五音疗法对Stanford A型主动脉夹层患者术后谵妄的影响OA
Effects of five elements musical therapy on postoperative delirium in patients with Stanford type A aortic dissection
目的:观察五音疗法对降低Stanford A型主动脉夹层(AAD)患者术后谵妄(POD)的发生率、改善相关临床症状的作用.方法:采用前瞻性、对照研究设计,纳入2022年2月至2023年2月于广州医科大学附属第一医院确诊AAD并接受手术治疗的患者82例,随机分为干预组(42例)与对照组(40例).对照组术后采取常规治疗方案,干预组在常规治疗方案基础上,于术后24 h内加用五行音乐辅助治疗.比较两组患者POD的发生率、POD持续时间、呼吸机使用时间及术后住院时间.结果:干预组POD的发生率显著低于对照组(P<0.05);干预组患者POD的持续时间、术后呼吸机使用时间及住院时间相较于对照组均有缩短趋势.结论:五音疗法可改善AAD患者术后精神功能障碍,减少POD的发生率,具有良好的临床应用前景.
Objective:To observe the effects of five elements musical therapy on reducing the incidence of postoperative delirium(POD)and improving clinical symptoms in patients with Stanford type A aortic dissection(AAD).Methods:A prospective and controlled study design was used.A total of 82 patients diagnosed with AAD and underwent surgery in First Affiliated Hospital of Guangzhou Medical University from February 2022 to February 2023 were randomly divided into a treatment group(42 cases)and a control group(40 cases).The control group received routine treatment after surgery,while the treatment group received additional five elements musical therapy within 24 hours after surgery.Compare the incidence of POD,duration of POD,the lasting time of ventilation,and length of hospital stay between two groups.Results:The incidence of POD in the treatment group was significantly lower than the control group(P<0.05).The duration of POD,the lasting time of ventilation,and length of hospital stay in the treatment group was shorter than the control group.Conclusion:Five elements musical therapy can improve postoperative mental dysfunction in AAD patients,reduce the incidence of POD,and has good clinical application prospects.
陆国梁;孙婷;郭大鑫;马伦超;王凯;谢少波
广州医科大学附属第一医院心脏大血管外科,广州 510163广州医科大学附属第一医院心脏大血管外科,广州 510163广州医科大学附属第一医院心脏大血管外科,广州 510163广州医科大学附属第一医院心脏大血管外科,广州 510163广州医科大学附属第一医院心脏大血管外科,广州 510163广州医科大学附属第一医院心脏大血管外科,广州 510163
五音疗法主动脉夹层术后谵妄术后精神功能障碍音乐疗法
Five elements musical therapyAortic dissectionPostoperative deliriumPostoperative psychonosemaMusic therapy
《中华中医药杂志》 2026 (2)
686-688,3
广东省中医药局科研项目(No.20222123)
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