Prasad Markandey, Sethi Priyanka, Kumari Kamlesh, Sharma Ankur, Kaur Manbir, Dixit Pawan K, Bhatia Pradeep, Dang Deepanshu, Roy Shipra, Mp Nisha
Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Jodhpur, IND.
Burns and Plastic Surgery, All India Institute of Medical Sciences, Jodhpur, Jodhpur, IND.
Cureus. 2023 Feb 17;15(2):e35091. doi: 10.7759/cureus.35091. eCollection 2023 Feb.
Background Perioperative anxiety affects patients' hemodynamics by increasing stress levels, leading to delayed recovery. In this study, we compared the anxiety-reducing effect of music (patient choice and binaural tone music) with midazolam for perioperative anxiolysis in patients undergoing surgery under spinal anaesthesia. Methods After obtaining institutional ethical clearance and informed written consent, a total of 225 patients classified as ASA grades 1 and 2 (American Society of Anesthesiologists) were enrolled and randomised into three groups of 75 patients per group. Group A patients received research-selected music (binaural tone) via noise-cancelling headphones, Group B received intravenous midazolam (minimum of 1 mg to 2 mg maximum) as per clinical judgement, and Group C participants provided patient-preferred music via noise-cancelling headphones. The patient's perioperative anxiety was assessed using a visual analogue anxiety scale at regular time intervals. Results Anxiety scores were significantly reduced in the patient's choice music group (Group C) and binaural tone music group (Group A) as compared to the midazolam group (Group B). Postoperative pain scores were statistically significantly lower in Group C, followed by Group A and Group B. On comparing patient satisfaction scores, using numerical rating scores, 96% of patients in Group C achieved excellent scores with a p-value of 0.007. Conclusion Binaural tone music and patient choice music can be suitable alternatives to pharmacological therapies for perioperative anxiolysis.
背景 围手术期焦虑通过增加应激水平影响患者的血流动力学，导致恢复延迟。在本研究中，我们比较了音乐（患者选择的音乐和双耳节拍音乐）与咪达唑仑对接受脊髓麻醉手术患者围手术期抗焦虑的效果。方法 在获得机构伦理批准和知情书面同意后，共纳入225例美国麻醉医师协会（ASA）1级和2级患者，并随机分为三组，每组75例。A组患者通过降噪耳机接受研究选择的音乐（双耳节拍），B组根据临床判断静脉注射咪达唑仑（最小1mg至最大2mg），C组参与者通过降噪耳机提供患者选择的音乐。定期使用视觉模拟焦虑量表评估患者的围手术期焦虑。结果 与咪达唑仑组（B组）相比，患者选择音乐组（C组）和双耳节拍音乐组（A组）的焦虑评分显著降低。C组术后疼痛评分在统计学上显著低于A组和B组。使用数字评分法比较患者满意度评分时，C组96%的患者获得优秀评分，p值为0.007。结论 双耳节拍音乐和患者选择的音乐可作为围手术期抗焦虑药物治疗的合适替代方法。
