五行音乐疗法治疗脑卒中后失眠的临床疗效Meta分析OA

Objective:To systematically evaluate the clinical efficacy of five-element music therapy in patients with post-stroke insomnia(PSI).Methods:A computerized search was conducted in databases including China National Knowledge Infrastructure(CNKI),China Science and Technology Journal Database(VIP),Wanfang Data Knowledge Service Platform(Wanfang),PubMed,Web of Science,and the Cochrane Library for randomized controlled trials(RCTs)on five-element music therapy for PSI published from the inception of each database to July 15,2025.Two researchers independently screened the literature,extracted data,and assessed the risk of bias.Meta-analysis was performed using RevMan 5.4 software.Results:A total of 12 RCTs involving 911 patients were included.The meta-analysis results showed that the effects of five-element music therapy were superior to those of the control group in improving total effective rate[OR=6.02,95%CI(3.33,10.91),P＜0.01],improving Pittsburgh Sleep Quality Index(PSQI)score[MD=-3.27,95%CI(-4.07,-2.48),P＜0.01],and reducing Self-Rating Anxiety Scale(SAS)score[MD=-7.97,95%CI(-11.93,-4.01),P＜0.01],Self-Rating Depression Scale(SDS)score[MD=-5.80,95%CI(-11.45,-0.15),P＜0.05],Hamilton Depression Rating Scale(HAMD)score[MD=-4.74,95%CI(-8.30,-1.19),P＜0.01],and Hamilton Anxiety Rating Scale(HAMA)score[MD=-3.64,95%CI(-5.19,-2.08),P＜0.01].Conclusion:Five-element music therapy can effectively improve sleep quality and alleviate anxiety and depression in patients with PSI,demonstrating certain clinical application value.