精神音乐疗法在躁狂症患者中的疗效观察

The curative effect of psychic-music therapy in mania patients

目的通过药物疗法配合精神音乐疗法与单纯药物疗法在躁狂症患者中的对比观察,探讨精神音乐疗法在躁狂症患者中的作用。方法将80例躁狂症患者随机分为两组,研究组40例,用碳酸锂和氯氮平治疗并配合精神音乐疗法;对照组40例,单纯使用药物碳酸锂和氯氮平治疗。两组均进行4周的观察治疗。治疗结果按国内现行精神病4级疗效判定标准进行评定。结果研究组效果优于对照组,两组患者治疗4周时,其疗效评定结果显示差异有统计学意义(P<0.05)。结论精神音乐疗法在躁狂症患者的康复治疗中具有重要作用,是一种重要的辅助治疗手段。

Objective To compare the curative effect of pharmacotherapy combined with psychic-music therapy and pure pharmacotherapy in mania patients, so as to investigate the role of psychic-music therapy in mania patients. Methods Eight mania patients were randomly divided into laboratory group （n=40, receiving lithium carbonate and clozapine administration combined with psychic-music therapy for 4 weeks） and control group （n= 40, receiving pure lithium carbonate and clozapine administration for 4 weeks）. The therapeutic results were evaluated according to the domestic present 4 levels of curative effect determination standard. Results The curative effect of laboratory group was superior to that of control group. The difference of curative effect was statistically significant at 4 wk time-point （P〈0.05）. Conclusion As an important adjunctive therapeutic tool, psychic-music therapy contributes to the rehabilitation management of mania patients.