音乐干预疗法对动态血压与手动测血压相关性的影响

The effect of relation between ambulatory blood pressure and manual measurement of blood pressure on music intervention therapy

目的 观察音乐干预疗法对动态血压与手动测血压相关性的影响。方法选择符合WHO诊断标准的高血压病患者100例，随机分为2组，试验组50例手动测血压前进行音乐疗法，对照组50例不接受音乐干预。试验组于第1次音乐疗法前后、对照组于动态血压上机前完成焦虑自评量表（SAS）的评分，并进行比较。然后选择3个时间段进行24h动态血压（ABPM）与手动同步测血压，将获取的ABPM参数与手动测血压值分组作比较及统计分析。结果试验组音乐疗法后SAS评分与干预前比较，差异有统计学意义（P〈0．05）。刚上机2h对照组手动测血压明显高于ABPM（P〈0．01），试验组两者无显著差异（P〉0．05）。2组晚上8-10点手动测血压与ABPM差异均无统计学意义（P〉0．05）。2组撤机前2h试验组手动测血压与ABPM差异无统计学意义（P〉0．05）；对照组手动测血压高于ABPM，差异有统计学意义（P〈0．01）。结论音乐干预疗法可减轻“白大衣高血压”，提高ABPM与手动测血压的良好相关性。

Objective To observed the effect of relation between ambulatory blood pressure and manual measurement of blood pressure on music intervention therapy. Methods Selected 100 cases of hypertension patients in line with WHO standards were randomly diveded into two groups, the experimental group of 50 cases, use the music therapy before manual measurement of blood pressure, the control group of 50 cases, didnt accepted intervention of music. The experimental group before and after the first music therapy, and the control group before upper ambulatory blood pressure machine would completed to gave a mark by self-rating anxiety scale （SAS） ,and compared. And then selected three time periods for 24 hours ambulatory blood pressure monitoring （ABPM） and manual measurement of blood pressure synchronization, and to made comparisons and statistical analysis in groups between parameters of ABPM and manual measurement of blood pressure values. Results The SAS score of test group were compared with before intervention and after music therapy, the difference was statistically significant （ P 〈 0.05 ）. Just-on mechine 2 hours, manual measurement of blood pressure of control group was significantly higher than ABPM（P 〈0. 01 ）, these in test group were no significant difference （ P 〉 0. 05 ）. At 8 -10 clock manually measured blood pressure and ABPM of these two groups was no significant difference （ P 〉 0.05 ）. Weaned two hours ago, manually measured blood pressure and ABPM of test group was no significant difference（ P 〉 0.05 ）. The manually measured blood pressure of control group was greater than ABPM, the difference was statistically significant （ P 〈 0.01 ）. Conclusion Music therapy interven- tion could reduced white coat hypertension＂, raising the good relation between ABPM and manual measurement of blood pressure.