音乐疗法对脑卒中后认知障碍疗效的Meta分析  

Meta-Analysis of the Effect of Music Therapy on Cognitive Impairment in Stroke Patients

作　　者：马蕾 庄玲玲[2] 韩启宣 徐倩丽 吴小麦 MA Lei(School of Nursing,Fujian University of Traditional Chinese Medicine,Fuzhou 350100,Fujian,China)

机构地区：[1]福建中医药大学护理学院,福建福州350100 [2]福建中医药大学附属人民医院,福建福州350100

出　　处：《牡丹江医科大学学报》2025年第2期116-120,162,共6页Journal of Mudanjiang Medical University

基　　金：福建省自然科学基金项目(2021J01902);福建省中医药科研项目(2021zyjc22)。

摘　　要：目的系统评价音乐疗法对脑卒中后认知障碍(Post-stroke Cognitive Impairment,PSCI)的干预效果。方法使用计算机检索中国知网、维普中文科技期刊数据库、万方数据知识服务平台、PubMed、Web of Science、Cochrane Library、Embase等7个数据库中从建库至2024年8月15日公开发表的有关音乐疗法干预脑卒中后认知障碍的随机对照试验,由两名研究人员进行对文献的筛选、数据提取、质量评价,采用RevMan 5.3软件进行Meta分析。结果共纳入10项随机对照研究,涉及798例病人。Meta分析结果显示,音乐干预组对PSCI患者的认知功能(SMD=1.26,95%CI:0.67,1.84,P<0.00001)、日常生活能力(MD=7.88,95%CI:6.86,8.89,P<0.00001)等方面均优于对照组。亚组分析结果显示,治疗疗程≥3个月的干预,干预时长60 min的干预均较对照组患者的认知功能改善效果更好。结论音乐疗法能改善PSCI患者认知功能、提高日常生活能力。Objective To systematically evaluate the effect of music therapy on cognitive impairment following stroke(post-stroke cognitive impairment,PSCI).Methods A computerized search was conducted for randomized controlled trials(RCTs)on the effect of music therapy on cognitive impairment following stroke,published from the inception of the databases to August 15,2024.The search covered seven databases:China National Knowledge Infrastructure(CNKI),VIP Chinese Science and Technology Journal Database,Wanfang Data Knowledge Service Platform,PubMed,Web of Science,Cochrane Library,and Embase.Two researchers independently screened the literature,extracted data,and assessed the quality of the studies.Meta-analysis was performed using RevMan 5.3 software.Results A total of 10 RCTs involving 798 patients were included.The meta-analysis results indicated that the music therapy group outperformed the control group in improving cognitive function(SMD=1.26,95%CI:0.67,1.84,P<0.0001)and daily living ability(MD=7.88,95%CI:6.86,8.89,P<0.0001).Subgroup analysis revealed that interventions with a treatment duration of≥3 months and those lasting 60 minutes were more effective than the control group in enhancing cognitive function.Conclusion Music therapy can enhance cognitive function and daily living abilities in patients with PSCI.

关 键 词：音乐 脑卒中后认知障碍 META分析 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R749.1[医药卫生—临床医学]