双耳鼓动治疗外科手术期间的焦虑和疼痛:系统性审查和元分析
Jialin Xiong1, Xin Jiang1, Binyang Cai1
1Department of Anesthesiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Complementary therapies in medicine
|November 1, 2025
概括
双耳节拍 (BB) 音频显著减少外科手术期间的焦虑和疼痛,同时稳定手术患者的血液动力学参数. 这种非药物干预措施显示出前景,在治疗外科压力方面表现优于非BB音频.
科学领域:
- 神经科学和心理学 神经科学和心理学
- 医疗干预 医疗干预
背景情况:
- 术前焦虑是常见的,恶化了血液动力学不稳定性和术后疼痛.
- 与传统音乐疗法相比,双耳节拍 (BB) 音频通过调节情绪路径,可以提供优越的抗焦虑和止痛效果.
研究的目的:
- 进行一项元分析,评估BB音频在减少外科手术期间的焦虑,疼痛和稳定手术患者的血液动力学参数方面的有效性.
主要方法:
- 从主要数据库 (MEDLINE,Embase,CENTRAL,Web of Science) 发表的随机对照试验 (RCT) 的系统元分析,截至2024年12月.
- 包括的研究重点是外科手术期间BB音频对焦虑,疼痛和血液动力学的影响.
- 主要结局:焦虑程度;次要结局:疼痛,血液动力学变化 (SBP,DBP,HR) 和不良事件.
主要成果:
- 与空白音频控制器相比,BB音频显著降低了术前焦虑 (SMD = -1.38) 和术后疼痛 (SMD = -0.61).
- BB音频还导致系统血压 (MD = -5.57 mmHg) 和心率 (MD = -3.37 bpm) 的显著降低.
- 与非BB音频相比,BB显示出优异的焦虑减轻 (SMD = -1.01) 和疼痛缓解 (SMD = -0.52).
结论:
- 术后BB音频是一种有效的非药物干预,用于减少焦虑,缓解疼痛和稳定血液动力学 (SBP,HR) 在手术环境中.
- BB音频显示出比非BB音频干预措施更高的疗效.
- 建议进一步进行高质量的RCT,以标准化协议并解决实质性的试验间异质性.
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