轻音乐疗法对辅助生殖治疗中取精困难患者的效果评估

Effects of Light Music Therapy on Patients Experiencing Difficulties in Ejaculation during Assisted Reproductive Therapy

摘要: 目的：探讨轻音乐疗法是否适用于辅助生殖治疗中的取精困难患者及其应用指证。方法：选取2023年10月至2025年2月在我科治疗和检查期间出现取精困难的男性患者，共106人。患者先接受问卷调查，后在取精室内独自一人聆听轻音乐，30 min内需完成再次取精。结果：再次取精有61人失败、45人成功，总体成功率为42.45%；成功组患者和失败组患者的一般情况分析显示，两组在不育类型、取精场所舒适感和焦虑自评分方面，差异有统计学意义(P < 0. 05)；多因素Logistic回归分析显示，取精场所轻度不适和轻度焦虑是轻音乐干预后再次取精结局的影响因素(P < 0.05)。结论：对于取精困难患者，若其对取精场所感到轻度不适或者具有轻度焦虑情绪，采用轻音乐疗法可产生一定效果。

Abstract: Object: To investigate the suitability and application indications of light music therapy for patients with difficulties in ejaculation during assisted reproductive therapy. Methods: A total of 106 male patients with difficulties in ejaculation during the treatment and examination in our department from October 2023 to February 2025 were analyzed. Initially, the patients were given a questionnaire survey. Following this, they listened to light music alone at semen collection room, requiring to collect semen samples within 30 minutes. Results: In the second semen collection, 61 individuals failed, whereas 45 individuals achieved success, resulting in an overall success rate of 42.45%. The comprehensive analysis of the patients’ general situation in both the success and failure groups revealed statistically significant diffrences between the two groups in the type of infertility, sense of comfort at the semen collection room, and self-rated anxiety scale (P < 0.05). After conducting a multivariate logistic regression analysis, it was revealed that mild discomfort and mild anxiety during the semen collection process were significant influencing factors in the outcome of the second semen collection after exposure to light music intervention (P < 0.05). Conclusion: Light music therapy has a certain effect on patients with difficulty in ejaculation who feel mild discomfort at semen collection room or have mild anxiety.