古琴音乐干预原发性失眠的临床疗效和心身机制探讨  

The efficacy and mechanism of Chinese Guqin music intervention for patients with primary insomnia

作　　者：风美茵[1] 汪卫东[1] 

机构地区：[1]中国中医科学院广安门医院心理科,北京100053

出　　处：《国际中医中药杂志》2013年第5期428-430,共3页International Journal of Traditional Chinese Medicine

摘　　要：目的观察古琴音乐干预失眠的临床疗效与心身机制。方法将符合原发性失眠症诊断标准的60例患者，按随机数字表随机分为古琴音乐组、对照组各30例，古琴组连续8周睡前聆听30min古琴音乐，记录在治疗前（0周）、治疗后第4、8周共3次心率变异性（HRV）；在0、2、4、8周测试阿森斯失眠量表（AIS）总分及症状自评量表（SCL-90），观察测试前后3min、聆听30min古琴音乐后的反应。对照组仅保持休息状态。结果治疗后第4周，古琴组HRV极低频（VLFper）改善，与对照组比较差异有统计学意义（P〈0．05）。在治疗后第4、第8周古琴组AIS总分降低[分别为（8．00±3．90）分、（6．40±4．50）分]，与对照组同时段[（10．30±5．10）分、（9．80±5．00）分]比较，差异有统计学意义（P均〈0．05）。治疗后第8周，古琴组SCL．90中“强迫症状”“恐怖”因子分数[分别为（-0．40±0．50）、（-0．10±0．30）]改善，与对照组[分别为（-0．10±0．30）、（0．10±0．30）]比较，差异均有统计学意义（P均〈0．05）。结论古琴音乐可在身心、心率变异性方面改善失眠症状，促进心理康复。Objective To investigate the efficacy and mechanism of Chinese Guqin music intervention for primary insomnia＇ s patients. Methods Sixty cases of primary insomnia syndrome patients were randomly divided into two groups. For a total of 8 weeks, a daily intervention of bedtime listening to Guqin music for 30 minutes was applied to 30 patients in the experimental group, while the control group simply rested without any intervention. Psycho-physiological indicators were recorded in the 0th, 4th and 8th week. The AIS and SCL-90 were used to assess the patients in the 0th, 2nd, 4th, and 8th week. Results After four-week intervention, the （VLFper） of HRV had more decrease in the Guqin group than in the control group （P〈0.05）. The Guqin group had significantly lower AIS scores, AIS total （8.00±3.90）than the control group. AIS total was（10.30±5.10）, after four-week intervention （P〈0.05）. Besides, the AIS scores of the Guqin group AIS total（6.40 ± 4.50）were also significantly lowered than the control group EAIS total（9.80± 5.00）after eight-week intervention （P 〈 0.05）]. Meanwhile, after eight-week intervention, the decrease of ＂obsessive-compulsive symptoms＂ in SCL-90 had significant difference between the Guqin group （-0.40±0.50）and the control group （-0.10±0.30, P〈0.05）. Besides the significant difference between the Guqin group （--0.10±0.30） and the control group （0.10±0.30） also showed in the decrease of ＂phobic anxiety＂ in SCL-90 （P〈0.05）. Conclusion Guqin music can relieve psycho-physiological symptoms for patients of insomnia. It is an effective intervention for the creation of ＂Mind-Body＂ harmony; it facilitates psychological rehabilitation.

关 键 词：古琴音乐 失眠症 心率变异性 阿森斯失眠量表 症状自评量表 

分 类 号：R256.23[医药卫生—中医内科学]