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2023年7月 第38卷 第7期11
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音乐干预对眼科手术焦虑与生理影响的研究进展

Research progress of music intervention for ophthalmic surgery–Related anxiety and physiological responses

来源期刊: 广州医药 | - 发布时间: 收稿时间:2026/6/11 8:20:44 阅读量:67
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音乐干预;眼科手术;焦虑;生理反应;围手术期干预
music intervention; ophthalmic surgery; anxiety; physiological responses; perioperative intervention
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【摘要】 目的 系统分析音乐干预对眼科手术患者围手术期焦虑与生理反应的影响,为其临床应用提供参考。方法 系统检索国内外相关文献,从患者焦虑特征、理论基础、实施方法、干预效果及影响因素等方面进行综合分析。结果 眼科手术患者围术期焦虑发生率较高,焦虑可降低术中配合度、增加麻醉用药等风险。音乐干预通过调节边缘系统及自主神经系统发挥作用,术前、术中持续应用可显著降低焦虑评分,稳定心率、降低血压。听觉敏感性、基线焦虑水平、年龄及干预方案特征是影响干预效果的关键因素。结论 音乐干预能有效缓解眼科手术患者围手术期焦虑,具有良好应用潜力。未来需开展大样本随机对照试验,结合人工智能等技术开发个性化方案,并建立标准化实施方法。
【Abstract】Objective To systematically evaluate the effects of music intervention on perioperative anxiety and physiological responses in ophthalmic surgery patients, and to provide evidence for clinical practice. Methods Domestic and international literature on anxiety characteristics, mechanisms, implementation, efficacy, and influencing factors was systematically searched and reviewed. Results Perioperative anxiety is common in ophthalmic surgery patients and may reduce intraoperative cooperation and increase anesthetic consumption. Music intervention acts on the limbic system and the autonomic nervous system, and can effectively reduce anxiety scores, stabilize heart rate, and lower blood pressure when applied preoperatively and intraoperatively. Key influencing factors include auditory sensitivity, baseline anxiety, age, and intervention features. Conclusions Music intervention safely and effectively relieves perioperative anxiety in ophthalmic surgery patients. Further large-sample randomized controlled trials, AI-based personalized programs, and standardized protocols are needed.
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