BMJ:术中播放舒缓的音乐可减轻术后疼痛

2020-12-11 MedSci原创 MedSci原创

麻醉通常被认为是一种无感觉的睡眠状态,然而一些观察结果表明,麻醉期间中枢听觉通路保持完好无损,比如术中意识。

麻醉通常被认为是一种无感觉的睡眠状态,然而一些观察结果表明,麻醉期间中枢听觉通路依旧保持完整性,比如术中意识。 一项发表在 BMJ杂志上的研究发现,在手术过程中聆听舒缓的音乐似乎可以减轻疼痛,并减少术后阿片类药物的使用。

研究人员招募了来自20181-12月来自德国的五家医院385名患者,这些患者将在全身麻醉下接受1-3小时的手术。同时,将患者随机分为两组:干预组(n=191)和对照组(n=194)。在手术期间,通过耳机向干预组患者反复播放20分钟舒缓音乐,然后静默10分钟,对照组则是被分配空白磁带。

术后24小时内服用阿片类药物情况

术前和术后疼痛程度的变化过程

结果显示,与对照组相比,术后24小时内,干预组疼痛评分显著降低,平均降低25%。干预组在手术后24小时内需要的阿片类药物剂量也明显降低,其中吗啡当量的中位数为4.0 mg,而阿片类药物的中位数为5.3 mg。干预组术后需要阿片类药物的患者人数明显减少。据估计,每接受干预的6名患者中就有1名患者不需要阿片类药物进行止痛。

综上,在全身麻醉手术中,向患者通过耳机播放音乐可以减轻术后疼痛和阿片类药物的使用,这种方式是一种安全,可行,且非药物的止痛方式。

原始处处

Hartmuth Nowak, senior physician  Nina Zech, senior physician et al.Effect of therapeutic suggestions during general anaesthesia on postoperative pain and opioid use: multicentre randomised controlled trial.BMJ 2020 

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    2021-05-20 gaoxiaoe
  2. [GetPortalCommentsPageByObjectIdResponse(id=1849149, encodeId=66811849149f6, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Thu May 20 12:11:28 CST 2021, time=2021-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921650, encodeId=916092165086, content=临床有可行性, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=59e65457043, createdName=ms4000001548147119, createdTime=Sun Jan 31 10:55:27 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1426200, encodeId=3757142620089, content=<a href='/topic/show?id=47db100050b7' target=_blank style='color:#2F92EE;'>#音乐#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100050, encryptionId=47db100050b7, topicName=音乐)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=76b14038458, createdName=weiz, createdTime=Sun Dec 13 14:11:28 CST 2020, time=2020-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907501, encodeId=bf8d90e501ca, content=有没有学者做过类似研究,评价医生术中听音乐能否提高手术成功率?就是不知道符不符合伦理😁, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/SUJcTwXicljbKGJibCoQZE6Q4Qn5cogUOWth91eb3XIFk8sJ4IRn2a3W9WegJyEkwNMGcr1Hsxt9azlSQric4uPWg/132, createdBy=b9bd2355820, createdName=胎胎, createdTime=Sun Dec 13 08:48:21 CST 2020, time=2020-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907446, encodeId=f27190e4465d, content=全麻术中,知晓那, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/g?b=oidb&k=qR0JlQylAvxRqicKlzKmSlQ&s=100&t=1556465026, createdBy=07fc5261378, createdName=帮帮123, createdTime=Sat Dec 12 22:59:02 CST 2020, time=2020-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907412, encodeId=177990e41271, content=这个,很不同, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b2b82397018, createdName=12346c4dm64暂无昵称, createdTime=Sat Dec 12 21:51:30 CST 2020, time=2020-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907341, encodeId=361590e341d6, content=<a href='/topic/show?id=592b1000601d' target=_blank style='color:#2F92EE;'>#音乐疗法#</a>确实是有用的,这是循证证明的最好的例子了, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100060, encryptionId=592b1000601d, topicName=音乐疗法)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211210/ede9c51184aa4f54ae6c1164cfb8eeac/967dbf3eff2943c7bf3ccfec3a776ab0.JPG, createdBy=a33789389, createdName=lifefamily, createdTime=Sat Dec 12 17:58:02 CST 2020, time=2020-12-12, status=1, ipAttribution=)]
    2021-01-31 ms4000001548147119

    临床有可行性

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1849149, encodeId=66811849149f6, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Thu May 20 12:11:28 CST 2021, time=2021-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921650, encodeId=916092165086, content=临床有可行性, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=59e65457043, createdName=ms4000001548147119, createdTime=Sun Jan 31 10:55:27 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1426200, encodeId=3757142620089, content=<a href='/topic/show?id=47db100050b7' target=_blank style='color:#2F92EE;'>#音乐#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100050, encryptionId=47db100050b7, topicName=音乐)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=76b14038458, createdName=weiz, createdTime=Sun Dec 13 14:11:28 CST 2020, time=2020-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907501, encodeId=bf8d90e501ca, content=有没有学者做过类似研究,评价医生术中听音乐能否提高手术成功率?就是不知道符不符合伦理😁, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/SUJcTwXicljbKGJibCoQZE6Q4Qn5cogUOWth91eb3XIFk8sJ4IRn2a3W9WegJyEkwNMGcr1Hsxt9azlSQric4uPWg/132, createdBy=b9bd2355820, createdName=胎胎, createdTime=Sun Dec 13 08:48:21 CST 2020, time=2020-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907446, encodeId=f27190e4465d, content=全麻术中,知晓那, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/g?b=oidb&k=qR0JlQylAvxRqicKlzKmSlQ&s=100&t=1556465026, createdBy=07fc5261378, createdName=帮帮123, createdTime=Sat Dec 12 22:59:02 CST 2020, time=2020-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907412, encodeId=177990e41271, content=这个,很不同, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b2b82397018, createdName=12346c4dm64暂无昵称, createdTime=Sat Dec 12 21:51:30 CST 2020, time=2020-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907341, encodeId=361590e341d6, content=<a href='/topic/show?id=592b1000601d' target=_blank style='color:#2F92EE;'>#音乐疗法#</a>确实是有用的,这是循证证明的最好的例子了, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100060, encryptionId=592b1000601d, topicName=音乐疗法)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211210/ede9c51184aa4f54ae6c1164cfb8eeac/967dbf3eff2943c7bf3ccfec3a776ab0.JPG, createdBy=a33789389, createdName=lifefamily, createdTime=Sat Dec 12 17:58:02 CST 2020, time=2020-12-12, status=1, ipAttribution=)]
    2020-12-13 weiz
  4. [GetPortalCommentsPageByObjectIdResponse(id=1849149, encodeId=66811849149f6, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Thu May 20 12:11:28 CST 2021, time=2021-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921650, encodeId=916092165086, content=临床有可行性, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=59e65457043, createdName=ms4000001548147119, createdTime=Sun Jan 31 10:55:27 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1426200, encodeId=3757142620089, content=<a href='/topic/show?id=47db100050b7' target=_blank style='color:#2F92EE;'>#音乐#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100050, encryptionId=47db100050b7, topicName=音乐)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=76b14038458, createdName=weiz, createdTime=Sun Dec 13 14:11:28 CST 2020, time=2020-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907501, encodeId=bf8d90e501ca, content=有没有学者做过类似研究,评价医生术中听音乐能否提高手术成功率?就是不知道符不符合伦理😁, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/SUJcTwXicljbKGJibCoQZE6Q4Qn5cogUOWth91eb3XIFk8sJ4IRn2a3W9WegJyEkwNMGcr1Hsxt9azlSQric4uPWg/132, createdBy=b9bd2355820, createdName=胎胎, createdTime=Sun Dec 13 08:48:21 CST 2020, time=2020-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907446, encodeId=f27190e4465d, content=全麻术中,知晓那, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/g?b=oidb&k=qR0JlQylAvxRqicKlzKmSlQ&s=100&t=1556465026, createdBy=07fc5261378, createdName=帮帮123, createdTime=Sat Dec 12 22:59:02 CST 2020, time=2020-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907412, encodeId=177990e41271, content=这个,很不同, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b2b82397018, createdName=12346c4dm64暂无昵称, createdTime=Sat Dec 12 21:51:30 CST 2020, time=2020-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907341, encodeId=361590e341d6, content=<a href='/topic/show?id=592b1000601d' target=_blank style='color:#2F92EE;'>#音乐疗法#</a>确实是有用的,这是循证证明的最好的例子了, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100060, encryptionId=592b1000601d, topicName=音乐疗法)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211210/ede9c51184aa4f54ae6c1164cfb8eeac/967dbf3eff2943c7bf3ccfec3a776ab0.JPG, createdBy=a33789389, createdName=lifefamily, createdTime=Sat Dec 12 17:58:02 CST 2020, time=2020-12-12, status=1, ipAttribution=)]
    2020-12-13 胎胎

    有没有学者做过类似研究,评价医生术中听音乐能否提高手术成功率?就是不知道符不符合伦理😁

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1849149, encodeId=66811849149f6, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Thu May 20 12:11:28 CST 2021, time=2021-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921650, encodeId=916092165086, content=临床有可行性, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=59e65457043, createdName=ms4000001548147119, createdTime=Sun Jan 31 10:55:27 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1426200, encodeId=3757142620089, content=<a href='/topic/show?id=47db100050b7' target=_blank style='color:#2F92EE;'>#音乐#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100050, encryptionId=47db100050b7, topicName=音乐)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=76b14038458, createdName=weiz, createdTime=Sun Dec 13 14:11:28 CST 2020, time=2020-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907501, encodeId=bf8d90e501ca, content=有没有学者做过类似研究,评价医生术中听音乐能否提高手术成功率?就是不知道符不符合伦理😁, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/SUJcTwXicljbKGJibCoQZE6Q4Qn5cogUOWth91eb3XIFk8sJ4IRn2a3W9WegJyEkwNMGcr1Hsxt9azlSQric4uPWg/132, createdBy=b9bd2355820, createdName=胎胎, createdTime=Sun Dec 13 08:48:21 CST 2020, time=2020-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907446, encodeId=f27190e4465d, content=全麻术中,知晓那, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/g?b=oidb&k=qR0JlQylAvxRqicKlzKmSlQ&s=100&t=1556465026, createdBy=07fc5261378, createdName=帮帮123, createdTime=Sat Dec 12 22:59:02 CST 2020, time=2020-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907412, encodeId=177990e41271, content=这个,很不同, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b2b82397018, createdName=12346c4dm64暂无昵称, createdTime=Sat Dec 12 21:51:30 CST 2020, time=2020-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907341, encodeId=361590e341d6, content=<a href='/topic/show?id=592b1000601d' target=_blank style='color:#2F92EE;'>#音乐疗法#</a>确实是有用的,这是循证证明的最好的例子了, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100060, encryptionId=592b1000601d, topicName=音乐疗法)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211210/ede9c51184aa4f54ae6c1164cfb8eeac/967dbf3eff2943c7bf3ccfec3a776ab0.JPG, createdBy=a33789389, createdName=lifefamily, createdTime=Sat Dec 12 17:58:02 CST 2020, time=2020-12-12, status=1, ipAttribution=)]
    2020-12-12 帮帮123

    全麻术中,知晓那

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1849149, encodeId=66811849149f6, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Thu May 20 12:11:28 CST 2021, time=2021-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921650, encodeId=916092165086, content=临床有可行性, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=59e65457043, createdName=ms4000001548147119, createdTime=Sun Jan 31 10:55:27 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1426200, encodeId=3757142620089, content=<a href='/topic/show?id=47db100050b7' target=_blank style='color:#2F92EE;'>#音乐#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100050, encryptionId=47db100050b7, topicName=音乐)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=76b14038458, createdName=weiz, createdTime=Sun Dec 13 14:11:28 CST 2020, time=2020-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907501, encodeId=bf8d90e501ca, content=有没有学者做过类似研究,评价医生术中听音乐能否提高手术成功率?就是不知道符不符合伦理😁, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/SUJcTwXicljbKGJibCoQZE6Q4Qn5cogUOWth91eb3XIFk8sJ4IRn2a3W9WegJyEkwNMGcr1Hsxt9azlSQric4uPWg/132, createdBy=b9bd2355820, createdName=胎胎, createdTime=Sun Dec 13 08:48:21 CST 2020, time=2020-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907446, encodeId=f27190e4465d, content=全麻术中,知晓那, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/g?b=oidb&k=qR0JlQylAvxRqicKlzKmSlQ&s=100&t=1556465026, createdBy=07fc5261378, createdName=帮帮123, createdTime=Sat Dec 12 22:59:02 CST 2020, time=2020-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907412, encodeId=177990e41271, content=这个,很不同, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b2b82397018, createdName=12346c4dm64暂无昵称, createdTime=Sat Dec 12 21:51:30 CST 2020, time=2020-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907341, encodeId=361590e341d6, content=<a href='/topic/show?id=592b1000601d' target=_blank style='color:#2F92EE;'>#音乐疗法#</a>确实是有用的,这是循证证明的最好的例子了, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100060, encryptionId=592b1000601d, topicName=音乐疗法)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211210/ede9c51184aa4f54ae6c1164cfb8eeac/967dbf3eff2943c7bf3ccfec3a776ab0.JPG, createdBy=a33789389, createdName=lifefamily, createdTime=Sat Dec 12 17:58:02 CST 2020, time=2020-12-12, status=1, ipAttribution=)]
    2020-12-12 12346c4dm64暂无昵称

    这个,很不同

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1849149, encodeId=66811849149f6, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Thu May 20 12:11:28 CST 2021, time=2021-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921650, encodeId=916092165086, content=临床有可行性, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=59e65457043, createdName=ms4000001548147119, createdTime=Sun Jan 31 10:55:27 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1426200, encodeId=3757142620089, content=<a href='/topic/show?id=47db100050b7' target=_blank style='color:#2F92EE;'>#音乐#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100050, encryptionId=47db100050b7, topicName=音乐)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=76b14038458, createdName=weiz, createdTime=Sun Dec 13 14:11:28 CST 2020, time=2020-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907501, encodeId=bf8d90e501ca, content=有没有学者做过类似研究,评价医生术中听音乐能否提高手术成功率?就是不知道符不符合伦理😁, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/SUJcTwXicljbKGJibCoQZE6Q4Qn5cogUOWth91eb3XIFk8sJ4IRn2a3W9WegJyEkwNMGcr1Hsxt9azlSQric4uPWg/132, createdBy=b9bd2355820, createdName=胎胎, createdTime=Sun Dec 13 08:48:21 CST 2020, time=2020-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907446, encodeId=f27190e4465d, content=全麻术中,知晓那, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/g?b=oidb&k=qR0JlQylAvxRqicKlzKmSlQ&s=100&t=1556465026, createdBy=07fc5261378, createdName=帮帮123, createdTime=Sat Dec 12 22:59:02 CST 2020, time=2020-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907412, encodeId=177990e41271, content=这个,很不同, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b2b82397018, createdName=12346c4dm64暂无昵称, createdTime=Sat Dec 12 21:51:30 CST 2020, time=2020-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907341, encodeId=361590e341d6, content=<a href='/topic/show?id=592b1000601d' target=_blank style='color:#2F92EE;'>#音乐疗法#</a>确实是有用的,这是循证证明的最好的例子了, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100060, encryptionId=592b1000601d, topicName=音乐疗法)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211210/ede9c51184aa4f54ae6c1164cfb8eeac/967dbf3eff2943c7bf3ccfec3a776ab0.JPG, createdBy=a33789389, createdName=lifefamily, createdTime=Sat Dec 12 17:58:02 CST 2020, time=2020-12-12, status=1, ipAttribution=)]
    2020-12-12 lifefamily

    #音乐疗法#确实是有用的,这是循证证明的最好的例子了

    0