Graduate College, Tianjin University of Traditional Chinese Medicine, Tianjin, 301617, PR China.
School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin, 301617, PR China.
Complement Ther Clin Pract. 2020 Aug;40:101217. doi: 10.1016/j.ctcp.2020.101217. Epub 2020 Jul 2.
To systematically review the efficacy of five-element music interventions in perinatal mental health and labor pain. To provide evidence for future research on Chinese Traditional Music Interventions.
An electronically search was conducted in Web of Science, PubMed, EMbase, The Cochrane Library, CNKI databases, WanFang Data and VIP Database for Chinese Technical Periodicals from inception to January 07, 2020 to collect randomized controlled trials (RCTs) on five-element music interventions for prenatal, perinatal and postpartum women. Literature screening, data extraction, and the risk of bias assessment of all eligible studies were conducted by two reviewers independently. Then, meta-analysis was performed by RevMan 5.3 software.
A total of 13 RCTs involving 2387 patients were included. The results of meta-analysis showed that five-element music could significantly improve the depression levels (SMD = -2.03, 95%CI: -2.88 to -1.19, P < 0.00001), anxiety levels (SMD = -3.49, 95%CI: -4.47 to -2.24, P < 0.00001) and severe anxiety rate (OR = 0.42, 95%CI: 0.19 to 0.94, P = 0.04) of perinatal women. Additionally, five-element music produced significant effects on labor pain (MD = -0.67, 95%CI: -0.82 to -0.52, P < 0.00001), labor duration (MD = -0.85, 95%CI: -1.07 to -0.63, P < 0.00001), the hemorrhage 2 h after parturition (MD = -19.55, 95%CI: -35.56 to -3.54, P = 0.02) and the Serum DYN expression level (MD = 1.32, 95%CI: 0.23 to 2.40, P = 0.02).
Five-element music may be efficacious in improving perinatal women' depression, anxiety, labor pain, labor duration, the hemorrhage 2 h after parturition and the Serum DYN expression level. Because of the limitation of quantity and quality of included studies, more high-quality studies were needed to confirm the above conclusion.
系统评价五行音乐干预围生期心理健康和分娩疼痛的疗效。为中国传统音乐干预的进一步研究提供证据。
计算机检索 Web of Science、PubMed、EMbase、The Cochrane Library、中国知网（CNKI）、万方数据知识服务平台和维普中文期刊服务平台，搜集关于五行音乐干预产前、围生期和产后女性的随机对照试验（RCT），检索时限均从建库至 2020 年 1 月 7 日。由 2 名评价员独立筛选文献、提取资料并评价纳入研究的偏倚风险后，采用 RevMan 5.3 软件进行 Meta 分析。
共纳入 13 项 RCT，包含 2387 例患者。Meta 分析结果显示，五行音乐可显著降低围生期女性的抑郁水平[SMD=-2.03，95%CI：-2.88 至-1.19，P<0.00001]、焦虑水平[SMD=-3.49，95%CI：-4.47 至-2.24，P<0.00001]和严重焦虑发生率[OR=0.42，95%CI：0.19 至 0.94，P=0.04]，同时还能减轻分娩疼痛[MD=-0.67，95%CI：-0.82 至-0.52，P<0.00001]、缩短产程[MD=-0.85，95%CI：-1.07 至-0.63，P<0.00001]、产后 2 h 出血量[MD=-19.55，95%CI：-35.56 至-3.54，P=0.02]和血清 dynorphin（DYN）表达水平[MD=1.32，95%CI：0.23 至 2.40，P=0.02]。
五行音乐可能有助于改善围生期女性的抑郁、焦虑、分娩疼痛、产程、产后 2 h 出血量和血清 DYN 表达水平，但受纳入研究数量和质量的限制，上述结论还需更多高质量研究予以验证。
