早产儿音乐疗法临床应用效果的Meta分析

早产儿音乐疗法临床应用效果的Meta分析

陈燕雅关炳生李泽楷

暨南大学医学院护理学系（陈燕雅，李泽楷）；暨南大学第一临床医学院（陈燕雅，关炳生）

出版日期:2016-07-25 发布日期:2016-07-25

The effect of Music Therapy for premature infants: a Meta-analysis

Online:2016-07-25 Published:2016-07-25

摘要/Abstract

摘要： 目的：系统评价音乐疗法在早产儿中应用的效果。方法：计算机检索Cochrane Central of Registration Controlled Trials(CENTRAL)、EMBASE、PubMed、Web of Science、中国期刊全文数据库（CNKI）、中国生物医学文献数据库（CBM) 和万方数据资源系统中有关音乐疗法应用于早产儿的随机对照试验。2 名评价者独立检索、筛查文献、提取数据、评价纳入文献的方法学质量并进行交叉核对后，用RevMan 5.3 软件行Meta 分析。结果：最终纳入11 项随机对照试验，包括1182 例研究对象，Meta 分析结果显示，音乐疗法组早产儿的平均每日体质量增长、第2 周体质量、第5 天进奶量及第10 天进奶量高于对照组，差异有统计学意义（P <0.05）；住院时间及干预后心率低于对照组（P <0.05）；干预后血氧饱和度与对照组相比，差异没有统计学意义（P >0.05）。结论：音乐疗法是一种非药物性、非侵入性、成本较低的疗法，有助于提升早产儿进奶量、改善第2 周体质量、缩短住院时间及降低心率，但对早产儿的血氧饱和度的提升作用不大。

Abstract: Objective: To evaluate the effect of Music Therapy for premature infants through Meta-analysis. Methods:Relevant Randomized Controlled Trials (RCT) on music therapy for prematurity were retrieved from CENTRAL,EMBASE, PubMed, Web of Science, CNKI, CBM and Wanfang databases. The methodological quality of the eligible studies was assessed by two investigators independently. And Meta-analysis was conducted by RevMan 5.3. Results:Totally 11 eligible RCTs including 1182 premature infants were analyzed. The Meta-analysis revealed that average daily weight gain, weight in the 2nd week, intake of milk in the 5th day, intake of milk in the 10th of premature infants in music therapy group were higher than those in the control group (P<0.05). Length of hospital stays and heart rate in Music Therapy group were shorter or lower than those in the control group (P<0.05). No significant difference was identified in terms of oxygen saturation between the two groups (P>0.05). Conclusions: Music Therapy could help to increase intake of milk and weight in the 2nd week, shorten length of hospital stays, and reduce heart rate, but have no obvious effect on oxygen saturation.

陈燕雅关炳生李泽楷. 早产儿音乐疗法临床应用效果的Meta分析[J]. , 2016, 16(7): 895-901.