中医药导报2025，Vol.31Issue(4)：118-121,151,5.DOI:10.13862/j.cn43-1446/r.2025.04.019
中医五行音乐对不孕症患者焦虑情绪及心率变异性的影响
Effects of Five-Phase Music Therapy in Traditional Chinese Medicine on Anxiety and Heart Rate Variability in Infertile Patients
摘要
Abstract
Objective:To explore the effects of Five-Phase Music Therapy(FPMT),a traditional Chinese medicine(TCM)intervention,on anxiety and heart rate variability(HRV)in infertile patients.Methods:A total of 228 patients undergoing in vitro fertilization-embryo transfer(IVF-ET)with self-rating anxiety scale(SAS)scores≥50 and diagnosed with liver Qi stagnation pattern or kidney essence deficiency pattern were randomly divided into a control group(n=114)and a treatment group(n=114).The control group received routine clinical care,while the treatment group underwent additional FPMT(30 minutes per session,3 sessions weekly)from cycle initiation until the day before oocyte retrieval.Outcomes included changes in SAS scores and HRV parameters[standard deviation of normal-to-normal intervals(SDNN),root mean square of successive differences(RMSSD),total power(TP),low-frequency power(LF),high-frequency power(HF),and physiological stress index(PSI)].The effects of different musical modes[e.g.,Jue(Wood phase)and Yu(Water phase)]on HRV were also analyzed.Results:Post-treatment,the treatment group exhibited significantly higher SDNN,RMSSD,TP,LF,and HF(P<0.05),and lower SAS scores and PSI(P<0.05)compared to the control group.Within the treatment group,SDNN and TP increased(P<0.05),while SAS and PSI decreased(P<0.05)post-intervention.Patients listening to Jue-mode music showed reduced PSI(P<0.05)and elevated TP and LF(P<0.05),whereas Yu-mode music listeners demonstrated increased RMSSD and HF(P<0.05).Conclusion:FPMT alleviates anxiety,enhances HRV,and improves autonomic nervous system activity in infertile patients,with modality-specific effects linked to musical phases.关键词
不孕症/IVF-ET/焦虑/中医五行音乐/心率变异性/音乐调式Key words
infertility/IVF-ET/anxiety/Five-Phase music therapy/heart rate variability/musical modes分类
医药卫生引用本文复制引用
董英辉,李慧,戴芳芳,赵晓丹,王树松,李星,郑波..中医五行音乐对不孕症患者焦虑情绪及心率变异性的影响[J].中医药导报,2025,31(4):118-121,151,5.基金项目
河北省医学科学研究课题计划(20221861) （20221861）
