音乐在第一孕期手术流产中作为辅助镇痛剂的随机对照试验。
Music as an auxiliary analgesic during first trimester surgical abortion: a randomized controlled trial.
机构信息
Department of Obstetrics and Gynecology, University of California at Irvine Medical Center, Orange, CA 92868, USA.
出版信息
Contraception. 2012 Aug;86(2):157-62. doi: 10.1016/j.contraception.2011.11.017. Epub 2012 Jan 10.
BACKGROUND
Music has served as an auxiliary analgesic in perioperative settings. This study evaluates the impact of intraoperative music added to routine pain control measures during first trimester surgical abortion.
STUDY DESIGN
We analyzed data from 101 women randomized to undergo abortion with routine pain control measures only (ibuprofen and paracervical block) or with the addition of intraoperative music via headphones. The primary outcome was the change in preoperative and postoperative pain scores on a 100-mm visual analog scale. Secondary outcomes included change in anxiety and vital signs, and satisfaction.
RESULTS
Baseline characteristics were similar between groups. The magnitude of increase in pain scores was greater in the intervention than in the control group (+51.0 mm versus +39.3 mm, p=.045). Overall pain control was rated as good or very good by 70% of the intervention and 75% of the control group (p=.65).
CONCLUSIONS
Intraoperative music added to routine pain control measures increases pain reported during abortion.
背景
音乐在围手术期已被用作辅助镇痛剂。本研究评估了在第一孕期手术流产期间，在常规疼痛控制措施的基础上增加术中音乐对患者的影响。
研究设计
我们分析了 101 名随机分为仅接受常规疼痛控制措施（布洛芬和宫颈旁阻滞）或通过耳机接受术中音乐辅助的女性的数据。主要结局是术前和术后 100mm 视觉模拟评分的疼痛评分变化。次要结局包括焦虑和生命体征的变化以及满意度。
结果
两组的基线特征相似。干预组的疼痛评分增加幅度大于对照组（+51.0mm 比+39.3mm，p=0.045）。70%的干预组和 75%的对照组对整体疼痛控制的评价为良好或非常好（p=0.65）。
结论
在常规疼痛控制措施的基础上增加术中音乐可增加流产期间报告的疼痛。
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