五音疗法联合中药治疗恶性肿瘤抑郁症临床观察  

The Clinical Observation of Music Therapy in Combination with Chinese Medicine in Treating Depression due to Malignant Tumor

作　　者：温微微 刘东波 殷德科 

机构地区：[1]防城港市中医医院,广西防城港538001

出　　处：《河南中医》2017年第8期1409-1411,共3页Henan Traditional Chinese Medicine

基　　金：广西防城港市科学研究与技术开发项目[编号:防科字(2015)5号]

摘　　要：目的:观察五音疗法联合中药辨证治疗恶性肿瘤抑郁症的临床疗效。方法:选取本科恶性肿瘤抑郁症患者60例,随机分为治疗A组,对照B组,对照C组,每组20例,治疗A组采取五音疗法联合中药治疗,根据不同证型予以相应的音乐。每天1次,24 min·次^(-1),3周为1个疗程。同时分型施治以中药汤剂内服,每日1剂,每剂400 m L,分2次服。对照B组行中药治疗,气郁化火证选用丹栀逍遥散加减;血行郁滞证选用血府逐瘀汤加减;痰气郁结证选用半夏厚朴汤加减;心阴亏虚证选用天王补心丹加减;心脾两虚证选用归脾汤加减;肝肾阴虚证选用滋水清肝饮加减;心神惑乱证选用甘麦大枣汤加减。对照C组采用氟西汀胶囊(礼来苏州制药有限公司,国药准字J20130010)20 mg口服,日1次。4周为1个疗程,治疗1个月后进行疗效评估。结果:治疗A组有效率为90.00%,对照B组有效率为65.00%,对照C组有效率为60.00%,治疗A组有效率与对照B组、对照C组比较差异有统计学意义(P<0.05);对照B组、对照C组有效率组间比较,差异无统计学意义(P>0.05);治疗A组治疗结束后HAMD评分及Karnofsky评分的改善情况与对照B组和对照C组比较,差异具有统计学意义(P<0.05);对照B组和对照C组组间比较,差异无统计学意义(P>0.05)。结论:五音疗法联合中药辨证治疗恶性肿瘤抑郁症具有良好的疗效,可以提高恶性肿瘤患者生活质量。Objective ： To observe the clinical curative effect of music therapy in combination with Chinese medicine in treating de- pression due to malignant tumor. Methods： Sixty patients with depression due to malignant tumor were randomly divided into A treatment group, B control group, C control group, 20 cases m each group. The ones in the treatment group A adopted music therapy in combination with Chinese medicine listening to the corresponding music according to different syndrome, once a day, 24 minutes each time, and regarding 3 weeks as one course. At the same time, they took Chinese medicine decoction orally according to different types, one dose each day, 400 Ml each time which was divided into two parts. The ones in the B control group were treated with Chinese medicine, such as Modified Danzhi Xiaoyao Powder （DZXYS） for syndrome of qi stagnation gen- erating fire, Modified Celestial Emperor Heart-Supplementing Elixir for syndrome of heart-yin deficiency, Modified Spleen-Restoring Decoction for syndrome of heart-spleen deficiency, Modified Zishui Qinggan Yin （ZSQGY） for syndrome of liver-spleen yin deficiency, Modified Licorice and Wheat and Jujube Decoction for syndrome of mind confusion. The ones in the C control group were treated with 20 mg of Fluoxetine Capsules （made by Eli Lilly Suzhou Pharmaceutical Co. , Ltd. , J20130010 ） for oral administration, once a day. , and 4 weeks were regarded as one course. After one month＇s treatment, the clinical curative effect was estimated. Results ： The effective rate of A treatment group was 90.00%, while that of the B control group was 65%, that of the C control group was 60% ; The difference in efficiency between A group and B control group and C control group was statistically significant （P 〈0.05 ）. The difference in efficiency between B control group and C control group was not statistically significant （ P 〉 0.05 ）. After the treatment, the improvements of HAMD score and Karnofsky score m A treatment group were ＇all better than

关 键 词：恶性肿瘤 抑郁症 五音疗法 丹栀逍遥散 血府逐瘀汤 半夏厚朴汤 天王补心丹 归脾汤 滋水清肝饮 甘麦大枣汤 

分 类 号：R273.306[医药卫生—中西医结合]