音乐治疗在高强度聚焦超声消融子宫腺肌症中的应用

目的：研究音乐治疗在高强度聚焦超声消融子宫腺肌症中的应用效果。方法：将90例高强度聚焦超声（HIFU）消融治疗的子宫腺肌症患者随机分成实验治疗组和对照组进行研究分析。实验治疗组在常规消融治疗前1h至结束时持续听音乐；对照组则按常规方式进行超声消融治疗。观察二组患者治疗前的焦虑程度，治疗中的血压、心率，治疗后的疼痛及镇痛药物使用剂量情况。结果：实验治疗组治疗前的焦虑程度、治疗中的血压、心率、治疗后的疼痛评分、镇痛药物使用剂量均明显优于对照组。结论：应用音乐治疗可明显改善子宫腺肌症患者HIFU治疗过程中的应激状态，稳定治疗中生理指标，减轻焦虑状态及治疗后疼痛和镇痛药物使用剂量，有利于治疗顺利进行。

Application of music therapy in ablation of uterine adenomyosis with high intensity focused ultrasound

Objective： To investigate the effects of music therapy on uterine adenomyosis patients accepting high intensity focused ultrasound （HIFU） ablation. Methods： A total of 90 adenomyosis patients accepting HIFU ablation were randomly divided into the music therapy group and the control group. Music therapy group continued to listen to music from 1 hour before the ablation to the the end of the ablation. The control group was according to the conventional methods for HIFU ablation. Two groups were compared by patients＇ preoperative anxiety levels, intra-operative blood pressure and heart rate, post-operative pain and analgesic doses. Results： The preoperative anxiety degree, the intra-operative blood pressure and heart rate, the post-operative pain scores and analgesic doses in the music therapy group were significantly better than those in the control group. Conclusion： Music therapy in HIFU ablation can improve stress state of patients. It can stabilize intraoperative physiological indexes of patients, reduce their anxiety degree, reduce post-operative pain and analgesic drug doses as well, and it＇s good for the smooth progress of HIFU ablation.