摘要
目的探讨五音疗法联合中药辨证治疗对肾虚肝郁型多囊卵巢综合征患者的负性情绪及生活质量的影响。方法选择广州中医药大学第三附属医院妇科门诊2022年1月至2022年12月收治的96例肾虚肝郁型多囊卵巢综合征患者作为研究对象,用随机数字表法将其分成观察组、对照组,各48例。对照组遵循常规中医辨证施方,观察组在中医辨证施方的基础上配合五音疗法干预,即给予羽调及角调音乐治疗,共干预12周。利用Zung焦虑、抑郁自评量表比较两组患者干预前后负性情绪评分;利用修订版多囊卵巢综合征生活质量问卷(modified polycystic ovary syndrome health-related quality of life questionnaire,MPCOSQ)比较两组患者干预前后生活质量;比较两组患者干预前后中医证候积分并评定临床疗效。结果干预前两组患者负性情绪评分、MPCOSQ评分及中医证候积分差异均无统计学意义(P>0.05)。干预12周后,两组患者负性情绪评分及中医证候积分均较干预前降低,且观察组低于对照组(P<0.05);两组患者MPCOSQ评分均较干预前升高,且观察组高于对照组(P<0.05);观察组总有效率87.50%,高于对照组的79.17%,但差异无统计学意义(P>0.05)。结论五音疗法联合中药辨证治疗可以正向调节肾虚肝郁型多囊卵巢综合征患者焦虑、抑郁的负性情绪,帮助患者改善生活质量,减轻临床症状,可作为多囊卵巢综合征的辅助治疗方法运用于临床。
Objective To investigate the effects of five-tone therapy combined with Chinese Medicines based on pattern identification on negative emotions and life quality in patients with polycystic ovary syndrome(PCOS)of kidney deficiency and liver qi stagnation pattern.Methods A total of 96 patients with PCOS of kidney deficiency and liver qi stagnation pattern in the gynecology out-patient clinic of the Third Hospital of Guangzhou University of Chinese Medicine from January 2022 to December 2022 were selected as the study subjects and randomly divided into observation group and control group by random number table method,with 48 cases in each group.The control group was routinely treated with TCM formula based on pattern identification,while the observation group was treated by TCM formula based on pattern identification combined with five-tone therapy,that is,the music therapy with Yu tone and Jue tone.The intervention had lasted for 12 weeks.The Zung anxiety and depression self-rating scales were used to compare the negative emotion scores of both groups before and after intervention;the modified polycystic ovary syndrome health-related quality of life questionnaire(MPCOSQ)was used to compare the life quality of both groups before and after intervention.TCM pattern scores of both groups before and after intervention were compared and the clinical efficacy was evaluated.Results Before intervention,there were no statistically significant difference in negative emotion score,MPCOSQ score and TCM pattern score between the two groups(P>0.05).After 12 weeks of intervention,the negative emotion scores and TCM pattern scores of both groups were lower than those before intervention,and compared with the control group,those scores of the observation group were lower(P<0.05);the MPCOSQ scores of both groups were higher than those before intervention,and compared with the control group,that score of observation group was higher(P<0.05).The total effective rate of the observation group was 87.50%,which was higher than 79.17%of the control group,but the difference was not statistically significant(P>0.05).Conclusion Five-tone therapy combined with Chinese medicines based on pattern identification can positively regulate the negative emotions of anxiety and depression in patients with PCOS of kidney deficiency and liver qi stagnation pattern,help patients to improve their life quality,alleviate their clinical symptoms,and can be used as an adjuvant treatment for PCOS in clinical practice.
作者
杨筝
张春仁
李娟
YANG Zheng;ZHANG Chunren;LI Juan(The Third Hospital of Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 510000,China)
出处
《湖南中医药大学学报》
CAS
2023年第8期1450-1454,共5页
Journal of Hunan University of Chinese Medicine
基金
国家青年科学基金项目(82104915)
广东省中医药管理局中医药科研项目(20222091)。
关键词
五音疗法
多囊卵巢综合征
焦虑
抑郁
生活质量
负性情绪
five-tone therapy
polycystic ovary syndrome
anxiety
depression
life quality
negative emotions
