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孕中期遗传羊膜腔穿刺术期间听音乐减轻疼痛:一项随机试验

Music Listening to Decrease Pain during Second Trimester Genetic Amniocentesis: A Randomized Trial.

作者信息

Hanprasertpong Tharangrut, Kor-anantakul Ounjai, Leetanaporn Roengsak, Suwanrath Chitkasaem, Suntharasaj Thitima, Pruksanusak Ninlapa, Pranpanus Sawitree

出版信息

J Med Assoc Thai. 2016 Dec;99(12):1272-6.

Abstract

OBJECTIVE

To evaluate whether music listening decreased pain perception during second trimester genetic amniocentesis.

MATERIAL AND METHOD

We conducted a prospective randomized study to compare the pain perception using a visual analogue scale (VAS), pain rating, future decision to repeat the procedure, and pain perception compared to a venipuncture before and after the second trimester genetic amniocentesis between groups of pregnant women who underwent amniocentesis with and without music listening.

RESULTS

Three hundred thirty two pregnant women were enrolled; 161 listened and 171 did not listen to the music. The pre-procedure anxiety, the anticipated pain, post-procedure pain/ anxiety median VAS scores, pain rating, future decision and level of pain compare to a venipuncture in the music-listening and non-music-listening groups did not show statistically significant difference. The pre-procedure anxiety median VAS scores were 1.3 and 0.5 in the music-listening and non-musiclistening groups, respectively and the anticipated pain median VAS scores were 4.8 and 4.5 in the music-listening and non-music-listening groups, respectively. The post-procedure median VAS pain/anxiety scores were 2.7 and 2.5 in the music-listening and non-music-listening groups, respectively.

CONCLUSION

Music listening was not significantly effective in reducing pain during second trimester genetic amniocentesis.

摘要

目的

评估在孕中期进行遗传羊膜穿刺术时,听音乐是否能降低疼痛感知。

材料与方法

我们进行了一项前瞻性随机研究,通过视觉模拟量表(VAS)比较两组接受羊膜穿刺术的孕妇在听音乐和不听音乐情况下,孕中期遗传羊膜穿刺术前后的疼痛感知、疼痛评分、未来重复该操作的决定以及与静脉穿刺相比的疼痛感知。

结果

共纳入332名孕妇,其中161名听音乐,171名不听音乐。听音乐组和不听音乐组在操作前焦虑、预期疼痛、操作后疼痛/焦虑的VAS中位数评分、疼痛评分、未来决定以及与静脉穿刺相比的疼痛程度方面,均未显示出统计学上的显著差异。听音乐组和不听音乐组操作前焦虑的VAS中位数评分分别为1.3和0.5,预期疼痛的VAS中位数评分分别为4.8和4.5。听音乐组和不听音乐组操作后的VAS疼痛/焦虑中位数评分分别为2.7和2.5。

结论

在孕中期遗传羊膜穿刺术中,听音乐对减轻疼痛没有显著效果。

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