五行音乐对肝郁脾虚型乳腺癌患者睡眠障碍及心理状态的影响

Effects of Five Elements Music on Sleep Disorders and Psychological State of Breast Cancer Patients with Liver Depression and Spleen Deficiency Type

摘要: 目的：观察五行音乐疗法治疗肝郁脾虚型乳腺癌患者睡眠障碍及心理状态的临床疗效。方法：选择肝郁脾虚型乳腺癌患者44例，根据治疗方式的不同分为观察组和对照组，对照组采用常规口服艾司唑仑片治疗，观察组采用中医音乐五行疗法，观察两组焦虑自评量表(SAS)、失眠严重程度指数量表(ISI)、抑郁自评量表(SDS)、中医临床证候积分、监测的睡眠评分、清醒次数、深睡连续性、深睡比例、浅睡比例、快速眼动比例、夜间睡眠数值。结果：观察组SAS (35.23 ± 3.77)、ISI (7.43 ± 2.86)、SDS (29.18 ± 8.52)及中医临床证候积分(53.10 ± 14.48)明显优于对照组(37.79 ± 6.48)、(17.96 ± 4.19)、(38.60 ± 8.17)、(63.50 ± 13.33)，差异具有统计学意义(P < 0.05)，睡眠评分、清醒次数、深睡连续性、深睡比例、浅睡比例、快速眼动比例，差异不具有统计学意义(P > 0.05)。结论：中医五行音乐疗法能改善肝郁脾虚型乳腺癌患者睡眠障碍及相关焦虑抑郁状态。

Abstract: Objective: To observe the clinical efficacy of five elements music therapy in the treatment of sleep disorders and psychological status in liver-depression and spleen-deficiency type breast cancer patients Methods: 44 cases of liver-depression and spleen-deficiency type breast cancer patients were selected and divided into an observation group and a control group according to the different treatment modalities; the control group was treated with conventional oral eszopiclone tablets, and the observation group was treated with five elements therapy with Chinese medicine and music, and the two groups were observed in the Self-assessment Scale for Anxiety (SAS), Insomnia Severity Index (SAS), Insomnia Severity Index (ISI), Depression Self-assessment Scale (SDS), TCM Clinical Evidence Score, monitored sleep scores, number of wakefulness, continuity of deep sleep, proportion of deep sleep, proportion of light sleep, proportion of rapid eye movement, and nighttime sleep values. Results: The SAS (35.23 ± 3.77), ISI (7.43 ± 2.86), SDS (29.18 ± 8.52) and TCM clinical evidence points (53.10 ± 14.48) of the observation group were significantly superior to those of the control group (37.79 ± 6.48), (17.96 ± 4.19), (38.60 ± 8.17), (63.50 ± 13.33), the difference was statistically significant (P < 0.05), and the differences in sleep score, number of wakefulness, continuity of deep sleep, proportion of deep sleep, proportion of light sleep, and proportion of rapid eye movement, were not statistically significant (P > 0.05). Conclusion: Five-element music therapy of Chinese medicine can improve the sleep disorder and related anxiety and depression status of breast cancer patients with liver depression and spleen deficiency type.