Olaopa O I
Department of Oral and Maxillofacial Surgery, Federal Medical Centre, Ebute-Metta, Lagos.
Ann Ib Postgrad Med. 2023 Jun;21(1):41-49.
There are conflicting evidences that music can improve psychoemotional stability and haemodynamic changes during surgeries, as well as improve doctor-patient relationship and the overall clinical outcome. This method is cheaper, devoid of side effects of drugs and provides a memorable experience to patient.
This study sets out to investigate the effect of adjunct music therapy on haemodynamic changes in patients undergoing transalveolar mandibular third molar surgery in a tertiary hospital in southwest Nigeria.
A total of 146 participants between 21 and 55 years were randomized by balloting into music and non-music groups with equitable gender distribution. For participants in the music group, third molar surgery was performed with selected music tracks played via both external speaker and later headphone while the control group had the stages progress without musical intervention. The blood pressure, pulse rate, respiratory rate were recorded at predetermined interval. Normality of data distribution was tested using Shapiro-Wilk test. Student t-test was used to compare mean for quantitative variables between the groups. The chi-square test was used to compare proportions and to investigate association between categorical variables (p<0.05).
There was no significant difference in the blood pressure, pulse rate and respiratory rate between participants in this study. This suggests that music therapy confers no significant advantage in stabilizing the blood pressure, respiratory and pulse rates of patient during mandibular third molar surgery.
关于音乐能否在手术期间改善心理情绪稳定性和血流动力学变化，以及改善医患关系和整体临床结果，存在相互矛盾的证据。这种方法成本更低，没有药物副作用，还能给患者留下难忘的体验。
本研究旨在调查辅助音乐疗法对尼日利亚西南部一家三级医院接受经牙槽下颌第三磨牙手术患者血流动力学变化的影响。
通过抽签将146名年龄在21至55岁之间的参与者随机分为音乐组和非音乐组，两组性别分布均衡。对于音乐组的参与者，在进行第三磨牙手术时，通过外部扬声器播放选定的音乐曲目，随后使用耳机播放，而对照组在手术过程中没有音乐干预。在预定的时间间隔记录血压、脉搏率、呼吸率。使用夏皮罗-威尔克检验来检验数据分布的正态性。使用学生t检验比较两组定量变量的均值。使用卡方检验比较比例，并研究分类变量之间的关联（p<0.05）。
本研究中参与者的血压、脉搏率和呼吸率没有显著差异。这表明音乐疗法在稳定下颌第三磨牙手术患者的血压、呼吸和脉搏率方面没有显著优势。
