全程音乐疗法对急性冠脉综合征患者急诊行经皮冠状动脉介入治疗术后早期康复的效果

Effect of early rehobilitation with full range of music therapy on ACS patients after emergency PCI

目的探讨全程性音乐疗法对急性冠脉综合征（ACS）患者急诊行经皮冠状动脉介入治疗术（PCI）后早期康复的效果。方法将2009年7—12月急诊PCI术后的急性冠脉综合征患者108例随机分为干预组54例和对照组54例。干预组在给予医院常规治疗与护理的基础上，住院期间分别在10：00，16：00，21：00共3个时段给予全程音乐治疗，每次30min。对照组只接受医院常规的治疗与护理。比较两组患者的焦虑、抑郁程度及收缩压、心率、左室射血分数与住院时间、6min步行试验等。结果干预组患者的心率、血压、左室射血分数、焦虑、抑郁程度、6min步行试验和住院时间与对照组比较有统计学意义（P〈0．05）。结论全程音乐疗法对急性冠脉综合征急诊PCI术后患者的康复有积极作用，值得临床推广应用。

Objective To study the effect of early rehabilitation with full range of music therapy on acute coronary syndrome （ACS） patients after emergency PCI. Methods From July to December 2009, 108 inpatients undergone emergency PCI were randomly divided into experimental group and control group, with 54 patients in each group. The experimental group received full range of music therapy, which included PCI treatment under the circumstance of music and music therapy 3 times per day （ 10：00 a. m. , 16：00 p.m. and 21：00 p. m. ） during hospitalization. The control group received conventional treatment. SBP, HR, the left ventricular ejection fraction （LVEF）, 6-MWT, length of stay, the scale of anxiety and depression were compared between the two groups. Results The scores of anxiety and depression, SBP, HR, LVEF and 6-MWT in the experimental group were significantly different from those of the control group （P 〈 0. 05 ）. Conclusions Full range of music therapy significantly contributes to the rehabilitation of ACS patients after emergency PCI.