Anestezi Altındaki Hastalarda Müziğin Stres Giderme Üzerindeki Etkisini İzleme Aracı Olarak Kalp Atış Hızı Değişkenliği: Klinik Bir Çalışmadan Elde Edilen Veriler
Özet
Mevcut çalışmanın amacı, stresle ilişkili fizyolojik değişikliklerin invazif olmayan bir ölçümü olan kalp hızı değişkenliğini (KHD) kullanarak, müziğin anestezi altında ameliyat sırasında stresi azaltma üzerindeki etkisini araştırmaktı. KHD, otonom sinir sisteminin sempatik ve parasempatik aktivitesi ile ilgilidir. Çalışmamızdaki KHD verileri, genel (n=5) veya spinal anestezi (n=5) altında karın (n=5) veya ortopedik kırık cerrahisi (n=5) uygulanan 10 hastadan elde edildi. Anestezi sırasında hastalara gevşeme müziği çalındı. KHD'nin normalleştirilmiş yüksek frekans (YF) yüzdesi, YF ve düşük frekansın (DF) toplamından hesaplandı. Müzik, müzik çalınmadan önceki döneme kıyasla, müzik periyodu sırasında ortalama normalleştirilmiş YF'de bir artışa neden oldu ve bu da istatistiksel olarak anlamlıydı (P=0.035). Müzik öncesi ortalama normalleştirilmiş YF ile karşılaştırıldığında, anestezi boyunca ± müzik sırasında ölçülen ortalama normalize YF'de hafif bir artış kaydedildi (P=0.063). Bu nedenle veriler, bir operasyon sırasında çalınan müziğin ortalama normalleştirilmiş YF verilerinde bir artışa neden olduğunu, böylece parasempatik sinir sistemini aktive ettiğini ve sempatik sinir sistemini etkisiz hale getirerek gevşemeye neden olduğunu açıkça göstermektedir.
Anahtar Sözcükler: Kalp hızı değişkenliği, müziğin strese etkisi, anestezi altındaki hastalar
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