音乐疗法对提高清醒气管内插管术中患者舒适度的研究

目的：观察音乐疗法对提高清醒气管内插管术中患者舒适度的作用。方法将100例接受清醒气管内插管患者随机分为研究组和对照组，各50例。研究组采用音乐疗法进行研究，对照组采用无音乐疗法。结果插管前两组患者的心率、收缩压比较，差异无统计学意义；研究组音乐疗法后插管中心率（82.16±5.59）次/min、收缩压（118.44±6.05）mm Hg均低于对照组（96.64±5.67）次/min、（129.37±6.76）mm Hg，差异有统计学意义（P＜0.05）。两组患者气管插管中焦虑情况比较，患者焦虑评分分别为研究组（27.04±5.16），对照组（40.16±6.52），差异有统计学意义（t=5.368，P＜0.05）。研究组50例，疼痛程度0级38例（76%），Ⅰ级9例（18%），Ⅱ级3例（6%），Ⅲ级0例；对照组50例，0级13例（26%）， I级22例（44%），Ⅱ级6例（12%），Ⅲ级9例（18%）。对两组患者疼痛程度比较，研究组疼痛程度明显减轻。结论应用音乐疗法有助于提高气管插管患者的舒适度。

Research of music therapy on improving comfort degree of patients with awake tracheal intubation

Objective To explore the effect of music therapy on improving comfort degree of patients with awake tracheal intubation. Methods 100 patients underwent awake tracheal intubation were randomly divided into study group and control group,50 cases in each.The study group was used music therapy research,control group was not used music therapy. Results The heart rate,systolic blood pressure of two groups before intubation had no significant difference;the heart rate and systolic blood pressure of study group after music therapy[（82.16±5.59）times/min, （118.44±6.05）mm Hg]were lower than those of control group[（96.64±5.67）times/min,（129.37±6.76）mmHg],the difference was statistically significant（P 〈 0.05）.The anxiety score of the study group and control group during tracheal intubation was （27.04±5.16）,（40.16±6.52） respectively,the difference was significant（t=5.368,P〈0.05）.In study group of 50 cases, grade 0 in 38 cases（76%）,9 cases of grade Ⅰ（18%）,3 cases of gradeⅡ（6%）, 0 case of gradeⅢ;In control group of 50 cases,grade 0 in 13 cases（26%）,22 cases of gradeⅠ（44%）,6 cases of gradeⅡ（12%）,9 cases of gradeⅢ（18%）.the pain degree of study group significantly relieved pain. Conclusion Application of music therapy is helpful to improve the comfort of patients with tracheal intubation.