心脏外科手术后学龄前儿童术后镇痛的音乐视频疗法。

The music video therapy in postoperative analgesia in preschool children after cardiothoracic surgery.

机构信息

Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China.

Fujian Key Laboratory of Women and Children's Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China.

出版信息

J Card Surg. 2021 Jul;36(7):2308-2313. doi: 10.1111/jocs.15551. Epub 2021 Apr 3.

DOI:10.1111/jocs.15551

PMID:33811684

Abstract

OBJECTIVES

To observe the effect of music video (MV) therapy on early postoperative pain in preschool children after cardiothoracic surgery.

METHODS

116 preschool children undergoing cardiothoracic surgery were randomly divided into the MV and control groups from June 2019 to March 2020. The related vital signs parameters, the Wong-Baker FACES pain rating scale, the FLACC scale, the number of postoperative PCA press and the cumulants of sufentanil use were recorded and analyzed.

RESULTS

There were no statistically significant differences in general characteristics and preintervention data between the two groups. However, there were significantly lower in the heart rate, mean arterial pressure, respiratory rate, the number of postoperative PCA press, and the dosage of sufentanil in the MV group than those in the control group after the intervention. The Wong-Baker FACES and FLACC scales in the MV group were significantly lower than those in the control group at the time point of immediately after the first intervention, 1 day, and 2 days after the intervention. The two pain scores showed a downward trend over time, and the corresponding scores in the MV group were better than those in the control group.

CONCLUSION

MV therapy can be an effective nonpharmaceutical intervention in the clinical to relieve children's postoperative pain after cardiothoracic surgery.

摘要

目的

观察音乐视频（MV）疗法对心胸外科手术后学龄前儿童早期术后疼痛的影响。

方法

将 2019 年 6 月至 2020 年 3 月期间收治的 116 例学龄前心胸外科手术患儿随机分为 MV 组和对照组。记录并分析两组患儿相关生命体征参数、Wong-Baker FACES 疼痛评分量表、FLACC 量表、术后 PCA 按压次数和舒芬太尼累积用量。

结果

两组患儿一般特征和干预前数据比较，差异无统计学意义；干预后 MV 组患儿心率、平均动脉压、呼吸频率、术后 PCA 按压次数和舒芬太尼用量均低于对照组；MV 组患儿 Wong-Baker FACES 量表和 FLACC 量表评分在首次干预后即刻、术后 1 天和 2 天均低于对照组；两组疼痛评分均随时间呈下降趋势，MV 组评分优于对照组。