音乐对心血管系统及心血管健康的效应

Effect of music on cardiovascular system and cardiovascular health： a review of literature

音乐不仅能够改善生活质量，而且能够改变心率及心率变异性。欢快的音乐能显著地降低围手术期患者的焦虑水平，该效果优于口服咪达唑仑。更有效的镇静效果以及更少的副作用，使得欢快的术前音乐成为继咪达唑仑之后另一有效的术前镇静方式。对行心脏外科手术后卧床休息的患者、行心脏介入手术的围手术期患者以及永久起搏器安装术后的患者，给予“音乐处方”可使患者受益明显：卧床休息30min后、聆听音乐组患者的皮质醇水平较非聆听音乐组明显降低（484.4 vs 618.8mmol/L，P＜0.05）。声乐作品及管弦乐与心血管或呼吸系统间的相关性显著高于均衡性乐曲（P＜0.05）。古典音乐和冥想类音乐可以给人类健康带来很大的益处。尤其是巴赫、莫扎特及意大利作曲家的音乐，可以在很大程度上提高人们的生活质量，保持人们的身心健康 。

Music may play important role in life quality improvement, and also have effects on the change of heart rate and heart rate variability. Cheerful music significantly reduced the level of peri-operative patients’ anxiety, and the effect was even better than oral administration of midazolam. Thus, except for oral administration of midazolam for sedation, listening cheerful music, another higher effective way with less adverse effects, was used as the sedation before operation. Listening to music, as a proposed regimen, was also beneficial to patients who needed resting in bed after cardiac surgical procedure, who would receive interventional management, and who had been implanted the permanent cardiac pace maker. After resting in bed for 30 min, the level of cortisol was significantly lower in music group（484.4mmol/L） than in non-music group （618.8mmol/L, P〈0.05）. Vocal and orchestral music cause much stronger correlations between cardiovascular or respiratory system in comparison with music in more uniform emphasis （P〈0.05）. Classical music and meditation music exert greatest benefit on health. Particularly composed by Bach, Mozart or Italian composers, the music improves the quality of life effectively, and keeps physical and mental health.