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Effects of Perioperative Music Therapy on Postoperative Pain of Patients Undergoing Hysterectomy

REN Lingyun,FAN Ying.Dongfeng Hospital,Yunyang Medical College,Shiyan,442000,China  
Objective To investigate the effect of perioperative exposure to music during intravertebral anesthesia on patient's postoperative pain.Methods 40 ASAⅠ~Ⅱpatients were randomly assigned to listen to music or no music during the hysterectomy with intravertebral anesthesia.Serum IL-6 was evaluated before,immediately after and 1h after surgery.0 h、1 h、2 h、3 h、7 h、11 h、15 h、19 h、24 h after operation,pain scores(VAPS)at rest,analgesic amount,PCA demand,nausea score(VANS),tiredness score(VATS) were recorded.Sleep sensation of operation night(VASS) and satisfaction about 24h analgesia were assessed(a 5-grade scale).Results Compared with the control group,the music group required less analgesic and PCA 1h and 2h after operation.In all patients,24h VAPS have a time effect(P0.01),there was no interaction between intervention and time.Music group reported higher sleep sensation than the control.No differences were noted in other variables.Conclusions Perioperative music therapy has short-term effect on postoperative pain of patients undergoing hysterectomy with intravertebral anesthesia,and improves their sleeping.
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