Mak N, Reinders I M A, Slockers S A, Westen E H M N, Maas J W M, Bongers M Y
Department of Obstetrics and Gynaecology, Máxima Medical Centre, Veldhoven, The Netherlands.
Department of Obstetrics and Gynaecology, VieCuri Medical Centre, Venlo, The Netherlands.
Gynecol Surg. 2017;14(1):14. doi: 10.1186/s10397-017-1016-2. Epub 2017 Aug 9.
Pain can interfere with office procedures in gynaecology. The aim of this study is to measure the positive effect of music in gynaecological office procedures.
A randomized controlled trial was performed between October 2014 and January 2016. Women scheduled for an office hysteroscopy or colposcopy were eligible for randomization in the music group or control group. Stratification for hysteroscopy and colposcopy took place. The primary outcome is patients' level of pain during the procedure measured by the visual analogue scale (VAS). Secondary outcomes include patients' level of pain after the procedure, anxiety and satisfaction of patient and doctor.
No positive effect of music on patients' perception of pain during the procedure was measured, neither for the hysteroscopy group (57 mm vs. 52 mm) nor for the colposcopy group (32 mm vs. 32 mm). Secondary outcomes were also similar for both groups.
This study showed no positive effect of music on patients' level of pain, anxiety or satisfaction of patient or doctor for office hysteroscopy and colposcopy. We believe a multimodal approach has to be used to decrease patient distress in terms of pain and anxiety, with or without music.
Dutch Trial Register, NTR4924.
疼痛会干扰妇科门诊手术。本研究的目的是评估音乐在妇科门诊手术中的积极作用。
于2014年10月至2016年1月进行了一项随机对照试验。计划进行门诊宫腔镜检查或阴道镜检查的女性有资格被随机分配到音乐组或对照组。对宫腔镜检查和阴道镜检查进行了分层。主要结局是通过视觉模拟量表（VAS）测量患者在手术过程中的疼痛程度。次要结局包括患者术后的疼痛程度、焦虑程度以及患者和医生的满意度。
未发现音乐对手术过程中患者的疼痛感知有积极作用，宫腔镜检查组（57毫米对52毫米）和阴道镜检查组（32毫米对32毫米）均如此。两组的次要结局也相似。
本研究表明，对于门诊宫腔镜检查和阴道镜检查，音乐对患者的疼痛程度、焦虑程度或患者及医生的满意度均无积极作用。我们认为，无论有无音乐，都必须采用多模式方法来减轻患者在疼痛和焦虑方面的痛苦。
荷兰试验注册中心，NTR4924。
