Kaya Murat Bayram, Tekeli Arzu Esen, Kurt Nurettin, Keskin Mehmet Emin, Oğuz Ali Kendal
Department of Anesthesiology and Reanimation, Van Training and Research Hospital, Van, Turkey.
Department of Anesthesiology and Reanimation, Van Yuzuncu Yil University, School of Medicine, Van, Turkey.
Medicine (Baltimore). 2025 Aug 22;104(34):e43840. doi: 10.1097/MD.0000000000043840.
Music therapy has been used in medicine to reduce patient stress and to improve mood. This study aimed to evaluate the effects of music therapy on intraoperative hemodynamics and medication requirement and postoperative pain and side effects.
Eighty patients with American Society of Anesthesiologists I to II physical status at the ages of 20 to 60 for whom elective thyroidectomy surgery was planned were included in the study. General anesthesia was induced for patients and demographic data were recorded. The patients were randomly divided into 2 groups. The groups were determined as music group (group M) and control group (group C). The intraoperative vital signs of the patients (heart rate, blood pressure, and oxygen saturation), bispectral index values, train-of-four neuromuscular monitoring values, additional opioid and muscle relaxant requirements, and complications were recorded.At the end of the operation, extubation was performed following standard decurarization using atropine and neostigmine. The 0th hour, 3rd hour and 6th hour visual analogue scale scores of the patients were measured and recorded.
Intraoperative fentanyl and rocuronium consumption were found to be approximately 23% lower in group M compared to group C (P < .05).The bispectral index values of the patients were similar between the groups (P > .05). It was also observed that the postoperative pain levels of the group M were lower (P < .05). Music therapy was determined to not create a difference in terms of the blood pressure, heart rate, and saturation (SpO2) levels during recovery from anesthesia (P > .05).
Playing music, which is a non-pharmacological intervention, is an effective method without a side effect that not only reduces the intraoperative need for muscle relaxant and analgesic use but also causes positive effects on postoperative visual analogue scale scores.
音乐疗法已在医学中用于减轻患者压力和改善情绪。本研究旨在评估音乐疗法对术中血流动力学、药物需求以及术后疼痛和副作用的影响。
本研究纳入了80例年龄在20至60岁、美国麻醉医师协会身体状况分级为I至II级且计划进行择期甲状腺切除术的患者。对患者实施全身麻醉并记录人口统计学数据。患者被随机分为两组。分组为音乐组（M组）和对照组（C组）。记录患者的术中生命体征（心率、血压和血氧饱和度）、脑电双频指数值、四个成串刺激神经肌肉监测值、额外的阿片类药物和肌肉松弛剂需求以及并发症。手术结束时，使用阿托品和新斯的明按照标准去极化后进行拔管。测量并记录患者在第0小时、第3小时和第6小时的视觉模拟评分。
发现M组术中芬太尼和罗库溴铵的消耗量比C组低约23%（P < 0.05）。两组患者的脑电双频指数值相似（P > 0.05）。还观察到M组的术后疼痛水平较低（P < 0.05）。确定音乐疗法在麻醉恢复期间对血压、心率和血氧饱和度（SpO2）水平没有差异（P > 0.05）。
播放音乐作为一种非药物干预措施，是一种有效的方法，不仅能减少术中肌肉松弛剂和镇痛药的使用需求且无副作用，还能对术后视觉模拟评分产生积极影响。
