Rudin D, Kiss A, Wetz R V, Sottile V M
Department of Medicine, Staten Island University Hospital, Staten Island, New York 10305, USA.
Endoscopy. 2007 Jun;39(6):507-10. doi: 10.1055/s-2007-966362.
Prior studies have suggested that music therapy can provide stress relief and analgesia. In this meta-analysis we focused on the effects of music therapy on patients undergoing gastrointestinal endoscopic procedures.
A literature search using the PubMed and Cochrane Library databases and a manual search led to the inclusion of six randomized controlled trials that examined the effects of music therapy on patients undergoing gastrointestinal endoscopic procedures. After data extraction, four separate meta-analyses were performed: in the three studies that did not use pharmacotherapy (group A), anxiety levels were used as a measure of efficacy; in the three studies in which pharmacotherapy was used (group B), sedation and analgesia requirements and procedure duration times were analyzed.
A total of 641 patients were included in the analysis. In group A, patients receiving music therapy exhibited lower anxiety levels (8.6% reduction, P = 0.004), compared with controls. In group B, patients receiving music therapy exhibited statistically significant reductions in analgesia requirements (29.7% reduction, P = 0.001) and procedure times (21% reduction, P = 0.002), and a reduction in sedation requirements that approached significance (15% reduction, P = 0.055), in comparison with controls.
Music therapy is an effective tool for stress relief and analgesia in patients undergoing gastrointestinal endoscopic procedures.
先前的研究表明音乐疗法可以缓解压力和镇痛。在这项荟萃分析中，我们重点关注音乐疗法对接受胃肠内镜检查的患者的影响。
通过检索PubMed和Cochrane图书馆数据库以及手动检索文献，纳入了六项随机对照试验，这些试验研究了音乐疗法对接受胃肠内镜检查的患者的影响。在数据提取后，进行了四项独立的荟萃分析：在三项未使用药物治疗的研究（A组）中，将焦虑水平作为疗效指标；在三项使用了药物治疗的研究（B组）中，分析了镇静和镇痛需求以及检查持续时间。
共有641名患者纳入分析。在A组中，与对照组相比，接受音乐疗法的患者焦虑水平较低（降低了8.6%，P = 0.004）。在B组中，与对照组相比，接受音乐疗法的患者镇痛需求（降低了29.7%，P = 0.001）和检查时间（降低了21%，P = 0.002）有统计学显著降低，镇静需求降低接近显著水平（降低了15%，P = 0.055）。
音乐疗法是接受胃肠内镜检查患者缓解压力和镇痛的有效工具。
