中医五行音乐疗法治疗耳鸣及耳鸣所致失眠、焦虑抑郁临床研究  

Clinical Study on the Improvement of Insomnia,Anxiety and Depression of Tinnitus Patients by Five Elements Music Therapy of Traditional Chinese Medicine

作　　者：马梽轩[1] 石磊[1] 任晓楠[2] 冷辉[1] MA Zhixuan;SHI Lei;REN Xiaonan;LENG Hui(Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China;Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110034,Liaoning,China)

机构地区：[1]辽宁中医药大学附属医院,辽宁沈阳110032 [2]辽宁中医药大学附属第二医院,辽宁沈阳110034

出　　处：《辽宁中医药大学学报》2021年第6期217-220,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：沈阳市科学技术局项目(17-230-9-94)。

摘　　要：目的观察中医五行音乐疗法治疗耳鸣及因耳鸣引起的失眠及焦虑抑郁等心理状况的临床疗效。方法选取2019年1月—2020年1月于辽宁中医药大学附属医院耳鼻咽喉科门诊就诊的耳鸣伴焦虑及睡眠障碍患者60例,按照就诊时先后顺序将患者随机分为观察组及对照组,每组各30例。观察组采用五行音乐治疗,疗程28 d;对照组采用掩蔽治疗,疗程28 d。同时两组患者均应用舒血宁注射液静点14 d。比较两组患者治疗前后耳鸣严重程度、汉密尔顿抑郁量表(HAMD)评分以及匹兹堡睡眠质量指数(PSQI)评分。结果观察组与对照组均可有效治疗耳鸣,降低耳鸣的响度,但两组间比较差异无统计学意义(P>0.05);观察组中患者HAMD评分及PSQI评分较对照组明显改善(P<0.05)。结论五行音乐疗法改善患者因耳鸣引起睡眠障碍及焦虑抑郁状态方面有着独特的优势,值得临床推广。Objective To observe the clinical effect of five elements music therapy in the treatment of insomnia,anxiety and depression caused by tinnitus and tinnitus. Methods from January 2019 to January 2020,60 patients with tinnitus accompanied with anxiety and sleep disorders were selected from the outpatient department of otolaryngology,affiliated hospital of Liaoning university of traditional Chinese medicine. The patients were randomly divided into observation group and control group according to the order of treatment,30 in each group. The observation group was treated with five elements music for 28 days,while the control group was treated with masking for 28 days. At the same time,Shuxuening Injection was used for 14 days in both groups. The tinnitus severity,HAMD score and PSQI score before and after treatment were compared between the two groups. Results Tinnitus was effectively treated in the observation group and the control group,but there was no significant difference between the two groups(P>0.05);the Hamilton depression scale(HAMD)score and Pittsburgh sleep quality index(PSQI)score in the observation group were significantly improved compared with the control group(P<0.05). Conclusion The five elements music therapy has a unique advantage in improving sleep disorders and anxiety and depression caused by tinnitus,which is worthy of clinical promotion.

关 键 词：中医五行音乐 耳鸣 失眠 焦虑抑郁 

分 类 号：R277.7[医药卫生—中医学]