Purpose

To report prospectively the effect of erikson hypnoanalgesia and musical background on procedural medication and well-being in patients undergoing cimentoplasty on prone position.

Material and methods

All the patients (n = 118, mean age 68.9 ± 13.3 years) had an IV injection of paracetamol (1 g) and midazolam (0.5 mg) and a local anesthesia before the cimentoplasty. Hypnoanalgesia (H) was proposed in consultation and performed if the technician was available. Three groups were compared: group hypnoanalgesia (H), music (M) or control (C). Numbers of lumbar or thoracic levels was 1 to 4. The necessity to add medication during the treatment was evaluated. The procedural well-being (0-incomfortable- to 10-comfortable) was asked 2 hours after the cimentoplasty. Duration of the procedure, hearth rate and arterial pressure during cimentoplasty were notified.

Results

Thirty-three patients were included in the group (H), 38 in (M) and 47 in (C). The mean number of levels was 1.61, 1.53 and 1.66 for groups (H), (M) and (C) respectively. 18.2% of patients in (H), 29% in (M) and 40.4% of patients in (C) had an adjunctive medication during the treatment (P = 0.101) for a well-being state of 7.5 ± 2.3, 7.1 ± 2 and 6.9 ± 2 respectively (P = 0.381). Time durations were 49.8, 44.1 and 46.4 min for group (H), (M) and (C) respectively. No significative difference of cardiac frequency, arterial pressure was observed during the cimentoplasty between the three groups.

Conclusion

The best reduction of painfulness was reached under hypnoanalgesia, allowing less injection of adjunctive medication during the treatment for an equivalent comfort. Musical background is also an interesting way to improve the comfort of patients undergoing cimentoplasty in prone position.

中文翻译：

---

俯卧位cimentoplasty期间的催眠镇静和音乐背景：比较研究

目的

前瞻性报告埃里克森催眠镇痛和音乐背景对俯卧位进行脑膜成形术患者的程序用药和幸福感的影响。

材料与方法

所有患者（n  = 118，平均年龄68.9±13.3岁）均在静脉输注扑热息痛前进行了对乙酰氨基酚（1 g）和咪达唑仑（0.5 mg）的静脉内注射。经咨询提出了催眠镇痛（H），如果有技术人员，则进行。比较三组：催眠镇痛（H），音乐（M）或对照组（C）。腰椎或胸椎水平的数目为1至4。评估了治疗期间添加药物的必要性。覆膜成形术2小时后，要求患者进行程序检查（0级至10级）。通知了手术时间，在覆膜成形术中的炉膛速率和动脉压。

结果

（H）组33例，（M）38例，（C）47例。（H），（M）和（C）组的平均水平分别为1.61、1.53和1.66。（H）中的18.2％的患者，（M）中的29％的患者和（C）中的40.4％的患者在治疗期间接受辅助药物治疗（P  = 0.101），其健康状态为7.5±2.3、7.1±2和6.9±2（P  = 0.381）。（H），（M）和（C）组的持续时间分别为49.8、44.1和46.4分钟。在三组的脑膜置换术中，未观察到心脏频率，动脉压的显着差异。

结论

在催眠镇痛下可最大程度地减轻疼痛，在治疗期间可减少注射辅助药物，从而获得同等的舒适度。音乐背景也是提高俯卧位进行脑膜成形术患者舒适度的有趣方式。