, France.
Clin Rheumatol. 2012 Mar;31(3):531-4. doi: 10.1007/s10067-011-1925-9. Epub 2011 Dec 30.
Joint lavage for knee osteoarthritis is an invasive procedure that can be stressful and painful. We aimed to assess the impact of music therapy on perioperative anxiety, pain and tolerability of the procedure in patients undergoing joint lavage performed with two needles. We randomized all patients diagnosed with knee osteoarthritis and undergoing joint lavage in our department from November 2009 to October 2010 to an experimental group listening to recorded music or a control group receiving no music intervention. Perioperative anxiety and pain related to the procedure were self-reported on a visual analogic scale (0-100 mm visual analog scale [VAS]), and heart rate and blood pressure were measured during the procedure. Tolerability was assessed on a four-grade scale directly after the procedure. We included 62 patients (31 in each group). Mean age was 68.8 ± 12.6 years (72% females). As compared with the control group, the music group had lower levels of perioperative anxiety (40.3 ± 31.1 vs. 58.2 ± 26.3 mm; p = 0.046) and pain related to the procedure (26.6 ± 16.2 vs. 51.2 ± 23.7 mm; p = 0.0005). Moreover, heart rate was lower in the music group (69.5 ± 11.4 vs. 77.2 ± 13.2; p = 0.043) but not diastolic or systolic blood pressure. Tolerability was higher in the music group (p = 0.002). Music is a simple and effective tool to alleviate pain and anxiety in patients undergoing joint lavage for knee osteoarthritis.
关节冲洗术治疗膝关节骨关节炎是一种有创性的治疗方法，可能会给患者带来压力和痛苦。本研究旨在评估音乐疗法对膝关节骨关节炎患者接受双针关节冲洗术围手术期焦虑、疼痛和手术耐受性的影响。
我们将 2009 年 11 月至 2010 年 10 月在我科诊断为膝关节骨关节炎并接受关节冲洗术的所有患者随机分为实验组（听录音音乐）和对照组（无音乐干预）。使用视觉模拟评分法（0-100mm 视觉模拟评分[VAS]）评估围手术期焦虑和与手术相关的疼痛，在手术过程中测量心率和血压。手术结束后直接评估患者对手术的耐受性。
我们共纳入 62 例患者（每组 31 例），平均年龄 68.8±12.6 岁（72%为女性）。与对照组相比，音乐组围手术期焦虑评分较低（40.3±31.1 比 58.2±26.3mm；p=0.046），手术相关疼痛评分较低（26.6±16.2 比 51.2±23.7mm；p=0.0005）。此外，音乐组的心率较低（69.5±11.4 比 77.2±13.2；p=0.043），但舒张压和收缩压没有差异。音乐组的耐受性较高（p=0.002）。
音乐是缓解膝关节骨关节炎患者接受关节冲洗术时疼痛和焦虑的一种简单有效的方法。
