[1]范艳梅,许美凤,程传涛.音频疗法对皮肤外科局麻手术患儿生命体征的影响[J].中国美容医学,2019,(11):146-148.
　FAN Yan-mei,XU Mei-feng,CHENG Chuan-tao. Effect of Music Therapy on Vital Signs of Children Undergoing Facial Surgery withLocal Anesthesia in Dermatologic Surgery Ward[J].Medical Aesthetics and Beauty,2019,(11):146-148.
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音频疗法对皮肤外科局麻手术患儿生命体征的影响()

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年11期
页码:
146-148
栏目:
出版日期:
2019-11-05

文章信息/Info

Title:
 Effect of Music Therapy on Vital Signs of Children Undergoing Facial Surgery with
Local Anesthesia in Dermatologic Surgery Ward
文章编号:
1008-6455（2019）11-0146-02
作者:
范艳梅1; 许美凤2; 程传涛2
Author(s):
 FAN Yan-mei1; XU Mei-feng2; CHENG Chuan-tao2
关键词:
 ; [关键词]音频疗法; 皮肤外科; 局部麻醉; 儿童; 生命体征
Keywords:
 ; Key words: music therapy;  skin surgery;  local anesthesia;  children;  vital signs
分类号:
R473.6
文献标志码:
B
摘要:
[摘要]目的：探讨音频疗法对皮肤外科局麻手术患儿生命体征及手术配合度的影响。方法：将100例皮肤外科局麻手术患儿
随机分为两组，每组50例。对照组患儿术中给予常规基础护理，实验组患儿在对照组基础上加入音频疗法，以接诊当日血
压、心率为基础，比较手术当天术前（拍照时）、术中（局麻开始后5min内）、术后（手术结束后10min）两组患儿的生命
体征变化（血压、心率）、疼痛评分变化（以FLACC法评估）。结果：实验组术中、术后FLACC评分均优于对照组，差异有统
计学意义（P＜0.01）。两组患儿术前血压和心率与基础值比较，并进行组间比较，差异均无统计学意义（P ＞0.01）；术中
及术后对照组血压及心率明显高于基础值，而实验组患儿术中及术后血压、心率虽有所升高，但与基础值无明显差异，且显
著低于对照组数值，差异有统计学意义（P ＜0.01）。结论：将音频疗法应用于局麻手术患儿可以更好地缓解紧张情绪，减
少患儿恐惧心理，提高手术配合度，获得较好的护理效果。

Abstract:
Abstract: Objective To explore the effect of music therapy on vital signs and operative coordination in children undergoing
dermatologic surgery in local anesthesia. Methods 100 patients who underwent dermatologic surgery using local anesthesia
were randomly divided into the experimental group (n =50) and the control group (n =50). The patients in the control group
received regular care, while the patients in the experimental group received music therapy in addition to regular care.
The changes of vital signs and postoperative FLACC scores of the two groups were observed at the day before surgery,
preoperatively (at the time before entering the operating room), intraoperatively (5 minutes after the beginning of local
anesthesia) and postoperatively (10 minutes after the operation). Results The FLACC score of the experimental group was
better than that of the control group during and after the operation, and the difference was statistically significant(P ＜0.01).
Preoperative blood pressure, heart rate and baseline values were compared between the two groups. There was no significant
difference between the two groups(P ＞0.01). The blood pressure and heart rate of the control group were significantly higher
than the baseline values during and after the operation, while the blood pressure and heart rate of the experimental group
increased, but there was no significant difference with the baseline values, and significantly lower than that of the control
group(P ＜0.01). Conclusion The application of audio therapy in children with local anesthesia surgery can better relieve
tension, reduce fear of children, improve the degree of operation cooperation, and obtain better nursing effect.

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更新日期/Last Update: 2019-12-12