聆听音乐及呼吸训练缓解腹腔镜胆囊切除术患者不良反应的效果

Effect on listening music therapy and breathing training for relieving adverse reactions for patients undergoing laparoscopic cholecystectomy

目的观察聆听音乐及呼吸训练在缓解腹腔镜胆囊切除术患者不良反应的效果。方法选择腹腔镜胆囊切除术患者80例,按随机数字表法随机分为干预组和对照组各40例。对照组术后常规中流量吸氧并协助早期下床活动,干预组在对照组处理的基础上给予聆听音乐及呼吸训练,采用视觉模拟评分(VAS)评估患者的疼痛开始时间及疼痛初始、术后12 h、术后24 h及术后48 h的疼痛程度,观察患者不良反应发生率。结果干预组患者疼痛开始时间较对照组明显延迟,疼痛初始、术后12 h、术后24 h及术后48 h的疼痛程度较对照组明显减轻,两者相比较(P<0.001),差异有统计学意义。患者不良反应的发生率较对照组明显减少,两者相比较(P<0.05),差异有统计学意义。结论聆听音乐及呼吸训练有利于缓解全麻下腹腔镜胆囊切除术患者的术后疼痛及不良反应,提高患者舒适度。

Objective To observe the effect of music therapy and breathing training on relieving adverse reactions for patients undergoing laparoscopic cholecystectomy. Method Eighty cases receiving laparoscopic cholecystectomy were randomly divided into interventional group （40 cases） and control group （40 cases） by random number table. The middle flow oxygen and early assisted ambulation were given as postoperative routine in control group, on the managed bases of control group, the music therapy and breathing training were increased in the intervention group. The control group was flowed oxygen and assisted early ambulation in postoperative routine. Intervention group on the basis of control group received listening to music and breathing lraining. The patient＇s painful onset time, initial time and painful degree of postoperative 12 h,24 h and 48 h were assessed Visual Analogue Scale （VAS） and the incidences of adverse reaction were observed. Result In the patient＇s painful onset time, the interventional group was significantly delayed than that control group. In the initial pain and the painful degree of postoperative 12 h,24 h and 48 h, the interventional group was reducer than that control group compared with the two groups, the difference was significant （P〈0.001）. Conclusion music therapy and breathing training would relieve postoperative pain and adverse reactions in the patients undergoing laparoscopic cholecysteetomy under general anesthes and improve patient comfort.