| 音乐疗法在早产儿PICC置管中的应用价值 |
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| 引用本文： | 冯瑞玲,石晓彩.音乐疗法在早产儿PICC置管中的应用价值[J].中华全科医学,2019,17(11):1868. |
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| 作者姓名： | 冯瑞玲 石晓彩 |
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| 作者单位： | 1. 郑州大学附属儿童医院胸心外科, 河南 郑州 450018; |
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| 基金项目： | 2017年河南省科技攻关项目(172102310006) |
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| 摘 要： | 目的 研究音乐疗法在早产儿经外周静脉置入中心静脉导管(PICC)置管中的应用价值。 方法 选取2017年6月—2018年6月郑州大学附属儿童医院收治的需PICC置管的早产儿80例，采用完全随机法将所有患儿分为对照组和音乐组各40例。对照组使用常规方法置管，音乐组联合使用音乐疗法。检测2组患儿呼吸、心率、血氧饱和度、疼痛情况，统计患儿一次穿刺成功率、置管时间、住院时间及置管并发症发生率，并做组间比较。 结果 置管前2组患儿呼吸、心率、血氧饱和度、疼痛评分比较，差异无统计学意义(均P＞0.05)，置管后3、5 min音乐组患儿呼吸、心率、疼痛评分均低于对照组，血氧饱和度水平均高于对照组，差异有统计学意义(均P＜0.05)。音乐组患儿血氧饱和度恢复时间、置管时间及住院时间均短于对照组，差异有统计学意义(均P＜0.05)。音乐组患儿一次穿刺成功率显著高于对照组患儿，差异有统计学意义(P＜0.05)。音乐组患儿置管并发症发生率为5.00%，低于对照组患儿(20.00%)的置管并发症发生率，差异有统计学意义(P＜0.05)。 结论 在早产儿PICC置管时运用音乐疗法，能够有效改善患儿呼吸、心率、血氧饱和度，缓解患儿疼痛，降低PICC置管并发症的发生率。
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| 关 键 词： | 音乐疗法 早产儿 PICC置管 血氧饱和度 |
| 收稿时间： | 2019-02-23 |
Application of music therapy in PICC in premature infants |
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| Affiliation: | Department of Cardiothoracic Surgery, the Children's Hospital Affiliated to Zhengzhou University, Zhengzhou, Henan 450018, China |
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| Abstract: | Objective To study the application of music therapy in peripherally inserted central venous catheter (PICC) in premature infants. Methods Eighty preterm infants scheduled for PICC in our hospital from June 2017 to June 2018 were selected and randomly divided into control group and music therapy group with 40 cases each. The control group was treated with conventional catheterization while the music therapy group was treated with music therapy. The respiratory rate, heart rate, oxygen saturation and pain score of the two groups were measured. The success rate of puncture, indwelling time, hospitalization time and complication rate of indwelling catheter were counted and compared between the two groups. Results There were no statistically significant differences in respiratory, heart rate, blood oxygen saturation and pain scores between the two groups before the catheterization (all P>0.05). At 3 and 5 minutes time point after the catheterization, the respiratory, heart rate and pain scores of the children in the music group were all lower than those in the control group, and blood oxygen saturation level was higher than that in the control group (all P<0.05). The recovery time of blood oxygen saturation, catheterization time and hospitalization time in the music group were shorter than those in the control group, with statistically significant differences (all P<0.05). The success rate of the first puncture in the music group was significantly higher than that in the control group (P<0.05). The incidence of catheterization complications in the music group was 5.00%, which was lower than that in the control group (20.00%), and the difference was statistically significant (P<0.05). Conclusion Music therapy in PICC in premature infants can effectively improve breathing, heart rate, oxygen saturation, relieve pain and reduce the incidence of complications of PICC catheterization. |
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