药膳联合五行音乐辅助治疗晚期先兆流产的疗效观察

Observation on therapeutic effect of medicated diet combined with five elements music assistant therapy for patients with late threatened abortion

[目的]探讨药膳联合五行音乐辅助治疗晚期先兆流产的疗效及其安全性。[方法]选取2014年1月—2015年6月在广东省妇幼保健院产科住院的晚期先兆流产病人240例,按数字随机法分为联合组(n=60)、药膳组(n=60)、音乐组(n=60)和对照组(n=60)。对照组常规行西医治疗,音乐组在对照组的基础上行五行音乐治疗,药膳组在对照组的基础上行药膳治疗,联合组在对照组的基础上进行药膳和五行音乐治疗,2个疗程后比较4组治疗有效率、治疗前后汉密尔顿抑郁评分(HAMD)和汉密尔顿焦虑评分(HAMA)、孕妇的满意度及治疗期间不良反应发生情况。[结果]与对照组比较,联合组、药膳组和音乐组治疗有效率和孕妇满意度均提高,治疗后HAMD和HAMA明显降低(P<0.05),且与药膳组和音乐组比较,联合组的治疗有效率和孕妇满意度较高,治疗后HAMD和HAMA降低明显(P<0.05);音乐组治疗后HAMD和HAMA得分低于单纯药膳组(P<0.05),4组治疗期间不良反应发生率比较差异无统计学意义(P>0.05)。[结论]药膳联合五行音乐辅助治疗晚期先兆流产,可提高疗效和病人满意度,减轻孕妇不良情绪。

Objective:To probe into the effect and safety of medicated diet combined with five elements of music assistant treatment for patients with late threatened abortion. Methods: A total of 240 patients with late threatened abortion in obstetrics department in Guangdong Maternal and Child Health Hospital from January 2014 to June 2015 were divided into combined treatment group(n= 60) , medicated diet group(n= 60) , music group(n =60) and control group(n=60) based on digital random method. The patients in control group were treated by routine western medicine therapy;the patients in music group were treated with the five elements music therapy on the basis of the routine therapy;the patients in medicated treatment diet group were treated with medicateddiet on the basis of the routine therapy;the patients in combined treatment group were treated with medicated diet and five elements music therapy on the basis of routine therapy. After 2 courses, compare the scores of therapeuticeffect, Hamilton depressive scale (HAMD) and Hamilton anxiety scale (HAMA) before and after thetreatment, satisfaction and adverse reactions of pregnant women in the 4 groups. Results: Compared with thecontrol group,the scores of treatment efficiency and pregnant women?s satisfaction of combination group,medicateddiet group and music group were improved,and the scores of HAMD and HAMA decreased significantlyafter treatment(P<C〇. 05). Compared with the medicated diet group and music group, the patients in combinedtreatment group had higher scores of efficiency and satisfaction(P<C0. 05). The scores of HAMD and HAMA inmusic group were lower than those in medicated diet group(P<C〇. 05). The incidence of adverse reactions in thetreatment has no significantly differences among the four groups(P> 0. 05). Conclusions: Medicated diet combined with five elements of music assistant treatment for patients with late threatened abortion could improve the therapeutic effect,patient’ s satisfaction,and relieve the adverse emotions of pregnant women.