中医五行音乐对缓解心房颤动患者射频消融治疗中疼痛的效果

Effects of traditional Chinese medicine five-element music on pain relief in patients with atrial fibrillation during radiofrequency ablation

目的探讨中医五行音乐对缓解心房颤动患者射频消融治疗中疼痛的效果。方法选取2021年6月至2022年3月在南昌大学第一附属医院心血管介入室行心房颤动射频消融术的80例患者作为研究对象,按随机数字表法分为观察组(40例)与对照组(40例)。对照组采用常规干预手段,观察组在对照组的基础上根据中医辨证分型采用五行音乐疗法进行干预。比较两组患者的疼痛情况、疼痛管理满意度和护理满意度。结果两组患者的疼痛数字评分法(NRS)评分组间、时间及交互作用比较,差异均有统计学意义(P<0.05);观察组消融开始后10 min(T_(1))、消融部位到左肺静脉前后壁时(T_(2))、消融部位到右肺静脉前后壁时(T_(3))及消融结束时(T_(4))的NRS评分均低于对照组,差异有统计学意义(P<0.05)。观察组患者的疼痛管理满意度(92.50%)高于对照组(72.50%),差异有统计学意义(P<0.05);观察组患者的护理满意度(95.55%)高于对照组(75.00%),差异有统计学意义(P<0.05)。结论中医五行音乐疗法能够改善心房颤动射频消融患者的疼痛情况,提升其疼痛管理满意度和护理满意度。

Objective To explore the effect of traditional Chinese medicine five-element music on pain relief in patients with atrial fibrillation during radiofrequency ablation.Methods A total of 80 patients with atrial fibrillation who underwent radiofrequency ablation in the Cardiovascular Intervention Room,the First Affiliated Hospital of Nanchang University from June 2021 to March 2022 were selected as the research objects.According to the random number table method,they were divided into observation group(40 cases)and control group(40 cases).The control group was given routine intervention,while the observation group was given five-element music therapy according to traditional Chinese medicine syndrome differentiation on the basis of the control group.The pain,pain management satisfaction and nursing satisfaction of the two groups were compared.Results There were statistically significant differences in numerical rating scale(NRS)scores between groups,time and interaction between the two groups(P<0.05).The NRS scores of the observation group were lower than those of the control group 10 min after the beginning of ablation(T_(1)),when the ablation site reached the anterior and posterior wall of the left pulmonary vein(T_(2)),when the ablation site reached the anterior and posterior wall of the right pulmonary vein(T_(3))and at the end of ablation(T_(4)),and the differences were statistically significant(P<0.05).The pain management satisfaction of the observation group(92.50%)was higher than that of the control group(72.50%),and the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group(95.55%)was higher than that of the control group(75.00%),and the difference was statistically significant(P<0.05).Conclusion Traditional Chinese medicine five-element music therapy can improve the pain of atrial fibrillation patients with radiofrequency ablation,and improve their pain management satisfaction and nursing satisfaction.