摘要
目的基于Meta分析评价中医五行音乐对慢病患者焦虑抑郁及睡眠障碍的临床疗效与文献质量,为中医五行音乐参与慢病管理提供理论依据。方法查阅中国知网、Pub Med等中外文数据库,获取中医五行音乐疗法干预焦虑抑郁及失眠患者的相关文献,筛选整理后进行Meta分析,对五行音乐治疗焦虑抑郁和失眠的临床效果进行评估。结果中医五行音乐对焦虑抑郁的干预效果:干预后观察组的SDS评分改善情况明显优于对照组(Z=7.6,P<0.00001);观察组SAS评分变化与对照组比较有统计学差异(Z=4.47,P<0.00001)。中医五行音乐对失眠的干预效果:干预后观察组与对照组在PSQI评分上差异有统计学意义(Z=3.61,P=0.0003)。所纳入的各项研究之间均存在异质性,且均未提及设盲及ITT分析。结论中医五行音乐在干预患者焦虑抑郁症状及睡眠障碍等方面的临床疗效缺乏证据,文献质量有待进一步提高。可借助大样本随机对照试验,并适当完善评价机制,以提高目前中医五行音乐对照研究的循证证据。
Objective To evaluate the clinical effect and literature quality of five elements music of traditional Chinese medicine on anxiety,depression and sleep disorder based on Meta analysis,and to provide theoretical basis for the participation of five elements of traditional Chinese medicine music in the management of chronic disease.Methods Consulting the Chinese and foreign language databases such as China knowledge Network,pubmed and other Chinese and foreign languages,the relevant literatures of traditional Chinese medicine five elements music therapy intervention anxiety,depression and insomnia were obtained,the meta analysis was screened and sorted out,and the clinical effect of the five elements music in the treatment of anxiety,depression and insomnia was evaluated.Results Intervention effect of traditional Chinese medicine five-element music on anxiety and depression:the improvement of SDS score in the observation group after intervention was significantly better than that in the control group(Z=7.6,P<0.00001).There was a significant difference in SAS score between the observation group and the control group(Z=4.47,P<0.00001).Intervention effect of five elements of traditional Chinese medicine music on insomnia,and there was statistical significance in PSQI score between observation group and control group after intervention(Z=3.61,P=0.0003).Heterogeneity existed among the included studies,and blindness and ITT analysis were not mentioned.Conclusion The clinical efficacy of TCM five elements music in the intervention of anxiety and depression symptoms and sleep disorders in patients is lack of evidence,and the quality of literature needs to be further improved.The large sample randomized controlled trial and appropriate evaluation mechanism can be used to improve the evidence-based evidence of the five elements of traditional Chinese medicine music control study.
作者
刘彦培
吉华星
LIU Yanpei;JI Huaxing(Geriatrics Department,Pinggu Hospital,Beijing Hospital of Traditional Chinese Medicine,Beijing 101200,China;General Medicine Department,Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 102600,China)
出处
《光明中医》
2021年第9期1369-1373,共5页
GUANGMING JOURNAL OF CHINESE MEDICINE
基金
中央高校基本科研业务费专项资金资助项目(No.2020-JYB-XJSJJ-048)。
关键词
五行音乐
焦虑抑郁
睡眠障碍
Meta分析
five elements music
anxiety and depression
sleep disorder
Meta analysis
