| Objective:This subject takes the patients with mild and moderate post-stroke depression as the research object,and discusses the clinical effect of music therapy according to the theory of five-person physique and five-element music,so as to understand their depression level and sleep status before and after treatment,and provide new ideas for the treatment of post-stroke depression.Methods:93 patients with mild and moderate post-stroke depression were selected from the Department of Neurology,Jiangxi Provincial Hospital of Traditional Chinese Medicine from November 2021 to August 2022.According to the prescribed inclusion and exclusion criteria,as well as rejection and dropping criteria.a total of 90 eligible patients were finally included in this study.They were randomly divided into three groups by means of envelope removal,namely,30 patients in the dropethiton-meritracine group,30 patients in the"zhi diao"(a note in the ancient Chinese five-tone scale)music group,and 30 patients in the selecting the corresponding music group due to five pedestrians’physique.All 90 patients were given routine treatment of stroke.On this basis,the dropethiol melitracen group was given dropethiol melitracen tablets orally;Music group of"zhi diao":simply applying"zhi diao"music therapy;selecting the corresponding music group:selecting the corresponding music based on five pedestrians’physique"was given on the basis of simple music therapy of"zhi diao".Six days of treatment is a course of treatment,and the treatment and observation periods of three groups of PSD patients are five courses of treatment.Before and after the intervention,the three groups of PSD patients were compared and analyzed in terms of the Hamilton Depression Scale-17(HAMD-17)score and its factor score,Pittsburgh Sleep Index(PSQI)score,and Self-Rating Depression Scale(SDS)score to evaluate the efficacy.Result:1.Comparison of baseline before treatment among three groups of patientsAccording to the SPSS25.0 statistical test,there was no significant difference in the comparison of general data,such as age,sex,marital status,stroke type and number of lesions,degree of depression(mild/moderate),combined basic diseases,and the scores of the above various scales before treatment among the three groups of 90 patients(P>0.05),It is suggested that the three groups of data can be compared and analyzed in the next step.2.Comparison between SDS scale score and HAMD-17 scale scoreThe scores of the three groups decreased significantly(P<0.01),after five courses of intervention.the score of selecting the corresponding music group due to five pedestrians’physique is lower than that of the dropethidol melitracen group and the"zhi diao"music group,there were differences between groups(P<0.05).The score of the music group of"zhi diao"was slightly lower than that of the dropethiton-meritracine group,and there was no difference between the groups(P>0.05).3.Clinical efficacy evaluation of HAMD-17 scale scoreAfter five courses of intervention in the three groups,the results of showed that the total effective rate of dropethidol melitracen group was 70.0%,the total effective rate of"zhi diao"music group was 70.0%,and the total effective rate of selecting the corresponding music group due to five pedestrians’physique was 90.0%.According to the statistical analysis,the therapeutic effect of selecting the corresponding music group due to five pedestrians’physique was better than that of dropethiton-meritracine group(z=-2.463,P=0.014)and the"zhi diao"music group(z=-2.262,P=0.024)(P<0.05).The therapeutic effect of the music group of"zhi diao"was similar to that of the dropethiton-meritracine group(z=-0.168,P=0.866>0.05).4.Comparison of scores of various factors in HAMD-17 scale(1)Comparison of anxiety/somatization scores:the anxiety/somatiza-tion scores of the three groups,after five courses of intervention,were significantly lower than those before intervention(P<0.01).The score of selecting the corresponding music group due to five pedestrians’physique was lower than that of the dropethidol melitracen group and the"zhi diao"music group,and there was a difference between the groups(P<0.05).The score of the music group of"zhi diao"was slightly lower than that of the dropethiton-meritracine group(P>0.05).(2)Comparison of sleep disorder scores:the sleep disorder scores of the three groups,after five courses of intervention,were significantly lower than those before intervention(P<0.01).The score of selecting the corresponding music group due to five pedestrians’physique was lower than that of the dropethidol melitracen group and the"zhi diao"music group,and there was a difference between the groups(P<0.05).The score of the music group of"zhi diao"was slightly lower than that of the dropethiton-meritracine group,and there was no difference between the groups(P>0.05).(3)Comparison of block scores:the block scores of the three groups,after five courses of intervention,were significantly lower than those before intervention(P<0.01).The results after inter-group intervention showed that X~2=0.055,P=0.973>0.05,the difference was not significant.(4)Comparison of cognitive impairment scores:the cognitive impairment scores of the three groups,after five courses of intervention,were significantly lower than those before intervention(P<0.01).The score of dropethidol melitracen group was lower than that of the“zhi diao”music group(z=-0.870,P=0.384),and higher than that of the selecting the corresponding music group due to five pedestrians’physique(z=-1.605,P=0.109).There was no difference between the groups(P>0.05).The score of the selecting the corresponding music group due to five pedestrians’physique was significantly lower than that of the"zhi diao"music group(z=-2.644,P=0.008),and there was significant difference between the groups(P<0.01).(5)Comparison of weight loss scores:after five courses of intervention,the weight loss scores of the three groups did not change significantly,and there was no difference between the three groups and within the group(P>0.05).5.PSQI scale score comparisonThe PSQI scores of the three groups,after five courses of intervention,were obviously lower than those before intervention(P<0.01).The score of selecting the corresponding music group due to five pedestrians’physique was lower than that of dropethiton-meritracine group(P=0.014)and"zhi diao"music group(P=0.047)(P<0.05);The score of the music group of"zhi diao"was slightly lower than that of the dropethiton-meritracine group(P=0.629>0.05).6.Analysis of correlation between PSQI scores and SDS and HAMD-17scores of three groups of patients before interventionThere was a positive linear correlation between PSQI and SDS,HAMD-17scores before treatment in three groups of patients,after Pearson correlation analysis.Conclusion:1.The three methods can effectively improve the level of depression,sleep quality,anxiety/somatization symptoms,block and cognitive impairment of PSD patients by simply applying music therapy of"zhi diao","selecting the corresponding music due to five pedestrians’physique"therapy on the basis of music therapy of"zhi diao"and taking oral droperidol melitracen tablets.2.In terms of improving the level of depression,sleep quality and anxiety/somatization symptoms of PSD patients,the clinical effect of"zhi diao"music therapy alone is equivalent to that of western medicine,and the"selecting the corresponding music due to five pedestrians’physique"therapy based on"zhi diao"music is superior to the former two.3.There is no difference in the efficacy of the above three methods in improving the block of PSD patients.4.In terms of improving the cognitive impairment of PSD patients,the effect of"Selecting the corresponding music due to five pedestrians’physique"on the basis of"zhi diao"music is significantly better than that of"zhi diao"music alone.5.The above three methods can not improve the weight loss of PSD patients.6.Depression and sleep disorder are closely related.They interact,cause and effect each other,and cause disease together. |
PDF Full Text Request