目的：评价音乐疗法对卒中后认知功能障碍的干预效果。方法：检索中英文电子数据库中有关音乐 疗法对卒中后认知功能障碍患者的干预效果的随机对照试验研究，利用Revman5.4软件进行Meta分析。 结果：共纳入15篇文献，涉及1 229例患者。Meta分析结果显示，MoCA（2019年前发表组）合并效应量结果 MD=2.91，95%CI 2.57～3.25，P＜0.00001、MoCA[2019年后（含2019年）发表组]合并效应量结果MD=4.62， 95%CI 4.23～5.02，P＜0.00001、MMSE[MD=4.49，95%CI 为（0.81～8.18），P＜0.00001]；Stroop 色词测验 [MD=5.17，95% CI 2.99～7.35，P＜0.00001]、HAMA[MD=－ 4.55，95% CI － 5.16～－ 3.93，P＜0.00001]、 HAMD[MD=－6.02，95%CI －6.84～－5.20），P＜0.00001]。结论：音乐疗法能改善卒中后认知功能障碍及 情绪。

To evaluate the effect of music therapy on cognitive dysfunction after stroke. Methods: Randomized controlled trials studying the effects of music therapy for poststroke cognitive dysfunction were retrieved from Chinese and English electronic databases, and meta-analysis was performed using RevMan 5.4 statistical software. Results: A total of 15 articles with 1 229 patients were included. The meta-analysis results revealed that for the Montreal Cognitive Assessment (MoCA), the pooled effect size was MD=2.91, 95% CI (2.57, 3.25), P<0.00001 for studies published before 2019, and MD= 4.62, 95% CI (4.23, 5.02), P< 0.00001 for those published in or after 2019. Significant improvements were also found in the pooled Mini-Mental State Examination (MMSE) [MD= 4.49, 95% CI (0.81, 8.18), P<0.00001], Stroop Color and Word Test [MD=5.17, 95%CI (2.99, 7.35), P<0.00001], Hamilton Anxiety Scale (HAMA) [MD=－4.55, 95% CI (－5.16, －3.93), P< 0.00001], and Hamilton Depression Scale (HAMD) [MD=－ 6.02, 95% CI (－ 6.84, － 5.20), P<0.00001]. Conclusion: Music therapy can significantly improve cognitive dysfunction and emotional state in stroke survivors.