音乐放松想像训练对腹腔镜肝切除病人应激反应的影响

被引：13

作者：

王建荣

郭俊艳

马燕兰

机构：

[1] 中国人民解放军总医院

来源：

护理研究(上旬版) | 2006年 / 07期

关键词：

腹腔镜; 肝切除术; 音乐疗法; 应激;

D O I：

暂无

中图分类号：

R473.6 [外科护理学];

学科分类号：

1011 ;

摘要：

[目的]探讨音乐放松想像训练(MRIT)对腹腔镜肝切除病人手术应激的影响。[方法]将40例腹腔镜肝切除病人分为实验组和对照组,实验组在围手术期常规护理的基础上接受音乐放松想像训练,对照组则只接受常规护理。观察两组手术前后血压、心率、血清皮质醇、C-反应蛋白(CRP)及免疫球蛋白的变化。[结果]两组收缩压、血清CRP和皮质醇分别在术后第1天和第2天达峰值,但对照组较实验组升高更明显(P<0.05);两组舒张压和心率均无差异(P>0.05);两组血清IgA、IgG、IgM较术前降低,但组间无显著差异(P>0.05)。[结论]音乐放松想像训练用于腹腔镜肝切除病人围术期护理中,可减轻手术应激反应强度,但对应激引起的免疫抑制无明显影响。

引用

页码：582 / 585

页数：4

共 16 条

[1]

Relaxing music prevents stress-induced increases in subjective anxiety,systolic blood pres-sure,and heart rate in healthy males and females. Knight WE,Richard. J Music Ther . 2001

[2]

Influence of CO2pneumoperitoneum on systemic and peritoneal cell-mediatedi mmunity. Evand S,Falkenrodt A,Park A,et al. World Journal of Surgery . 1997

[3]

Re-laxingintraoperative natural sound blunts hemodynamic change at the emergence frompropofol general anaesthesia and in-creases the acceptability of anaesthesia to the patient. Tsuchiya M,Asada A,Ryo K,et al. Acta Anaesthesiologica . 2003

[4]

Effects of relaxation and stress on the capsaicin-inducedlocal inflammato-ry response. Lutgendorf S,Logan H,Kirchner HL,et al. Psychosomatic Medicine . 2000

[5]

Stress reduction and analgesia in patients ex-posed to cal ming music postoperatively:Arandomized controlled trial. Nilsson U,Unosson M,Rawal N. European Journal of Anaesthesiology . 2005

[6]

The effect of music on de-creasing arousal due to stress:A meta-analysis. Pelletier CL. J Music Ther . 2004

[7]

Music and preoperative anxiety:A ran-domized,controlled study. Wang SM,Kulkarni L,Dolev J,et al. Anesthesia and Analgesia . 2002

[8] EFFECT OF IMMUNE-SYSTEM IMAGERY ON SECRETORY IGA [J].

RIDER, MS ;

ACHTERBERG, J ;

LAWLIS, GF ;

GOVEN, A ;

TOLEDO, R ;

BUTLER, JR .

BIOFEEDBACK AND SELF-REGULATION, 1990, 15 (04) :317-333

[9] 腹腔镜手术对机体免疫功能影响的研究进展 [J].

傅晓辉 .

中国微创外科杂志, 2002, (01) :61-61

[10] 放松训练和腹式呼吸对应激的影响 [J].

郭梅英 ;

阎克乐 ;

尚志恩 .

心理学报, 2002, (04) :426-430

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