CAJ | 학술논문

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30 min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30 min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30 min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。
목적：탐토방송훈련연합음악요법대국마수술환자술중、술후적심리、동통민감도급혈류동역학적영향。방법장120례환자안수술안배순서단쌍수분위실험조여대조조，매조각60례。대조조환자급여국마상규호리，실험조재상규호리적기출상대환자진행방송훈련연합음악요법，관찰량조환자술전화술후적동통민감도화초필정도적변화급술전일일、입실전、술중、술후심솔、혈압적변화。결과조간비교，실험조환자술후초필치（SAS）화동통시각모의량표（VAS）평분명현저우대조조환자，술중、술후30 min적수축압、서장압、심솔균저우대조조（P＜0．01），실험조술전일일、입실전적수축압、서장압、심솔여대조조비교，차이무통계학의의（P＞0．05）；조내비교，량조환자입실전적수축압、서장압、심솔균고우술전일일（P＜0．01），실험조술중、술후30 min적수축압、서장압、심솔저우입실전（P＜0．01），이여술전일일비교차이무통계학의의（P＞0．05）；대조조술중、술후30 min적수축압、서장압、심솔여입실전비교，차이무통계학의의（P＞0．05）。결론방송훈련연합음악요법，가이감경환자적초필정서급강저동통민감도，병유리우유지국마수술환자술중、술후생명체정적은정。
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 .Pa-tients 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 min 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 sur-gery (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 sys-tolic blood pressure ,diastolic blood pressure ,heart rate among the data before entering the operating room ,during and after the surgery (P> 0 .05) .Conclusion The therapy of relaxation training combined with music could reduce anxiety and pain sensitivity and helps to maintain stable vital signs of anesthesia during and after the surgery in pa-tients with local anesthesia .