摘要
目的评价五行音乐治疗抑郁症患者的临床有效性。方法检索中文期刊网全文数据库(CNKI)、中国生物医学文献数据库(CBM)、万方科技信息数据库(Wan Fang Data)、中文维普科技期刊数据库(VIP)、Cochrane library,Pub Med,Embase数据库,收集自建库至2019年6月17日五行音乐治疗抑郁症患者的随机对照试验,对符合纳入标准的文献运用Cochrane推荐的Review Manager5.3软件进行Meta分析。结果最终纳入11篇随机对照试验,病例数866例;结果显示,五行音乐组有效率高于对照组[OR=2.80,95%CI(1.84,4.25),P <0.00001],在SDS评分、HAMA评分、PSQI评分方面优于对照组,差异均有统计学意义[MD=-7.65,95%CI(-11.11,-4.18),P <0.0001;MD=-6.14,95%CI(-7.97,-4.31),P <0.00001;MD=-3.53,95%CI(-3.98,-3.09),P <0.00001]。结论五行音乐疗法在治疗抑郁症的临床疗效方面优于对照组,可以改善抑郁症患者的抑郁、焦虑症状及睡眠质量。但纳入研究的文献质量普遍偏低,需多中心、大样本、高质量的随机对照试验进一步验证。
Objective To evaluate the clinical efficacy of five elements of music in the treatment of patients with depression.Methods The CNKI,CBM,Wan Fang Data,VIP,Cochrane library,Pub Med,and Embase databases were searched from database building to June 18,2019 to collect randomized controlled trials of five elements of music in the treatment of depression.Meta-analysis was performed using Cochrane’s recommended Review Manager 5.3 software for the literature that met the inclusion criteria.Results A total of 11 randomized controlled trials were included,with 866 cases.The results showed that the five elements of music group were more effective than that of the control group[OR = 2.80,95% CI( 1.84,4.25),P < 0.00001].The SDS score,HAMA scor eand PSQI score were superior to those of the control group,and the difference was statistically significant[MD =-7.65,95% CI(-11.11,-4.18),P < 0.0001;MD =-6.14,95% CI(-7.97,-4.31),P < 0.00001;MD =-3.53,95% CI(-3.98,-3.09),P < 0.00001].Conclusion Five elements of music therapy is superior to the control group in the treatment of depression,which can improve depression,anxiety and sleep quality in patients with depression.However,the quality of the literature included in the study is generally low,requiring multi-center,large-sample,high-quality randomized controlled trials to further verify.
作者
于姚
赵钟辉
李阳
刘长英
刘博文
郭蓉娟
YU Yao;ZHAO Zhonghui;LI Yang;LIU Changying;LIU Bowen;GUO Rongjuan(Changping District Hospital of Chinese and Western Medicine,Beijing 100096,China;Beijing University of Chinese Medicine,Beijing 100029,China;Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University,Beijing 100010,China;Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China)
出处
《辽宁中医杂志》
CAS
2020年第12期27-31,共5页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学基金(81874422)
北京自然科学基金面上项目(7202120)
北京中医药大学优秀传承团队-王永炎名医传承工作站建设项目(1000062720028/010)。
关键词
抑郁症
五行音乐
META分析
depression
five elements ofmusic
Meta-analysis
