CAJ | 학술논문

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。
목적：연구음악치료재고강도취초초성소융자궁선기증중적응용효과。방법：장90례고강도취초초성(HIFU)소융치료적자궁선기증환자수궤분성실험치료조화대조조진행연구분석。실험치료조재상규소융치료전1h지결속시지속은음악；대조조칙안상규방식진행초성소융치료。관찰이조환자치료전적초필정도，치료중적혈압、심솔，치료후적동통급진통약물사용제량정황。결과：실험치료조치료전적초필정도、치료중적혈압、심솔、치료후적동통평분、진통약물사용제량균명현우우대조조。결론：응용음악치료가명현개선자궁선기증환자HIFU치료과정중적응격상태，은정치료중생리지표，감경초필상태급치료후동통화진통약물사용제량，유리우치료순리진행。
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 intra-operative 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.