放松训练联合音乐疗法在局麻手术病人中的应用研究

目的 探讨放松训练联合音乐疗法对局麻手术患者术中、术后的心理、疼痛敏感度及血流动力学的影响。方法 将120例患者按手术安排顺序单双数分为实验组与对照组,每组各60例。对照组患者给予局麻常规护理,实验组在常规护理的基础上对患者进行放松训练联合音乐疗法,观察两组患者术前和术后的疼痛敏感度和焦虑程度的变化及术前一日、入室前、术中、术后心率、血压的变化。结果 组间比较,实验组患者术后焦虑值（SAS）和疼痛视觉模拟量表（VAS）评分明显低于对照组患者,术中、术后30min的收缩压、舒张压、心率均低于对照组（P〈0.01）,实验组术前一日、入室前的收缩压、舒张压、心率与对照组比较,差异无统计学意义（P〉0.05）;组内比较,两组患者入室前的收缩压、舒张压、心率均高于术前一日（P〈0.01）,实验组术中、术后30min的收缩压、舒张压、心率低于入室前（P〈0.01）,而与术前一日比较差异无统计学意义（P〉0.05）;对照组术中、术后30min的收缩压、舒张压、心率与入室前比较,差异无统计学意义（P〉0.05）。结论 放松训练联合音乐疗法,可以减轻患者的焦虑情绪及降低疼痛敏感度,并有利于维持局麻手术患者术中、术后生命体征的稳定。

Effects of relaxation training combined music therapy on patients undergoing surgery with local anesthesia

Objective To investigate the effects of relaxation training combined music therapy on postoperative psychological, pain sensitivity, and hemodynamic of patients undergoing surgery with local anesthesia. Method 120 patients were randomly divided into 2 group： experimental group and control group, 60 cases in each group. Patients in group experimental received routine care and relaxation training combined with music therapy, in the anoth- er hand, patients in group control only received routine care. The changes of pain sensitivity and anxiety levels were observed before surgery and postoperative, changes of heart rate and blood pressure of both group were observed in the day before surgery, before entering the operating room,during the surgery and postoperative. Result The SAS and postoperative VAS score of group experimental was significantly lower than that of group control and systolic blood pressure, diastolic blood pressure and heart rate in postoperative 30 rain of group experimental were lower those in group control ether （P〈0.01）. There were no significant differences of burglary systolic, diastolic blood pressure and heart rate between group experimental and group control in the day before surgery, before entering the operating room, during the surgery and postoperative （P〈 0. 05）. Systolic pressure, diastolic blood pressure and heart rate of patients in both group before entering the operating room were higher than those in the day before surgery （P〈0.01）. Systolic blood pressure, diastolic blood pressure and heart rate of patients in group experimental during the surgery and in postoperative were lower than that before entering the operating room （P〈0.01）, while there were no significant differences compared with those in the day before surgery （P〉0.05）. In group control, compared with the data before entering the operating room, there were there were no significant differences of systolic blood pressure, diastolic blood pressure, heart rate among the data before entering