La variabilité de la fréquence cardiaque comme outil pour suivre l'effet de la musique sur le soulagement du stress chez les patients sous anesthésie : Données d'une étude clinique
Résumé
L'objectif de la présente étude était d'explorer l'effet de la musique sur la réduction du stress pendant une chirurgie sous anesthésie, tout en utilisant la variabilité de la fréquence cardiaque (VRC) comme mesure non invasive des changements physiologiques liés au stress. La VRC est liée à l'activité sympathique et parasympathique du système nerveux autonome. Les données VRC de notre étude ont été obtenues auprès de 10 patients ayant subi une chirurgie abdominale (n=5) ou une chirurgie orthopédique pour fracture (n=5) sous anesthésie générale (n=5) ou spinale (n=5). Une musique de relaxation a été diffusée aux patients pendant l'anesthésie. Le pourcentage de haute fréquence (HF) normalisée du VRC a été calculé à partir de la somme de la HF et de la basse fréquence (LF). La musique a provoqué une augmentation de la moyenne des hautes fréquences normalisées pendant la période de musique par rapport à la période avant la musique, ce qui était également statistiquement significatif (P=0,035). Une légère augmentation de l'HF normalisée moyenne a été notée lorsqu'elle a été mesurée pendant toute l'anesthésie ± musique" par rapport à l'HF normalisée moyenne avant la musique (P=0,063). Ainsi, les données démontrent clairement que la musique jouée pendant une opération induit une augmentation des données de la HF normalisée moyenne, activant ainsi le système nerveux parasympathique et inactivant le système nerveux sympathique, ce qui entraîne une relaxation.
Mots clés : Variabilité de la fréquence cardiaque, effet de la musique sur le stress, patients sous anesthésie.
Références
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