Listening to music before tooth extraction attenuates sympathetic nervous system activity: A randomized control trial

Listening to music before tooth extraction attenuates sympathetic nervous system activity: A randomized control trial
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DOI:
10.1002/osi2.1151
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发表时间:
2022-06
影响因子:
0.5
通讯作者:
Kaoruko Yamashita;Akari Uto;Minako Uchino;Toshiro Kibe;Mitsutaka Sugimura
Kaoruko Yamashita;Akari Uto;Minako Uchino;Toshiro Kibe;Mitsutaka Sugimura
中科院分区:
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文献类型:
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作者:
Kaoruko Yamashita;Akari Uto;Minako Uchino;Toshiro Kibe;Mitsutaka Sugimura

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目的拔牙前听音乐对植物神经系统和心理状态的影响尚不清楚。这项前瞻性研究探讨了这一假设,即播放音乐前提取的阻生下颌第三磨牙将稳定患者的自主神经系统的活动和循环dynamics.Methods36例患者被随机分为两组:对照组和音乐。音乐组患者在拔牙前听音乐。术中记录心率变异性和循环动力学。术前记录改良牙科焦虑量表和状态特质焦虑量表评分,后者用于评估术后焦虑评分。结果对照组在局麻、去骨和拔牙期间交感神经活动显著增加(p< 0.01),尽管在局部麻醉和拔牙期间音乐组的这种增加较低(p< 0.05)。音乐组术后焦虑评分明显低于术前(p< 0.05)。结论术前播放音乐有助于降低局麻拔牙术中交感神经活动。
AimThe effect of listening to music before tooth extraction on the autonomic nervous system and psychological state remains unclear. This prospective study explored the hypothesis that playing music before the extraction of an impacted mandibular third molar would stabilize patients' autonomic nervous system activity and circulatory dynamics.MethodsThirty‐six patients were randomized into two groups: control and music. Patients in the music group listened to music before tooth extraction. Heart rate variability and circulatory dynamics were recorded during the procedure. The Modified Dental Anxiety Scale and State Trait Anxiety Inventory scale scores were recorded before the procedure, and the latter was used to assess postoperative anxiety scores.ResultsSympathetic nervous activity significantly increased in the control group during the administration of local anesthesia, bone removal, and extraction (p< 0.01), although this increase was lower in the music group during the administration of local anesthesia and extraction (p< 0.05). In the music group, the postoperative anxiety score was significantly lower than the preoperative score (p< 0.05).ConclusionPlaying music preoperatively may help reduce sympathetic nerve activity during the administration of local anesthesia and tooth extraction.