Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China.
Medicine (Baltimore). 2021 Jan 29;100(4):e23684. doi: 10.1097/MD.0000000000023684.
The present evidence is insufficient for evaluating the impact of exclusive music therapy on anxiety and pain control in extracorporeal shock wave lithotripsy (ESWL).
A systematic review and meta-analysis was conducted to explore the efficacy of music therapy in reducing pain and anxiety in patients undergoing ESWL. PubMed, Web of Science, Embase, EBSCO, and Cochrane library databases (updated March 2020) were searched for randomized controlled trials assessing music therapy in reducing pain and anxiety in patients undergoing ESWL. The search strategy and study selection process were managed according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis statement.
Five randomized controlled trials were included in the meta-analysis. Overall, music intervention groups experienced significant reductions in pain (risk ratios = -1.20, 95% confidence intervals = -1.95 to -0.45, P = .002) and anxiety (risk ratios = -3.31, 95% confidence intervals = -4.97 to -1.84, P < .0001) compared with control groups during ESWL. Music therapy gave patient more satisfaction with the treatment and a willingness to repeat the therapy was reported. However, there was no significant difference in the stone clearance rate.
Listening to music can reduce patient's pain and anxiety significantly with increased therapy satisfaction and willingness to repeat.
目前的证据不足以评估音乐疗法对体外冲击波碎石术（ESWL）中焦虑和疼痛控制的影响。
系统评价和荟萃分析旨在探讨音乐疗法在降低 ESWL 患者疼痛和焦虑方面的疗效。检索了 PubMed、Web of Science、Embase、EBSCO 和 Cochrane 图书馆数据库（更新于 2020 年 3 月），以评估音乐疗法在降低 ESWL 患者疼痛和焦虑方面的随机对照试验。搜索策略和研究选择过程按照系统评价和荟萃分析报告的首选报告项目进行管理。
荟萃分析纳入了 5 项随机对照试验。总体而言，与对照组相比，音乐干预组在 ESWL 期间疼痛（风险比=-1.20，95%置信区间=-1.95 至-0.45，P=0.002）和焦虑（风险比=-3.31，95%置信区间=-4.97 至-1.84，P<0.0001）显著降低。音乐疗法使患者对治疗的满意度更高，并且报告愿意重复治疗。然而，结石清除率没有显著差异。
听音乐可以显著减轻患者的疼痛和焦虑，同时增加治疗满意度和重复治疗的意愿。
