五行音乐疗法结合中医体质个体化干预治疗脑卒中睡眠障碍临床研究

Clinical Study on Five-Phase Music Therapy Combined with Intervention of Individual⁃ized Traditional Chinese Medicine Constitution for Sleep Disorder Caused by Ischemic Stroke

目的:观察五行音乐疗法结合中医体质个体化干预治疗脑卒中睡眠障碍的临床疗效。方法:采用随机数字表法将64例脑卒中睡眠障碍患者分为对照组、观察组各32例。对照组给予普通音乐联合基础疗法治疗,观察组给予五行音乐疗法、中医体质个体化干预联合基础疗法治疗。比较2组临床疗效及治疗前后焦虑自评量表(SAS)、抑郁自评量表(SDS)、匹兹堡睡眠质量指数(PSQI)、神经功能缺损(NIHSS)和脑卒中专用生活质量量表(SS-QOL)评分。结果:观察组总有效率87.50%,高于对照组50.00%(P<0.05)。治疗后,2组SDS、SAS、NIHSS、PSQI(日间功能、睡眠障碍、睡眠效率、睡眠时间、入睡时间、睡眠质量及总分)评分均低于治疗前(P<0.05),SS-QOL评分高于治疗前(P<0.05);观察组治疗后SDS、SAS、PSQI(日间功能、睡眠障碍、睡眠效率、睡眠时间、入睡时间、睡眠质量及总分)评分均低于对照组(P<0.05),SS-QOL评分高于对照组(P<0.05)。结论:五行音乐疗法结合中医体质个体化干预治疗脑卒中睡眠障碍疗效确切,能够有效缓解患者负性情绪,改善患者睡眠质量及生活质量。

Objective:To observe the clinical effect of five-phase music therapy combined with intervention of individualized traditional Chinese medicine(TCM)constitution on sleep disorder caused by ischemic stroke.Methods:A total of 64 patients with sleep disorder caused by ischemic stroke were divided into the control group and the observation group according to the random number table method,with 32 cases in each group.The control group was given common music combined with basic therapy for treatment,and the observation group was treated with five-phase music therapy and intervention of individualized TCM constitution combined with basic therapy.The clinical effects and scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS),Pittsburgh Sleep Quality Index(PSQI),National Institutes of Health Stoke Scale(NIHSS)and Stroke-Specific Quality of Life Scale(SS-QOL)were compared before and after treatment between the two groups.Results:The total effective rate was 87.50%in the observation group,higher than that of 50.00%in the control group(P<0.05).After treatment,the scores of SDS,SAS,NIHSS and PSQI(including daily function,sleep disorder,sleep efficiency,sleep duration,time for falling sleep,sleep quality and total scores)in both groups were lower than those before treatment(P<0.05),the SS-QOL scores were higher than those before treatment(P<0.05);the scores of SDS,SAS and PSQI(including daily function,sleep disorder,sleep efficiency,sleep duration,time for falling sleep,sleep quality and total scores)in the observation group were lower than those in the control group(P<0.05),the SS-QOL scores were higher than those in the control group(P<0.05).Conclusion:Five-phase music therapy combined with intervention of individualized TCM constitution has a definite curative effect on sleep disorder caused by ischemic stroke,which can effectively mitigate the negative emotions and improve the sleep quality and quality of life of patients.