Lancet：音乐可以减轻术后患者疼痛和焦虑

2015-10-24 MedSci MedSci原创

音乐是一种无创、安全、便宜的干预措施，可以很简单以及成功的实施。研究者进行了一项系统回顾和荟萃分析评估音乐能都改善术后患者的恢复。该研究纳入了关于中枢神经系统或头部和颈部的手术，干预措施包括任何形式的术前、术中、术后音乐干预，与标准的日常照顾或非药物干预比较。最终有73篇RCTs纳入系统回顾，各研究样本大小在20-458之间，音量类型、定时、持续时间等也不同，对照组包括常规护理、没有音乐的耳机、白

音乐是一种无创、安全、便宜的干预措施，可以很简单以及成功的实施。研究者进行了一项系统回顾和荟萃分析评估音乐能都改善术后患者的恢复。

该研究纳入了关于中枢神经系统或头部和颈部的手术，干预措施包括任何形式的术前、术中、术后音乐干预，与标准的日常照顾或非药物干预比较。

最终有73篇RCTs纳入系统回顾，各研究样本大小在20-458之间，音量类型、定时、持续时间等也不同，对照组包括常规护理、没有音乐的耳机、白噪声以及安静的卧床休息。

研究数据显示，音乐可以减轻术后疼痛 (SMD −0.77 [95% CI −0.99 to −0.56])，较少术后焦虑(−0.68 [–0·95 to −0·41])，减少镇痛药物的使用 (−0.37 [–0.54 to −0.20])，增加患者的满意度(1.09 [0·51 to 1.68])，不过音乐对住院时间并没有什么影响 (SMD −0.11 [–0.35 to 0.12])。亚组分析显示不同音乐类型和时间之间没有太大差异。并且研究者发现，就算是全麻患者，音乐也是有效的。

研究结果表明，音乐可以帮助术后患者减轻疼痛和焦虑。

MedSci小编评论：

音乐疗法也能发表在Lancet上？我们能做吗？这个研究有哪些难点？这个研究看起来简单，但真正实现起来并不容易。这个研究在术后疼痛的管理方面进行效果不错。那么，我们能把这个思路引到一些慢性疾病吗，如早老性痴呆，采用音乐治疗，可能会碰到哪些难题？如果了解更深入的知识，请多参考MedSci学院 http://edu.medsci.cn 或下载我们的MedSci APP了解更多的信息 //www.sandwebs.com/m/

原始出处：

Jenny Hole,, Martin Hirsch, et al.Music as an aid for postoperative recovery in adults: a systematic review and meta-analysis.Lancet.Volume 386, No. 10004, p1659–1671, 24 October 2015

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2017-01-17 Asura

明天科室讲课打算脸黑这个文献?

103 0
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2016-09-15 1e10c84am36(暂无匿称)

文章不错，值得拜读

100 0
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2016-09-13 一叶知秋

#Lancet#

56 0
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2016-06-11 JJJJixian

究竟怎样的结果是无需再验证的，困扰很久了。

191 0
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2016-04-11 Wechat4343a314

夲人是音乐爱好者，相信。

160 0
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2016-03-30 忠诚向上

好好学习一下

110 0
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2016-03-30 忠诚向上

好好学习一下

144 0
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2016-03-30 忠诚向上

好好学习一下

115 0
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2016-03-30 忠诚向上

好好学习一下

122 0
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2016-03-30 忠诚向上

好好学习一下

104 0

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