| 王婷,乔钰涵,宋杰,等.个性化音乐干预对儿童扁桃体腺样体切除术术前焦虑和术后疼痛的影响[J].安徽医药,2026,30(5):969-974. |
| 个性化音乐干预对儿童扁桃体腺样体切除术术前焦虑和术后疼痛的影响 |
| The effect of personalized music intervention on preoperative anxiety and postoperative pain in children undergoing tonsillectomy and adenoidectomy |
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| DOI：10.3969/j.issn.1009-6469.2026.05.024 |
| 中文关键词: 音乐疗法 术前焦虑 术后疼痛 儿童 扁桃体腺样体手术 |
| 英文关键词: Music therapy Preoperative anxiety Postoperative pain Children Tonsillectomy and adenoidectomy |
| 基金项目: |
| 作者 | 单位 | E-mail | | 王婷 | 徐州医科大学麻醉学院,江苏徐州,221004 | | | 乔钰涵 | 徐州医科大学麻醉学院,江苏徐州,221004 | | | 宋杰 | 徐州医科大学麻醉学院,江苏徐州,221004 | | | 胡慧敏 | 徐州医科大学麻醉学院,江苏徐州,221004 | | | 齐敦益 | 徐州医科大学麻醉学院,江苏徐州,221004
徐州医科大学附属医院麻醉科,江苏徐州 221002 | qdy6808@163.com |
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| 中文摘要: |
| 目的探讨术前采用个性化音乐干预对儿童扁桃体腺样体切除术术前焦虑和术后疼痛的影响。方法采用随机数字表法将 2023年 9―10月在徐州医科大学附属医院择期行扁桃体腺样体切除术的 72例 6~12岁儿童分为个性化音乐干预组( 36例)与对照组( 36例)。个性化音乐干预组在进入手术室前佩戴头戴式降噪耳机播放个性化音乐，而对照组则仅佩戴头戴式耳机而不播放任何音乐。采用改良耶鲁术前焦虑量表( m-YPAS)比较两组病儿在进入手术室前、进入手术室后和麻醉诱导前的焦虑评分，以及比较两组病儿术中血流动力学变化、术后疼痛评分和苏醒期躁动评分。结果两组病儿的基线资料差异无统计学意义( P>0.05)。在广义估计方程中，个性化音乐干预组在进入房间时的焦虑评分比对照组低 16.90分( P<0.001)在诱导前比对照组低 19.89分( P<0.001)。与对照组比，个性化音乐干预组降低了病儿在恢复室中的苏醒期躁动评分( P<0.001)，。同时在术后 4h个性化音乐干预组的疼痛评分低于对照组( P<0.001)。结论个性化音乐干预可缓解择期行扁桃体腺样体切除术病儿的术前焦虑和术后疼痛。 |
| 英文摘要: |
| Objective To explore the influence of preoperative personalized music intervention on preoperative anxiety and postoper.ative pain in children undergoing tonsillectomy and adenoidectomy.Methods A total of 72 children aged 6-12 years who underwenttonsillectomy and adenoidectomy in the Affiliated Hospital of Xuzhou Medical University from September to October 2023 were ran.domly assigned to the personalized music intervention group (36 cases) and the control group (36 cases) by random number table meth.od.The personalized music intervention group wore noise-canceling headphones to play personalized music before entering the operat.ing room,while the control group only wore headphones without playing any music.The anxiety scores of the two groups were comparedbefore entering the operating room, after entering the operating room and before anesthesia induction by modified Yale preoperativeanxiety scale (m-YPAS),as well as the intraoperative hemodynamic changes, postoperative pain scores and the postoperative pediatricanesthesia emergence delirium (PAED) score between the two groups were compared.Results There was no significant difference in baseline data between the two groups(P>0.05).In the generalized estimation equation, the m-YPAS score of the personalized music in. tervention group was 16.90 points lower than that of the control group after entering the room(P<0.001) and 19.89 points lower than that of the control group during induction(P<0.001).Compared with the control group, the personalized music intervention group reduced the PAED score of children in the post-anesthesia care unit(P<0.001).At the same time, at 4 hours after surgery, the pain score of the per.sonalized music intervention group was lower than that of the control group (P<0.001).Conclusion Personalized music intervention can alleviate preoperative anxiety and postoperative pain in children undergoing elective tonsillectomy and adenoidectomy. |
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