Effects of Intravenous Patient-controlled Sufentanil Analgesia and Music Therapy on Pain and Hemodynamics After Surgery for Lung Cancer: A Randomized Parallel Study

Journal

Journal of Alternative and Complementary Medicine

Year

2015

Abstract

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.

Music and Health Institute Terms

Adverse Effects; Analgesic Intake; Anxiety; Anxiety Scales; Blood Pressure; Cancer; Heart Rate; Hospital Setting; Hospitalized Patients; Medication Use; Music Listening; Music Medicine; Opioid Intake; Pain; Pain Management and Control; Pain Score or Rating; Postoperative Pain; Postoperative Patients; Recorded Music Listening; Self-Report Measures; Surgery; Surgical Patients; Thoracic Surgery; Visual Analog Scale (VAS); Vital signs

Indexed Terms

Elderly; Blood Pressure; Heart Rate; Lung Neoplasms; Postoperative Pain; Sufentanil

Study Type

Randomized Controlled Trial; Quantitative Methods

PubMed ID

26331434

Document Type

Article

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