【摘要】 目的：系统评价音乐疗法对手术患儿的干预效果。方法：计算机检索中国知网、PubMed等9个数据库中关于音乐疗法对手术患儿干预效果的随机对照研究（Randomized controlled trial,RCT），检索时间自建库至2024年4月。由2名护理研究生按照纳排标准独立对文献进行筛选、资料提取和纳入研究的方法学质量评价，运用RevMan 5.3软件进行Meta分析。结果：共纳入14篇文献，总样本量为1 220例。Meta分析结果显示，音乐疗法能显著缓解手术患儿的焦虑[SMD=-1.47,95%CI（-2.31，-0.63）,P<0.05]及恐惧[MD=-1.23,95%CI（-2.25，-0.21）,P=0.02]，减轻手术患儿的疼痛[SMD=-0.28,95%CI（-0.45，-0.10）,P<0.05]，降低手术患儿心率[MD=-1.82,95%CI（-3.58，-0.06）,P=0.04]、收缩压[MD=-6.38,95%CI（-11.88，-0.88）,P=0.02]和舒张压[MD=-4.61,95%CI（-9.11，-0.12）,P=0.04]；对增加患儿血氧饱和度[MD=-0.05,95%CI（-0.22,0.11）,P=0.53]和降低患儿呼吸[MD=-1.24,95%CI（-3.46,0.99）,P=0.28]差异无统计学意义。结论：现有证据表明，音乐疗法能改善手术患儿的负性情绪及疼痛程度，有效控制手术患儿的心率和血压。由于纳入研究数量和质量等限制，还需大样本、高质量随机对照研究进行验证。更多还原

【Abstract】 Objective: To systematically evaluate the intervention effect of music therapy on children undergoing surgery. Methods: Computerized searches were conducted for randomized controlled trial(RCT) on the effects of music therapy interventions in children undergoing surgery in nine databases, including China national knowledge infrastructure and PubMed, from the time of construction to April 2024. Literature was independently screened, data extracted and included in the methodological quality assessment of the studies by two graduate nursing students according to the nerf criteria, and Meta-analysis was performed using RevMan 5. 3 software. Results: A total of 14 studies were included, with a total sample size of 1 220 cases. Meta-analysis showed that, music therapy alleviated anxiety [SMD=-1. 47, 95% CI （-2. 31,-0. 63）, P<0. 05] and fear [MD=-1. 23, 95% CI （-2. 25,-0. 21）, P=0. 02], in children undergoing surgery, and reduced pain [SMD=-0. 28, 95% CI （-0. 45,-0. 10）, P<0. 05], heart rate [MD=-1. 82, 95% CI （-3. 58,-0. 06）, P=0. 04], systolic [MD=-6. 38, 95% CI （-11. 88,-0. 88）, P=0. 02] and diastolic blood pressure [MD=-4. 61, 95% CI （-9. 11,-0. 12）, P=0. 04]. In terms of increasing children’s oxygen saturation of [MD=-0. 05, 95% CI （-0. 22, 0. 11）, P=0. 53] and decreasing children’s respiration [MD=-1. 24, 95% CI （-3. 46, 0. 99）, P=0. 28], with no statistical significance. Conclusion: Existing evidence indicates that music therapy can improve the negative emotions and pain levels of children undergoing surgery, reduce the fluctuations in heart rate and blood pressure during the operation. Due to the limitations of the quantity and quality of the included studies,further verification is needed through large-sample, high-quality randomized controlled studies.更多还原