Department of Anesthesiology, China Medical University Affiliated Shengjing Hospital, Shenyang, China.
Int J Gynaecol Obstet. 2012 Oct;119(1):81-3. doi: 10.1016/j.ijgo.2012.05.017. Epub 2012 Jul 15.
To evaluate the effects of music played preoperatively in women undergoing elective cesarean delivery.
Sixty women undergoing elective cesarean delivery were randomized to a study group or a control group. Those in the study group listened to music for 30 minutes before surgery. All women underwent heart rate variability analysis and scored their anxiety and pain levels using the Self-Rating Anxiety Scale and a visual analog pain scale.
In the study group the mean HRV, as measured by the low frequency power (LF) value and the LF to high frequency power (LF/HF) ratio during Holter assessment, was significantly less after the music intervention but was not significantly changed in the control group. Moreover, the mean HF value was significantly increased and the mean anxiety score was significantly decreased after the music intervention but not in the control group. Finally, the mean pain score obtained 6 hours after surgery was significantly lower in the study than in the control group.
A preoperative music intervention can reduce anxiety and pain in women undergoing cesarean delivery.
评估术前播放音乐对择期剖宫产产妇的影响。
将 60 例行择期剖宫产的产妇随机分为研究组和对照组。研究组在术前听音乐 30 分钟。所有产妇均行心率变异性分析，并采用自评焦虑量表和视觉模拟疼痛量表评估其焦虑和疼痛程度。
研究组术中 Holter 监测低频功率（LF）值和 LF/HF 比值的平均心率变异性（HRV）在音乐干预后显著降低，但对照组无明显变化。此外，研究组干预后平均高频值显著升高，平均焦虑评分显著降低，但对照组无明显变化。最后，研究组术后 6 小时的平均疼痛评分明显低于对照组。
术前音乐干预可减轻剖宫产产妇的焦虑和疼痛。
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