五行音乐联合推拿对交感型颈椎病(气滞血瘀型)伴焦虑的临床研究

Clinical Study on the Combined Effects of Five-Element Music and Tuina Therapy for Sympathetic-Type Cervical Spondylosis (Qi Stagnation and Blood Stasis Pattern) with Anxiety

摘要: 目的：探讨五行音乐联合推拿对交感型颈椎病(气滞血瘀型)伴焦虑状态的临床疗效；方法：选择2025年2月~7月于成都中医药大学附属医院就诊的80例交感型颈椎病(气滞血瘀型)伴焦虑状态病人作为研究对象，采用随机数字表法将其分为试验组与对照组，每组各40例。对照组采用推拿治疗联合常规心理护理，试验组在对照组的基础上增加五行音乐疗法(选取角调、徵调、羽调式曲目)，两组均连续干预4周。观察两组患者汉密尔顿焦虑量表(HAMA)、焦虑自评量表(SAS)、简式McGill疼痛问卷(SF-MPQ)评分及临床疗效。结果：两组患者基线资料比较无统计学差异(P > 0.05)，具有可比性；治疗前，两组HAMA、SAS及SF-MPQ中PRI、VAS、PPI评分比较均无统计学差异(P > 0.05)；治疗4周后，两组HAMA、SAS评分均较治疗前降低，且试验组低于对照组，差异具有统计学意义(P < 0.05)；两组PRI、VAS、PPI评分均较治疗前降低(P < 0.05)，且试验组低于对照组，差异具有统计学意义(P < 0.05)；临床疗效方面，试验组有效率高于对照组，两组疗效构成比比较差异具有统计学意义(P < 0.01)。结论：五行音乐联合推拿治疗可有效改善交感型颈椎病伴焦虑症状患者的焦虑状态及疼痛程度，提升临床疗效，值得临床推广应用。

Abstract: Objective: To explore the clinical efficacy of five-element music combined with tuina in the treatment of sympathetic cervical spondylosis (SCS) of qi stagnation and blood stasis type, accompanied by anxiety. Methods: A total of 80 patients with SCS (qi stagnation and blood stasis type), accompanied by anxiety, who were treated in the Hospital of Chengdu University of Traditional Chinese Medicine from February to July 2025, were selected as the research objects. They were divided into the experimental group and the control group, with 40 cases in each group, by the random number table method. The control group was treated with tuina combined with routine psychological care, while the experimental group was additionally given five-element music therapy (selecting jiao-tone, zhi-tone, and yu-tone tracks) on the basis of the control group. Both groups received continuous intervention for 4 weeks. The Hamilton Anxiety Scale (HAMA), Self-Rating Anxiety Scale (SAS), Short-Form McGill Pain Questionnaire (SF-MPQ) scores, and clinical efficacy of the two groups were observed. Results: There was no statistically significant difference in baseline data between the two groups (P > 0.05), indicating comparability; before treatment, there were no statistically significant differences in HAMA, SAS and PRI, VAS, PPI scores in SF-MPQ between the two groups (P > 0.05); after 4 weeks of treatment, the HAMA and SAS scores of both groups were lower than those before treatment, and the experimental group was lower than the control group, with statistically significant differences (P < 0.05); the PRI, VAS and PPI scores of both groups were lower than those before treatment (P < 0.05), and the experimental group was lower than the control group, with statistically significant differences (P < 0.05); in terms of clinical efficacy, the effective rate of the experimental group was higher than that of the control group, and there was a statistically significant difference in the composition ratio of efficacy between the two groups (P < 0.01). Conclusion: Five-element music combined with tuina can effectively improve the anxiety state and pain degree of patients with SCS accompanied by anxiety, enhance the clinical efficacy, and is worthy of clinical promotion and application.