耳的音乐治疗:一个系统的审查和元分析
Tang Mi1, Zhang Qinxiu1, Wang Jie2
1Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 610075, China.
American journal of otolaryngology
|May 17, 2024
概括
音乐疗法对耳缓解有希望,显著改善患者报告的结果,如耳大声和严重程度. 然而,与对照组相比,整体临床疗效在统计学上并不显著,因此需要进一步进行高质量的研究.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 综合医学是一个整体的医学.
- 临床心理学 临床心理学
背景情况:
- 耳是一个普遍的疾病,显著影响生活质量.
- 目前对耳的治疗选择对许多患者的疗效有限.
- 探索音乐治疗等新的治疗方法至关重要.
研究的目的:
- 系统地评估音乐治疗在治疗耳的临床有效性.
- 分析音乐治疗对各种耳相关症状评分的影响.
主要方法:
- 对14项涉及1239名耳患者的研究进行了元分析.
- 搜索了主要的英语和中文生物医学数据库,寻找相关的文献.
- 使用RevMan5.3软件进行统计分析,以评估结果.
主要成果:
- 音乐疗法在耳障碍清单 (THI) 和耳严重性问卷 (TSQ) 得分上显著改善.
- 接受音乐治疗的患者报告说,耳声的响度降低,视觉模拟量表 (VAS) 评分得到改善.
- 虽然与对照组相比没有统计学意义 (OR=1.00),但音乐治疗对多个次要结果措施产生了积极影响.
结论:
- 音乐疗法是一种有效的干预措施,可以改善主观的耳经历,包括严重程度和响度.
- 在THI,TSQ,VAS和耳问卷 (TQ) 得分中观察到显著改善.
- 由于当前文献的局限性,这些结论需要通过更严格,高质量的研究来验证.
相关概念视频
Hearing
When we hear a sound, our nervous system is detecting sound waves—pressure waves of mechanical energy traveling through a medium. The frequency of the wave is perceived as pitch, while the amplitude is perceived as loudness.
The Cochlea
The cochlea is a coiled structure in the inner ear that contains hair cells—the sensory receptors of the auditory system. Sound waves are transmitted to the cochlea by small bones attached to the eardrum called the ossicles, which vibrate the oval window that leads to the inner ear. This causes fluid in the chambers of the cochlea to move, vibrating the basilar membrane.
The Auditory Ossicles
The auditory ossicles of the middle ear transmit sounds from the air as vibrations to the fluid-filled cochlea. The auditory ossicles consist of two malleus (hammer) bones, two incus (anvil) bones, and two stapes (stirrups), one on each side. These bones develop during the fetal stage and are the ones to ossify first. They are fully mature at birth and do not grow afterward.
The aptly named stapes look very much like a stirrup. The three ossicles are unique to mammals, and each plays a role in...
The aptly named stapes look very much like a stirrup. The three ossicles are unique to mammals, and each plays a role in...
Beats
The study of music provides many examples of the superposition of waves and the constructive and destructive interference that occurs. Very few examples of music being performed consist of a single source playing a single frequency for an extended period of time. A single frequency of sound for an extended period might be monotonous to the point of irritation, similar to the unwanted drone of an aircraft engine or a loud fan. Music is pleasant and exciting due to mixing the changing frequencies...
Anatomy of the Ear
Auditory sensation, commonly called hearing, involves the transformation of sonic waves into neural impulses facilitated by the structures of the auditory organ. The prominent, flesh-like structure on the side of the head, called the auricle, directs sound waves towards the auditory canal. The auricle is often mislabeled as the pinna, a term more aligned with mobile structures like a feline's external ear. The auditory canal penetrates the cranium via the external auditory meatus of the...
Heart Sounds
Heart sounds are generated by the turbulence in blood flow due to the closing of heart valves. These sounds are best perceived slightly away from the valves, where the blood flow disseminates the sound.
Auscultation is the process of listening to these internal body sounds using a stethoscope. The heart produces four types of sounds, but only two—S1 and S2—can usually be heard with a stethoscope.
S1, also known as the "lub" sound, is caused by the closure of atrioventricular (A-V) valves at the...
Auscultation is the process of listening to these internal body sounds using a stethoscope. The heart produces four types of sounds, but only two—S1 and S2—can usually be heard with a stethoscope.
S1, also known as the "lub" sound, is caused by the closure of atrioventricular (A-V) valves at the...


