The Study Of Efficacy Evaluation In Diarrhea-predominant Pattern Of Irritable Bowel Syndrome’s Adjuvant Treatment By Five Elements Music

ObjectiveTo explore the efficacy evaluation in the treatment by five elements music of life quality, survival quality, and mental state, this study treated IBS-D’ s patients in anxiety or depression condition, whose syndrome differentiation is liver stagnation and spleen deficiency. Then make the reference and basis for IBS-D treating by Chinese medicine.MethodsAccording to the randomized, controlled study,60 patients who met the inclusion criteria during 2015-9 to 2016-3 were randomly divided into 30 patients as treatment group (Group A) and 30 as control group (Group B). They had to fill in the scale before entered the group.Two groups were given conventional treatment-diet and Chinese medication. According to Traditional Chinese Medicine (TCM) differentiation, the Chinese medication was based on TongXie prescription, changed the kind of herbal medicine. And Group A began five elements music treatment based on TCM differentiation principle at the sane time. After filled in the scale, we informed patients about the matters need attention of five elements music treatment. Treatment for five times a week, a total of 4 weeks. At the end of the course the patients filled in the scale again. The scale included The Irritable Bowel Syndrome-Quality of Life Measure (IBS-QOL), the MOS item short from health survey (SF-36), Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD).Results1. For the life quality, after the treatment for 4 weeks, two groups with patients in the treatment, each point is lower than before treatment, all of them are statistically significant differences (P<0.01). Compared between two groups, Group A with patients’ dimension points in dysthymia, behavior disorders, and self image are lower then Group B’s, which differences are significant (P<0.05). The other dimension points and total points are not statistically significant differences (P>0.05). Proved out five elements music treatment can improve the mental state and self-perception of IBS-D’s patients to a certain extent.2. For the survival quality, after the treatment for 4 weeks, two groups with patients in the treatment, their RE、MH、RP、SF、VT、GH、BP dimension points and total points are higher than before treatment (P<0.01). The PF dimension point is not statistically significant differences (P>0.05). Compared between two groups, Group A with patients’ dimension points in RE、 MH、VT are higher then Group B’s, which differences are significant (P<0.05). Proved out five elements music treatment can improve the refreshment and mental state of IBS-D’s patients to a certain extent.3. For the anxiety, after the treatment for 4 weeks, two groups with patients in the treatment, each point is lower than before treatment (P<0.01). Compared between two groups, Group A with patients’ factors points in somatic anxiety factors is lower than Group B’s. Although psychic anxiety factors points and total points between two groups are not statistically significant differences (P>0.05), the difference between before and after treatment of Group A’s body anxiety factor and mental anxiety factor is bigger than Group B’s. Illustrated five elements music treatment has certain promoting effect on the improvement of the state of anxiety, especially in somatic anxiety aspect.4. For the depression, after the treatment for 4 weeks, two groups with patients in the treatment, their anxiety somatization, retardation and sleep disturbance factors points and total points are lower than before treatment (P<0.01). The body weight, cognitive impairment factors points are not statistically significant differences (P>0.05). Compared between two groups, although all points between two groups are not statistically significant differences (P>0.05), the difference between before and after treatment of Group A’s five factors is bigger than Group B’s. Illustrated five elements music treatment has certain promoting effect on the improvement of the state of depression.ConclusionThis clinical research shows that in the guidance of differentiation of symptoms and signs of liver and spleen, five elements music combined with traditional Chinese medicine treatment are a certain extent superior to pure traditional Chinese medicine treatment at improving the mental status and energy of IBS-D’s patients, which means improve the quality of life and survival in patients with IBS-D to a certain extent.