围手术期音乐治疗对椎管内麻醉患者术后恢复的影响

目的探讨椎管内麻醉患者围手术期听音乐是否有利于术后恢复。方法于腰麻硬膜外联合麻醉下行子宫切除术患者40例,随机分为2组。音乐组于术前6min至术毕持续听音乐;对照组只戴耳机,不听音乐。2组患者术中均行异丙酚靶控输注镇静,维持镇静深度为观察者警觉/镇静评分(OAA/S)3分。分别于手术前后检测血清白细胞介素6的浓度、记录围手术期满意度、术后恶心呕吐发生率及程度、坐起和下床行走时间以及肛门排气时间。结果音乐组与对照组比较,其满意度较高(P<0.01),异丙酚用量较少(P<0.05);其余各项指标比较差异无显著性意义(P>0.05)。结论围手术期音乐治疗可提高椎管内麻醉下行全子宫切除术患者的满意度,但对其术后恢复可能无明显作用。

Effects of Perioperative Music Therapy on Postoperative Recovery of Patients Undergoing Intravertebral Anesthesia

Objective: To investigate whether perioperative exposure to music can improve postoperative recovery of patients undergoing intravertebral anesthesia. Methods: Forty post-hysterectomy patients under combined spinal-epidural anesthesia were randomly divided into two groups. The music group was assigned to listen to music constantly from 6 min before operation to the end of operation. The control group only worn earphone without music. They were sedated by TCI of propofol intraoperatively to maintain an OAA/S score of 3. Serum IL-6 was evaluated before, immediately and 1 h after surgery. Patients' perioperative satisfaction, nausea and emesis, bowel function, time to sitting up, and time to walking were recorded. Results: Compared to the control group, the music group had higher satisfaction (P<0.01), and required less propofol (P<0.05). No significant differences were noted in other variables (P>0.05). Conclusion: Perioperative exposure to music can improve patients' satisfaction, but may not improve postoperative recovery of patients undergoing hysterectomy under intravertebral anesthesia.