Singh Premraj, Arya Ashiquee, Singh Manish Kumar, Prakash Ravi, Khan Mohammad Parvez
Department of Anesthesiology, King George Medical University, Lucknow, Uttar Pradesh, India.
Anesth Essays Res. 2022 Apr-Jun;16(2):208-212. doi: 10.4103/aer.aer_25_22. Epub 2022 Sep 19.
Music is ubiquitous and found in all cultures; it elicits both physiological and psychological responses in its listener. It has been proven that music reduces perception of pain and dosages of anesthetics and sedatives used during surgery.
To study the effect spiritual music on perioperative anxiety and hemodynamic parameters in elderly patients undergoing procedures under spinal anesthesia.
A prospective, randomized controlled study.
Eighty patients fulfilling inclusion criteria were enrolled and randomly divided in two equal groups. Patients were transferred to the operation theater with the spiritual music still being played in Group I, while no music was played in Group C. Under aseptic precautions, neuraxial blockade was performed at L3/L4 interspace. Music was played throughout the surgery in Group I. Intraoperative visual analog scale for anxiety (VASA) was recorded. At the end of the surgery, spiritual music was stopped. The study parameters were recorded.
A significant difference in the proportions of male and female candidates between the two groups was calculated using Chi-squared test. Significant differences in the mean VASA scores and blood pressures (systolic blood pressure [SBP] and diastolic blood pressure [DBP]) between the two groups were calculated using Student's -test.
No significant difference was observed between preoperative VASA score ( = 0.29) of both the groups, whereas a significant difference was present in intraoperative ( < 0.01) and postoperative VASA score ( < 0.01) of both the groups. In Group I, requirement for sedative was significantly lower ( < 0.01). Heart rate in Group I was on lower side, suggesting decrease in anxiety. No significant difference was observed in SBP or DBP of the patients of both the groups.
Spiritual music can act as a noninvasive, simple, and inexpensive intervention for elderly patients to alleviate perioperative anxiety. It can also reduce the need for sedatives intraoperatively, thereby lowering the risk of side effects.
音乐无处不在，存在于所有文化中；它会引起听众的生理和心理反应。已证实音乐可降低手术期间对疼痛的感知以及麻醉剂和镇静剂的用量。
研究灵性音乐对接受脊髓麻醉手术的老年患者围手术期焦虑和血流动力学参数的影响。
一项前瞻性随机对照研究。
纳入80名符合纳入标准的患者，并随机分为两组。第一组患者在转运至手术室时仍播放灵性音乐，而对照组不播放音乐。在无菌预防措施下，于L3/L4间隙进行神经轴阻滞。第一组在整个手术过程中播放音乐。记录术中焦虑视觉模拟量表（VASA）。手术结束时，停止播放灵性音乐。记录研究参数。
使用卡方检验计算两组之间男性和女性候选者比例的显著差异。使用学生t检验计算两组之间平均VASA评分和血压（收缩压[SBP]和舒张压[DBP]）的显著差异。
两组术前VASA评分（P = 0.29）无显著差异，而两组术中（P < 0.01）和术后VASA评分（P < 0.01）存在显著差异。在第一组中，镇静剂的需求量显著较低（P < 0.01）。第一组的心率较低，表明焦虑有所减轻。两组患者的SBP或DBP无显著差异。
灵性音乐可作为一种无创、简单且廉价的干预措施，用于减轻老年患者的围手术期焦虑。它还可减少术中对镇静剂的需求，从而降低副作用风险。
