音乐疗法对体外冲击波碎石术疼痛控制效果的Meta 分析：随机对照研究。
Efficacy of music therapy for pain control of extracorporeal shock wave lithotripsy: A meta-analysis of randomized controlled studies.
机构信息
Department of Anesthesiology, General Medical 363 Hospital, Sichuan, China.
出版信息
Medicine (Baltimore). 2024 May 31;103(22):e38182. doi: 10.1097/MD.0000000000038182.
INTRODUCTION
Music therapy may have some potential in the pain control of extracorporeal shock wave lithotripsy, and this meta-analysis aims to study the analgesic efficacy of music therapy for extracorporeal shock wave lithotripsy.
METHODS
We have searched several databases including PubMed, EMbase, Web of Science, EBSCO and Cochrane Library databases, and selected the randomized controlled trials (RCTs) comparing the efficacy of music therapy for pain control of extracorporeal shock wave lithotripsy. This meta-analysis was conducted using the random-effect or fixed-effect model based on the heterogeneity.
RESULTS
Ten RCTs and 879 patients were included in this meta-analysis. Compared with routine care for extracorporeal shockwave lithotripsy, music therapy was associated with substantially reduced pain scores (standard mean difference [SMD] = -1.00; 95% CI = -1.57 to -0.42; P = .0007), improved patient satisfaction (SMD = 1.61; 95% CI = 0.45 to 2.77; P = .006) and willingness to repeat (SMD = 2.06; 95% CI = 0.40 to 3.72; P = .01), but had no influence on analgesic consumption (SMD = -3.11; 95% CI = -7.07 to 0.85; P = .12) or adverse events (OR = 1.66; 95% CI = 0.20 to 14.10; P = .64).
CONCLUSIONS
Music therapy was effective to control the pain of extracorporeal shock wave lithotripsy.
简介
音乐疗法可能在外冲击波碎石术的疼痛控制方面具有一定的潜力，本荟萃分析旨在研究音乐疗法对外冲击波碎石术的镇痛效果。
方法
我们检索了多个数据库，包括 PubMed、EMbase、Web of Science、EBSCO 和 Cochrane Library 数据库，并选择了比较音乐疗法对体外冲击波碎石术疼痛控制效果的随机对照试验（RCT）。本荟萃分析基于异质性采用随机效应或固定效应模型进行。
结果
纳入了 10 项 RCT 和 879 例患者。与常规体外冲击波碎石术护理相比，音乐疗法与疼痛评分明显降低相关（标准均数差 [SMD] = -1.00；95%置信区间 [CI] = -1.57 至 -0.42；P =.0007），提高了患者满意度（SMD = 1.61；95%CI = 0.45 至 2.77；P =.006）和再次接受治疗的意愿（SMD = 2.06；95%CI = 0.40 至 3.72；P =.01），但对镇痛消耗（SMD = -3.11；95%CI = -7.07 至 0.85；P =.12）或不良事件（OR = 1.66；95%CI = 0.20 至 14.10；P =.64）无影响。
结论
音乐疗法对外冲击波碎石术的疼痛控制有效。
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