ADJUNCT MUSIC THERAPY AND HAEMODYNAMIC BALANCE IN MANDIBULAR THIRD MOLAR SURGERY: A RANDOMIZED CLINICAL STUDY.

O I Olaopa
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Abstract

Introduction: There are conflicting evidences that music can improve psychoemotional stability and haemodynamic changes during surgeries, as well as improve doctor-patient relationship and the overall clinical outcome. This method is cheaper, devoid of side effects of drugs and provides a memorable experience to patient.

Aim: This study sets out to investigate the effect of adjunct music therapy on haemodynamic changes in patients undergoing transalveolar mandibular third molar surgery in a tertiary hospital in southwest Nigeria.

Methodology: A total of 146 participants between 21 and 55 years were randomized by balloting into music and non-music groups with equitable gender distribution. For participants in the music group, third molar surgery was performed with selected music tracks played via both external speaker and later headphone while the control group had the stages progress without musical intervention. The blood pressure, pulse rate, respiratory rate were recorded at predetermined interval. Normality of data distribution was tested using Shapiro-Wilk test. Student t-test was used to compare mean for quantitative variables between the groups. The chi-square test was used to compare proportions and to investigate association between categorical variables (p<0.05).

Result and conclusion: There was no significant difference in the blood pressure, pulse rate and respiratory rate between participants in this study. This suggests that music therapy confers no significant advantage in stabilizing the blood pressure, respiratory and pulse rates of patient during mandibular third molar surgery.

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辅助音乐治疗与下颌第三磨牙手术血流动力学平衡:一项随机临床研究。
前言:音乐可以改善手术期间的心理情绪稳定性和血流动力学变化,改善医患关系和整体临床结果,但证据相互矛盾。这种方法更便宜,没有药物的副作用,给病人带来难忘的体验。目的:本研究旨在探讨辅助音乐治疗对尼日利亚西南部一家三级医院接受经牙槽下颌第三磨牙手术患者血流动力学变化的影响。研究方法:共有146名年龄在21岁至55岁之间的参与者通过投票随机分为音乐和非音乐组,性别分配公平。对于音乐组的参与者,在进行第三磨牙手术时,通过外部扬声器和后来的耳机播放选定的音乐曲目,而对照组在没有音乐干预的情况下进行阶段进展。每隔一段时间记录血压、脉搏率、呼吸率。采用Shapiro-Wilk检验检验数据分布的正态性。采用学生t检验比较组间定量变量的均数。采用卡方检验比较比例,探讨分类变量之间的相关性(结果与结论:本研究中受试者的血压、脉搏率和呼吸率无显著差异。这表明音乐治疗在稳定下颌第三磨牙手术患者的血压、呼吸和脉搏率方面没有明显的优势。
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