音乐疗法对脑卒中后患者失语症和认知能力的影响:系统回顾与元分析》。

IF 1.3 4区 医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Noise & Health Pub Date : 2024-04-01 Epub Date: 2024-06-21 DOI:10.4103/nah.nah_24_24
Dajiao Gong, Fengfang Ye
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引用次数: 0

摘要

目的:本研究旨在系统评估音乐疗法对脑卒中后患者失语症和认知能力的影响:在PubMed、Web of Science、Embase、Cochrane Library、中国国家知识基础设施和Vip中文科技期刊(VIP)等主要数据库中进行了全面检索,检索时间截至2023年12月。从检索到的文献中筛选和提取数据后,对其质量进行评估,然后使用RevMan软件(5.4版,Cochrane Collaboration,英国牛津)进行荟萃分析:本次调查共涉及 9 篇文章,发表于 2008 年至 2022 年,共包括 309 名中风患者。Meta 分析结果表明,实验组与对照组在功能交流改善程度上差异无统计学意义(标准化平均差异 [SMD] = 0.23,95% 置信区间 [CI] (-0.19; 0.77),P > 0.05)。在理解能力的提高方面,实验组与对照组相比差异无统计学意义(SMD = 0.21,95% 置信区间 [-0.66; 1.09],P > 0.05)。实验组在重复能力方面的改善程度大大高于对照组(SMD = 0.37,95% CI [0.01;0.76],P <0.05)。与对照组相比,实验组命名能力的提高在统计学上无显著差异(SMD = 0.30,95% CI [-0.19; 0.80],P > 0.05)。实验组的认知得分大大高于对照组(SMD = 0.75,95% CI [0.44;1.06],P <0.05):结论:音乐疗法能有效改善脑卒中后失语患者的复述能力。结论:音乐疗法能有效改善脑卒中失语症患者的复述能力,还能提高患者的认知能力。因此,音乐疗法可进一步应用于这类患者的治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of Music Therapy on Aphasia and Cognition of Patients with Post-stroke: A Systematic Review and Meta-analysis.

Purpose: This investigation sought to systematically assess music therapy's impact on aphasia and cognition in patients with post-stroke.

Methods: Comprehensive searches were performed across major databases, including PubMed, Web of Science, Embase, Cochrane Library, China National Knowledge Infrastructure, and Vip Chinese sci-tech periodicals (VIP), covering publications up to December 2023. After screening and extracting data from the retrieved literature, its quality was appraised, which was followed by a meta-analysis using RevMan software (version 5.4, Cochrane Collaboration, Oxford, UK).

Results: Nine articles, which were published from 2008 to 2022, were covered in this investigation, comprising 309 stroke patients in total. Meta-analysis results from these variations were found to be not statistically significant in the degree of functional communication improvement between the experimental group and the control group (standardized mean difference [SMD] = 0.23, 95% confidence interval [CI] (-0.19; 0.77), P > 0.05). These variations were found to be not statistically significant in the improvement of understanding ability in the experimental group compared with that in the control group (SMD = 0.21, 95% CI [-0.66; 1.09], P > 0.05). The degree of improvement in repetitive ability of the experimental group was considerably greater than that of the control group (SMD = 0.37, 95% CI [0.01; 0.76], P < 0.05). These variations were found to be not statistically significant in the improvement of naming ability in the experimental group compared with that in the control group (SMD = 0.30, 95% CI [-0.19; 0.80], P > 0.05). The cognitive score of the experimental group was considerably greater than that of the control group (SMD = 0.75, 95% CI [0.44; 1.06], P < 0.05).

Conclusion: Music therapy can effectively ameliorate the repetition ability of patients with aphasia after stroke. It can also improve the cognitive ability of patients. Thus, music therapy could be further applied to treat this type of patients.

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来源期刊
Noise & Health
Noise & Health AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
2.10
自引率
14.30%
发文量
27
审稿时长
6-12 weeks
期刊介绍: Noise and Health is the only International Journal devoted to research on all aspects of noise and its effects on human health. An inter-disciplinary journal for all professions concerned with auditory and non-auditory effects of occupational, environmental, and leisure noise. It aims to provide a forum for presentation of novel research material on a broad range of topics associated with noise pollution, its control and its detrimental effects on hearing and health. It will cover issues from basic experimental science through clinical evaluation and management, technical aspects of noise reduction systems and solutions to environmental issues relating to social and public health policy.
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