Department of Neurosurgery, Mount Sinai Hospital, New York, USA.
The Louis Armstrong Center for Music and Medicine, New York, USA.
J Neurointerv Surg. 2019 Apr;11(4):416-423. doi: 10.1136/neurintsurg-2018-014313. Epub 2018 Nov 10.
Given the anxiety patients experience during angiography, evidence supporting the efficacy of music therapy during these angiographic procedures is potentially of clinical value.
To analyze the existing literature forthe use of music therapy during cerebral, coronary, and peripheral angiography to determine whether it improves patient anxiety levels, heart rate, and blood pressure during the procedure.
PubMed, Embase, and Scopus were searched to identify studies of interest. Inclusion criteria included studies reporting using music therapy in either cerebral, coronary, or peripheral angiography. Studies focused on a pediatric population; animal studies and case reports were excluded. Participant demographics, interventions, and outcomes were collected by two study authors. Bias and study quality of randomized controlled trials (RCTs) were assessed using the Cochrane Risk of Bias Tool. Separate meta-analyses of the RCTs were performed to compare State Trait Anxiety Inventory (STAI), heart rate (HR), and systolic and diastolic blood pressure (SBP and DBP) in the music intervention group versus control group. Heterogeneity was determined by calculating I values, and a random-effects model was used when heterogeneity exceeded 50%.
The preprocedure to postprocedure improvement in STAI was significantly greater in the experimental group than the control group (p=0.004), while the decrease in HR, SBP, and DBP was not significant.
Recorded music and/or music therapy in angiography significantly decreases patients' anxiety levels, while it has little to no effect on HR and BP. This meta-analysis is limited by the relatively few RCTs published on this subject.
CRD42018099103.
鉴于患者在血管造影过程中会感到焦虑，因此支持在这些血管造影过程中使用音乐疗法的证据可能具有临床价值。
分析现有文献中关于在脑、冠状动脉和外周血管造影中使用音乐疗法的情况，以确定其是否能降低患者在手术过程中的焦虑水平、心率和血压。
通过 PubMed、Embase 和 Scopus 检索相关文献，纳入报告在脑、冠状动脉或外周血管造影中使用音乐疗法的研究。研究对象为接受脑、冠状动脉或外周血管造影的患者，排除关注儿科人群、动物研究和病例报告的研究。两位研究者收集参与者的人口统计学资料、干预措施和结局。采用 Cochrane 偏倚风险工具评估随机对照试验（RCT）的偏倚和研究质量。对 RCT 进行单独的荟萃分析，以比较音乐干预组与对照组的状态特质焦虑量表（STAI）、心率（HR）以及收缩压和舒张压（SBP 和 DBP）。当异质性超过 50%时，采用 I ² 值来确定异质性，并使用随机效应模型。
实验组的 STAI 评分从术前到术后的改善明显大于对照组（p=0.004），而 HR、SBP 和 DBP 的下降不显著。
血管造影中记录的音乐和/或音乐疗法可显著降低患者的焦虑水平，而对 HR 和 BP 几乎没有影响。本荟萃分析受到发表在这一主题上的 RCT 相对较少的限制。
PROSPERO 注册号：CRD42018099103。
