da Silva Camila Mendes, Cação Jessica Marcelle R, Silva Karin Cristina dos S, Marques Cassia Fernandes, Merey Leila Simone F
UCDB, Campo Grande, MS, Brasil.
Rev Paul Pediatr. 2013 Jan-Mar;31(1):30-6. doi: 10.1590/s0103-05822013000100006.
To evaluate the physiological effects of music therapy on hospitalized preterm newborns.
A noncontrolled clinical trial including 12 newborn infants with gestational age <36 weeks, spontaneously breathing. The preterm infants were submitted to 15-minute sessions of classical music therapy twice a day (morning and afternoon) for three consecutive days. The variables: heart and respiratory rates, oxygen saturation, diastolic and systolic arterial pressures, and body temperature were analyzed before and immediately after each music therapy session.
There was a decrease in the heart rate after the second session of music therapy (paired t-test; p=0.002), and an increase at the end of the third session (paired t-test; p=0.005). Respiratory rate decreased during the fourth and fifth sessions (paired t-test; p=0.01 and 0.03, respectively). Regarding oxygen saturation, there was an increase after the fifth session (p=0.008). Comparison of physiological parameters among sessions, for the six studied sessions, showed only that the gain in oxygen saturation during the fifth session was significantly higher than during the sixth one (Tukey's test after variance analysis; p=0.04).
Music therapy may modify short-term physiological responses of hospitalized preterm newborn infants.
评估音乐疗法对住院早产新生儿的生理影响。
一项非对照临床试验,纳入12例胎龄<36周、自主呼吸的新生儿。这些早产婴儿连续三天每天接受两次(上午和下午)15分钟的古典音乐疗法。分析变量:每次音乐疗法前后的心率、呼吸频率、血氧饱和度、动脉舒张压和收缩压以及体温。
第二次音乐疗法后心率下降(配对t检验;p = 0.002),第三次结束时心率上升(配对t检验;p = 0.005)。第四次和第五次治疗期间呼吸频率下降(配对t检验;p分别为0.01和0.03)。关于血氧饱和度,第五次治疗后有所增加(p = 0.008)。对六个研究疗程的生理参数进行比较,结果显示仅第五次治疗期间血氧饱和度的增加显著高于第六次(方差分析后的Tukey检验;p = 0.04)。
音乐疗法可能会改变住院早产新生儿的短期生理反应。