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音乐对胎心监护检查中胎儿心脏活动的影响。

The effect of music on the cardiac activity of a fetus in a cardiotocographic examination.

作者信息

Gebuza Grażyna, Zaleska Marta, Kaźmierczak Marzena, Mieczkowska Estera, Gierszewska Małgorzata

机构信息

Department of Obstetric Care Basics, Faculty of Health Sciences, Nicolaus Copernicus University in Toruń, Poland.

Faculty of Health Sciences, Nicolaus Copernicus University in Toruń, Poland.

出版信息

Adv Clin Exp Med. 2018 May;27(5):615-621. doi: 10.17219/acem/68693.

DOI:10.17219/acem/68693
PMID:29790684
Abstract

BACKGROUND

Music therapy as an adjunct to treatment is rarely used in perinatology and obstetrics, despite the proven therapeutic effect. Auditory stimulation through music positively impacts the health of adults and infants, its special role being observed in the development of prematurely born neonates. It is equally interesting how music impacts fetuses.

OBJECTIVES

The aim of this study is to assess the parameters of fetuses through cardiotocographic recording in women in the 3rd trimester of pregnancy while listening to Pyotr Tchaikovsky's "Sleeping Beauty" and "Swan Lake".

MATERIAL AND METHODS

The study was conducted in 2015 at Dr. Jan Biziel 2nd University Hospital in Bydgoszcz, on 48 women in the 3rd trimester of pregnancy. The cardiotocographic parameters of the fetus were examined by means of a Sonicaid Team Standard Oxford apparatus (Huntleigh Healthcare, Cardiff, United Kingdom).

RESULTS

Significant changes were observed in the number of uterine contractions, accelerations, episodes of higher variability, and fetal movements after listening to the music.

CONCLUSIONS

Listening to classical music can serve as a successful method of prophylaxis against premature deliveries, indicated by the lower number of uterine contractions, and in stimulating fetal movement in the case of a non-reactive non-stress test (NST). Music therapy, as a therapeutic method which is inexpensive and soothing, should be used more frequently in obstetrics wards, indicated by pathological pregnancies, isolation from the natural environment, and distress resulting from diagnostics and from being in an unfamiliar environment.

摘要

背景

尽管音乐疗法已被证实具有治疗效果,但在围产医学和产科中,作为辅助治疗手段却很少被使用。通过音乐进行听觉刺激对成年人和婴儿的健康有积极影响,在早产儿的发育过程中其特殊作用尤为明显。同样有趣的是音乐对胎儿的影响。

目的

本研究旨在通过对妊娠晚期妇女进行胎心监护记录,评估她们在聆听彼得·柴可夫斯基的《睡美人》和《天鹅湖》时胎儿的各项参数。

材料与方法

该研究于2015年在比得哥什的扬·比齐埃尔第二大学医院进行,研究对象为48名妊娠晚期妇女。使用索耐康团队标准牛津仪器(英国加的夫亨特利医疗公司)检查胎儿的胎心监护参数。

结果

聆听音乐后,子宫收缩次数、胎动加速、高变异次数和胎儿活动均出现了显著变化。

结论

聆听古典音乐可作为预防早产的一种成功方法,这体现在子宫收缩次数减少;在无反应型无应激试验(NST)中,聆听古典音乐还能刺激胎儿活动。音乐疗法作为一种廉价且舒缓的治疗方法,鉴于病理性妊娠、与自然环境隔绝以及诊断和身处陌生环境所导致的困扰,应在产科病房更频繁地使用。

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The effect of music therapy on the cardiac activity parameters of a fetus in a cardiotocographic examination.音乐疗法对胎心监护检查中胎儿心脏活动参数的影响。
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