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白内障手术疼痛缓解的交叉临床试验。

Crossover clinical trial of pain relief in cataract surgery.

作者信息

Choi Suvin, Park Sang-Gue, Bellan Lorne, Lee Hyung-Hwan, Chung Sung Kun

机构信息

Da Vinci College of General Education, Chung-Ang University, Seoul, Republic of Korea.

Department of Applied Statistics, Chung-Ang University, Seoul, Republic of Korea.

出版信息

Int Ophthalmol. 2018 Jun;38(3):1027-1033. doi: 10.1007/s10792-017-0554-y. Epub 2017 Jun 20.

DOI:10.1007/s10792-017-0554-y
PMID:28639089
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5988792/
Abstract

PURPOSE

To determine the effects of intra-operative Korean traditional music on pain experienced by Korean patients undergoing sequential bilateral cataract surgery.

METHODS

This was a two-sequence, two-period, and two-treatment crossover study. Fifty-two patients with cataracts were divided into two groups by block randomization, and bilateral cataract surgery was performed. In group 1, patients listened to Korean traditional music (KTM) during their first but not second cataract surgery. This sequence was reversed for patients in group 2. After each surgery, patients scored their pain intensity (PI) using a visual analog scale (VAS) ranging from 0 to 10, where 0 was 'no pain' and 10 was 'unbearable pain.'

RESULT

There was a statistically significant reduction in the mean VAS score with KTM (3.1 ± 2.0) compared to that without KTM (4.1 ± 2.2; p = 0.013). However, there were no statistically significant differences in blood pressure or pulse rates.

CONCLUSION

KTM had a significant effect on reducing pain experienced by patients during cataract surgery. This may be useful in the context of other surgical procedures to reduce pain in Korean patients.

摘要

目的

确定术中韩国传统音乐对接受双侧白内障序贯手术的韩国患者疼痛的影响。

方法

这是一项两序列、两阶段、两治疗的交叉研究。52例白内障患者通过区组随机化分为两组,并进行双侧白内障手术。在第1组中,患者在第一次白内障手术期间听韩国传统音乐(KTM),但在第二次手术期间不听。第2组患者的顺序则相反。每次手术后,患者使用0至10的视觉模拟量表(VAS)对其疼痛强度(PI)进行评分,其中0表示“无疼痛”,10表示“无法忍受的疼痛”。

结果

与未听KTM时相比,听KTM时平均VAS评分有统计学意义的降低(3.1±2.0),未听KTM时为(4.1±2.2;p = 0.013)。然而,血压或脉搏率没有统计学意义的差异。

结论

KTM对减轻白内障手术患者的疼痛有显著效果。这在其他手术中对于减轻韩国患者的疼痛可能有用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f2f/5988792/9dfaaf752050/10792_2017_554_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f2f/5988792/9dfaaf752050/10792_2017_554_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f2f/5988792/9dfaaf752050/10792_2017_554_Fig1_HTML.jpg

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