用药早期结合疏肝培土法或放松音乐疗法治疗肠易激综合症的临床研究

A study on treating irritable bowel syndrome by the Shugan peitu therapy or relaxing music therapy in the early treating with medicine

目的:研究用药早期结合疏肝培土法或放松音乐疗法治疗肠易激综合症,对患者焦虑、抑郁指数、用药依从性、生活满意度、幸福指数、睡眠指数、总体症状缓解率的影响。方法:采用随机对照法研究,单纯用药,用药早期结合疏肝培土法或放松音乐疗法分别治疗诊断符合肠易激综合症罗马Ⅲ诊断标准并排除其他疾病的患者。在3周后,比较三组治疗前后以及组间差异,并分析药物结合疏肝培土法或放松音乐疗法对上诉因素的影响以及相关性。结果:三组治疗前后HAMA及HAMD评分降低,总体症状及睡眠改善,生活满意度提高,但差异无统计学意义(P> 0.05);中药组及音乐治疗组用药依从性、药物不良反应(SERS)评分与西药治疗组比较有显著性差异(P <0.05);在幸福指数方面,音乐治疗组较其他两组差异有统计学意义(P<0.05)。结论:用药早期结合疏肝培土法或放松音乐疗法治疗肠易激综合症,不仅可明显改善症状,减少药物不良反应,还可提高服药依从性,提高患者生活满意度、幸福指数,可广泛推广。

objective:To study the effects of the Shugan Peitu therapy(疏肝培土法)or relaxing music therapy on irritable bowel syndrome in the early treating with medicine,and its anxiety,depression index,medication compliance,life satisfaction,happiness index,sleep index and overall symptom remission rate.Methods:Three groups were treated by simple medication,the Shugan Peitu therapy and relaxing music therapy in the early treating with medicine respectively.The effects and relevance of the Shugan Peitu therapy or relaxing music therapy with early medication were analyzed.Results:The scores of HAMA and HAMD were decreased;the overall symptoms,sleep and life satisfaction were improved in groups,with no statistically significant difference(P>0.05).There was significant differences in medication compliance and SERS between others groups and the western medicine group(P<0.05).The happiness index in the music treatment group was best,with statistically significant differences(P<0.05).Conclusion:The Shugan Peitu therapy or relaxing music therapy on irritable bowel syndrome in the early treating with medicine can significantly improve the symptoms,reduce adverse drug reactions,improve medication compliance and patient’satisfaction and happiness index,is widely promoted.