The effect of musical interventions in improving short-term pain outcomes following total knee replacement: a meta-analysis and systematic review

作者：Rongguo Yu, Youguang Zhuo, Eryou Feng, Wulian Wang, Wentao Lin, Feitai Lin, Zhanglai Li, Liqiong Lin, Lili Xiao, Haiyang Wang, Yuting Huang, Chunlin Wu, Yiyuan Zhang · 发表于：Journal of Orthopaedic Surgery and Research · 年份：2020 · DOI：10.1186/s13018-020-01995-x · 被引用次数：26 · 研究领域：Music Therapy and Health、Pain Management and Placebo Effect、Empathy and Medical Education

BACKGROUND: A growing number of patients continue to receive total knee replacement (TKR) surgery. Nevertheless, such surgeries result in moderate to severe postoperative pain and difficulty in managing it. Musical interventions are regarded as a type of multimodal analgesia, achieving beneficial results in other clinical treatments. This study aims to evaluate the effect of musical interventions in improving short-term pain outcomes following TKR in order to determine a more reasonable and standard way of delivering musical intervention. METHODS: A systematic search was conducted to identify available and relevant randomized controlled trials (RCTs) regarding musical interventions compared against non-musical interventions in patients treated with TKR in Embase, MEDLINE, Cochrane Library, Web of Science, CNKI, and Wanfang Med Online up to 8 January 2020. The authors independently assessed study eligibility and risk of bias and collected the outcomes of interest to analyze. The statistical analysis was conducted using the Review Manager (RevMan) version 5.30 software. RESULTS: Eight RCTs comprised of 555 patients satisfied the inclusion criteria and were enrolled in the present study. The results showed no significant difference between the music and control groups in pain of the visual analog scale (VAS), during postoperative recovery room, back to the ward after surgery; anxiety degree of VAS; heart rate; respiratory rate; oxygen saturation; blood pressure, systolic blood p...