| Objective:To investigate the effect of five-tone therapy on anxiety and depression and sexual function in patients with different constitution after microsperm extraction,and to explore the psychological characteristics,psychological characteristics and physical relationship of patients with different constitution and the impact on sexual function,so as to enrich the content of clinical syndrome differentiation of traditional Chinese medicine,more OK to relieve anxiety and depression psychological problems of patients,and promote the peace of physical fitness of patients after microsperm extraction.To provide a new noninvasive treatment idea for patients requiring microsperm extraction in the clinical treatment of andrology in traditional Chinese medicine,and promote the physical and mental health of patients and family harmony.METHODS:Eighty infertile patients aged 22 ～ 40(30.63 ± 3.066)years and infertile years ranging from 1 ～ 14(4.39 ± 2.286)years who were diagnosed as non-obstructive azoospermia and required microsperm extraction and voluntarily entered this clinical study were included.Eighty patients were divided into two groups by a random simple number table: the treatment group: 40 patients after microsperm extraction were given music therapy based on physical fitness identification(acoustic shellfish was not higher than 70 decibels,alternating listening was selected to listen to the corresponding patient’comfortable repertoire,music therapy was given once a day from Monday to Friday(listening time was the twelfth hour of the corresponding viscera after physical analysis),a treatment time lasted for 30 minutes,and the weekend was the rest stage)and testosterone undecanoate(40 mg,orally,twice a day).Control group: 40 patients received testosterone undecanoate(40 mg,po,bid)after microsurgical sperm extraction.The treatment cycle of the two groups was 16 weeks.Testosterone hormone level,depression score,anxiety score and sexual function were reexamined once in the 4th week after microsperm extraction.Sixteen weeks after microsperm extraction,depression score,anxiety score,erectile function score,testosterone hormone level and physical status were analyzed and the data results were analyzed.Results:There was no significant difference in the data analysis of age and duration of illness between the two groups(P > 0.05);there was no significant difference in the data analysis of preoperative physical fitness between the two groups(P > 0.05);there was no significant difference in the data analysis of preoperative depression score,anxiety score,erectile function score and T level between the two groups(P >0.05).After 4 months of five-tone therapy based on physical analysis,the data showed that there showed significant difference in physical fitness after microsperm extraction(P <0.05),but the proportion of peaceful quality increased after surgery in both groups,but there was a difference in the proportion of increase.There were significant differences in depression score,anxiety score,erectile function score and T level data analysis at 1 m after microsperm extraction between the two groups(P >0.05).The analysis of depression score,anxiety score and erectile function score at 4 months after microsperm extraction showed significant differences between the two groups(P < 0.05);the analysis of T level at 4 months after microsperm extraction showed no significant difference between the two groups(P > 0.05).The physical analysis data of the treatment group before microsperm extraction and after microsperm extraction with five-tone therapy showed significant differences(P <0.05);the physical analysis data of the control group before and after microsperm extraction showed significant differences(P > 0.05).In the treatment group,the depression and anxiety scores were significantly decreased before microsperm extraction,1 month after microsperm extraction,and 4 months after microsperm extraction(P < 0.05);the depression score after microsperm extraction in the control group was basically similar to the preoperative score after microsperm extraction(P > 0.05);the anxiety score after microsperm extraction in the control group was decreased compared with the preoperative score(P < 0.05);the erectile function score and T level did not change significantly before microsperm extraction,1 month after microsperm extraction,and 4 months after microsperm extraction in the control and treatment groups(P <0.05).Conclusion:There was no significant difference in preoperative constitution between the two groups,mainly yang deficiency(18.75%),qi stagnation(18.75%),blood stasis(13.75%)and yin deficiency(13.75%).In the control group,the physical fitness of the patients was not significantly improved after microsperm extraction,and the proportion of peaceful quality was not significantly increased;based on physical fitness analysis,the quality of the patients in the music therapy group was significantly improved,the proportion of peaceful quality was significantly increased,and the proportion of biased quality was decreased.The sexual function and T level of the patients will be affected1 month after microsperm extraction,and basically return to normal 4months after microsperm extraction.Based on physical analysis,the sexual function of the patients treated with music therapy has been improved.The psychological status of the patients was improved 1 month after microsperm extraction,and there was no significant difference 4months after microsperm extraction.Based on physical analysis,the psychological status of the patients was improved more significantly after music therapy.Combined with physical analysis,giving corresponding five-tone therapy to azoospermia patients after microsperm extraction improves postoperative depression and anxiety and other psychological states by regulating the patient ’biased constitution,promotes the recovery of erectile function status of patients,can reconcile the patient’ physical fitness,and makes the physical fitness tend to be peaceful or regulated to be peaceful. |
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