183;中医心理学183;古琴音乐干预原发性失眠的临床疗效和心身机制探讨.pdfVIP

·428 · 国际中医中药杂志2013年5月第35卷第5期 Int J Trad Chin Med, May 2013, Vol. 35, No.5 ·中医心理学 · 古琴音乐干预原发性失眠的 临床疗效和心身机制探讨 风美茵 汪卫东 【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 30 min 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 极低頻(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。 【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 The efficacy and mechanism of Chinese Guqin music intervention for patients with primary insomnia FENG Mei-yin, WANG Wei-dong. Guang’ anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China 【Abstract 】 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 low