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1、音乐联合舒芬太尼术后静脉镇痛用于剖宫产术后患者的临床观察袁宏祥赵洁罗成才(云南省楚雄市楚雄州人民医院麻醉二科云南楚雄675000)【摘要】目的：音乐治疗联合舒芬太尼术后静脉镇痛用于剖宫产术后患者的焦虑心理，镇痛和血流动力学及住院天数的影响。方法：择期剖宫产手术患者200例，ASAI-II级，采用数字表法随机分为二组(2100)：音乐治疗组(M组)和对照组(C组)。M组患者术前接收音乐放松训练30min,术后5,10,15,20,25,30h分别进行30min咅乐干预。C组患者在同一时间段不采用任何咅乐治疗。术后M组和C组患者均接受舒芬太尼静脉术后自控镇痛(postoperativepa
2、itent-controlledanaigesia,PCA)・记录患者术后7,12,17,22,27,32h患者的焦虑自评量表(selfratinganxietyscale,ASA)分值,视觉模拟评分(visualanaloguescale,VAS),收缩压(systolicbloodpressure,SBP)，舒张压(diastolicbloodpressure,DBP)和心率(heartrate,HR)变化。记录术后舒芬太尼用量,PCA按压次数以及不良反应；记录患者术后至出院的天数。结果：与C组相比，M组患者术后各时点的SAS评分，VAS评分，SBPQBP,和HR均显著降低(P&l
3、t;0.01)组的舒芬太尼用量和PCA按压次数明显减少(P<0.01)，并且不良反应与住院天数均显著降低(P<0.01)•结论：咅乐联合舒芬太尼术后静脉镇痛用于剖宫产术后的患者能够达到更好的镇痛效果，且能够缓解患者的焦虑情绪，有效的稳定患者血流动力学的稳定并减少舒芬太尼的用量；明显的缩短住院天数。【关键词】咅乐治疗；舒芬太尼；腰硬联合麻醉；自控静脉镇痛；焦虑；血流动力学【屮图分类号】R614【文献标识码】A【文章编号】2095-1752(2015)19-0203-03ClinicalObservationOfMusicalTherapyCombinedWithSufenta
4、nilForPostoperativeAnalgesiaAfterCesareanSectionPatientsYuanHongxiangZhaoJieLuoChengcaiChuxiongPeople'sHospital,SecondDepartmentofAnesthesia,Chuxiong675000[Abstract]ObjectiveToevaluatetheeffectsofmusicaltherapycombinedwithsufentanilforpostoperativeanalgesiaaftercesareansectioninpatientswithanxie
5、ty,painandhemodynamicimpactandthenumberofdaysofhospitalization.Methods200casesofelectivecesareansurgery(ASAI-IIgrade)usingarandomnumbertable,dividedintotwogroups(n二100):Musicaltherapygroup(Mgroup)andcontrolgroup(groupC).Thepatientsreceivingpreoperativemusicrelaxationtraining30min,30minafter5,10,
6、15,20,25,30hmusicinterventionwerecarriedout.GroupCpatientsdonotuseanymusictherapyatthesametime.MandCgroupafterpatientsreceivedintravenoussufentanilpostoperativeanalgesia(postoperativepaitent-controlledanaigesia,PCA).Recordingpatients7,12,17,22,27,32hpatientanxietyself-assessmentscale(selfratinga
7、nxietyscale,ASA)score,visualanaloguescale(visualanaloguescale,VAS),systolicbloodpressure(systolicbloodpressure,SBP),diastolicbloodpressure(diastolicbloodpressure,DBP)andheartrate(heartrate,HR)change.Recordaftersufentanildosa
