Effects of Intravenous Patient-Controlled Sufentanil Analgesia and Music Therapy on Pain and Hemodynamics After Surgery for Lung Cancer: A Randomized Parallel Study
Wang Y, Tang H, Guo Q, Liu J, Liu X, Luo J, Yang W
Journal of alternative and complementary medicine (New York, N.Y.) · 43 citas
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Gobierno
- Department of Science and Technology, Ministry of Science and Technology, India
- Gobierno
- Hunan Provincial Science and Technology Department
Según 2 financiadores declarados.
Publicación
- Publicado
- 2015-09-02 · J Altern Complement Med · vol. 21 · número 11 · págs. 667–672
- Editorial
- Mary Ann Liebert, Inc.
- Citado
- 60 citas · más que el 95% de estudios similares · 5.7× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 20 trabajos
- Acceso
- De pago
- Áreas de investigación
- Music Therapy and Health · Anesthesia and Pain Management · Pain Management and Opioid Use
- Palabras clave
- music therapy, sufentanil, patient-controlled analgesia, postoperative pain, lung cancer surgery, hemodynamics, anxiety, opioid consumption, postoperative analgesia
- MeSH
- humans, lung neoplasms, sufentanil, music therapy, blood pressure, heart rate, adult, aged, middle aged, female, male, postoperative pain
7 autores
- Yichun Wang🇨🇳Central South University; Xiangya Hospital Central South University
- Haoke Tang🇨🇳Central South University
- Qulian Guo🇨🇳Central South University; Xiangya Hospital Central South University
- Jingshi Liu🇨🇳 · autor de correspondenciaCentral South University
- Xiaohong Liu🇨🇳Central South University
- Junming Luo🇨🇳Qinghai Provincial Peoples Hospital
- Wenqian Yang🇨🇳Central South University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objective
Postoperative pain is caused by surgical injury and trauma; is stressful to patients; and includes a series of physiologic, psychological, and behavioral reactions. Effective postoperative analgesia helps improve postoperative pain, perioperative safety, and hospital discharge rates. This study aimed to observe the influence of postoperative intravenous sufentanil patient-controlled analgesia combined with music therapy versus sufentanil alone on hemodynamics and analgesia in patients with lung cancer.
Methods
This was a randomized parallel study performed in 60 patients in American Society of Anesthesiologists class I or II undergoing lung cancer resection at the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University. Patients were randomly assigned to a music therapy (MT) group and a control (C) group. The MT group underwent preoperative and postoperative music intervention while the C group did not. Both groups received intravenous patient-controlled sufentanil analgesia. The primary outcome was the visual analogue scale (VAS) score at 24 hours after surgery. The secondary outcomes included hemodynamic changes (systolic blood pressure, diastolic blood pressure, heart rate), changes on the Self-Rating Anxiety Scale (SAS), total consumption of sufentanil, number of uses, sedation, and adverse effects. The postoperative sufentanil dose and analgesia frequency were recorded.
Results
Compared with the C group, the MT group had significantly lower VAS score, systolic and diastolic blood pressure, heart rate, and SAS score within 24 hours after surgery (p < 0.01). In addition, postoperative analgesia frequency and sufentanil dose were reduced in the MT group (p < 0.01).
Conclusions
Combined music therapy and sufentanil improves intravenous patient-controlled analgesia effects compared with sufentanil alone after lung cancer surgery. Lower doses of sufentanil could be administered to more effectively improve patients' cardiovascular parameters.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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