音乐疗法对卒中后失语患者干预效果的Meta分析  

The effects of music therapy on patients with post-stroke aphasia:a Meta-analysis

作　　者：杨玲虹 贾瑞英 魏慧[1] 柳妙妙 高杨琴 杨红燕[1] YANG Linghong;JIA Ruiying;WEI Hui;LIU Miaomiao;GAO Yangqin;YANG Hongyan

机构地区：[1]浙江大学医学院附属第二医院护理部,杭州市310009

出　　处：《中华护理杂志》2024年第15期1908-1915,共8页Chinese Journal of Nursing

摘　　要：目的评价音乐疗法对卒中后失语患者的干预效果。方法检索中国知网、万方数据库、PubMed等9个数据库中关于音乐疗法治疗卒中后失语患者的随机对照试验,检索时限为建库至2023年7月。由2名研究者按照纳入和排除标准筛选文献、提取资料,使用Cochrane 5.1.0手册评估文献质量,采用RevMan 5.3软件进行Meta分析。结果共纳入22篇研究,包括827例患者。Meta分析结果表明:音乐疗法显著改善了卒中后失语患者的自发言语[SMD=0.60,95%CI(0.40,0.80),P<0.01]、听理解能力[SMD=0.49,95%CI(0.32,0.67),P<0.01]、复述能力[SMD=0.77,95%CI(0.60,0.94),P<0.01]、命名能力[SMD=0.54,95%CI(0.29,0.78),P<0.01]、沟通交流能力[SMD=0.40,95%CI(0.02,0.78),P<0.01]、抑郁情绪[SMD=-0.75,95%CI(-1.10,-0.40),P<0.01],在改善失语严重程度方面差异无统计学意义[SMD=0.82,95%CI(-0.26,1.90),P=0.14]。结论音乐疗法有助于改善卒中后失语患者的自发言语、听理解能力、复述能力、命名能力、沟通交流能力及抑郁情绪,但未能改善患者的失语严重程度。Objective To investigate the effectiveness of music therapy on patients with post-stroke aphasia.Methods Randomized controlled trials of music therapy for patients with post-stroke aphasia were systematically searched from 9 databases,such as CNKI,WanFang,PubMed,etc.The search time was from the inception of databases to July 2023.The literature was screened and extracted by 2 researchers according to the inclusion criteria,and the quality of the literature was assessed using Cochrane Manual 5.1.0.Revman 5.3 software was used for meta-analysis.Results We selected 22 studies comprising 827 participants comparing with control conditions.The meta-analysis demonstrated that music therapy significantly improved spontaneous speech[SMD=0.60,95%CI(0.40~0.80),P<0.01],listening comprehension[SMD=0.49,95%CI(0.32~0.67),P<0.01],repetition[SMD=0.77,95%CI(0.60~0.94),P<0.01],naming[SMD=0.54,95%CI(0.29~0.78),P<0.01],communication ability[SMD=0.40,95%CI(0.02~0.78),P<0.01],depression[SMD=-0.75,95%CI(-1.10~-0.40),P<0.01],but had no significant effect on the severity of aphasia[SMD=0.82,95%CI(-0.26,1.90),P=0.14].Conclusion Music therapy significantly improved language expres-sion and understanding ability,but there was no clear evidence for the improvement of aphasia severity.

关 键 词：音乐疗法 卒中 失语 META分析 循证护理学 

分 类 号：R473.74[医药卫生—护理学]