个性化感受式音乐疗法在先天性心脏病患儿术后镇痛中的应用

Application of personalized sensory music therapy in postoperative analgesia in children with congenital heart disease

目的:观察个性化感受式音乐疗法在先天性心脏病患儿术后镇痛中的应用效果。方法:采用随机数字表法将手术治疗后转入儿童重症监护病房进行监护的先天性心脏病患儿60例分为观察组和对照组,各30例。对照组术后予以持续静脉泵入枸橼酸舒芬太尼,观察组在对照组的基础上实施个性化感受式音乐疗法。比较2组术后儿童疼痛行为量表评分、儿童重症监护病房监护时间、收缩压、舒张压、心率及血氧饱和度。结果:观察组患儿术后12、24、48、72 h儿童疼痛行为量表评分及术后监护时间均明显低于对照组(P<0.01)。观察组患儿术后12、24 h收缩压均低于对照组(P<0.01和P<0.05);观察组患儿术后24、72 h心率均低于对照组(P<0.01和P<0.05);2组术后12、24、48、72 h舒张压、血氧饱和度差异均无统计学意义(P>0.05)。结论:个性化感受式音乐疗法运用到先天性心脏病患儿术后镇痛中,可有效减轻患儿术后疼痛并缩短术后进入儿童重症监护病房监护的时间。

Objective:To observe the effect of personalized sensory music therapy in postoperative analgesia in children with congenital heart disease.Methods:A total of 60 children with congenital heart disease who were transferred to pediatric intensive care unit after operation were divided into observation group and control group using random number table method(30 cases in each group).The control group was continuously venously pumped with sufentanil citrate after operation,and the observation group was treated with personalized sensory music therapy on the basis of the control group.The face,legs,activity,cry,consolability scale score,monitoring time in intensive care unit,systolic blood pressure,diastolic blood pressure,heart rate and blood oxygen saturation after operation were compared between the two groups.Results:The scores of the face,legs,activity,cry,consolability scale and postoperative monitoring time at 12,24,48 and 72 hours after operation in observation group were significantly lower than those in control group(P<0.01).The systolic blood pressure at 12 and 24 hours after operation in observation group was lower than that in control group(P<0.01 and P<0.05),the heart rate at 24 and 72 hours after operation in observation group was lower than that in control group(P<0.01 and P<0.05),but there were no significant differences in diastolic blood pressure and blood oxygen saturation between the two groups at 12,24,48 and 72 hours after operation(P>0.05).Conclusions:The application of personalized sensory music therapy in postoperative analgesia in children with congenital heart disease can effectively relieve postoperative pain and shorten the monitoring time in pediatric intensive care unit.