目的：探讨音乐疗法对精神分裂症患者生活质量、社会功能及自我尊重感的影响。方法：确诊为慢性 精神分裂症的患者120例随机分为2组，各60例。对照组给予抗精神病药物治疗，治疗组给予抗精神病药物 及音乐疗法，疗程3个月。治疗前、后，以生活质量量表（SQLS）评价患者生活质量，以个人和社会功能量表 （PsP）评价患者社会功能，以自尊量表（SES）评价患者自我尊重感。结果：治疗3个月后，治疗组的SQLS评 分低于同组治疗前及对照组（P＜0.05），对照组治疗前后差异无统计学意义（P＞0.05）；治疗组的PsP评分低 于同组治疗前及对照组（P＜0.05），对照组治疗前后差异无统计学意义（P＞0.05）；2组SES评分变化差异无 统计学意义（P＞0.05）。结论：音乐疗法辅助常规抗精神病药物治疗可明显改善慢性精神分裂症患者生活 质量及社会功能，但并不能有效改善患者自尊感。

To explore the effect of music therapy on the life quality, social performance, and self-esteem in schizophrenia patients. Methods: One-hundred and twenty patients with a confirmed diagnosis of chronic schizophrenia were randomly divided into two groups with 60 subjects per group. During a 3-month treatment period, the control group accepted only standard antipsychotic drugs, and the experimental group accepted both standard drugs and music therapy. Quality of life (SQLS), social performance (PsP), and self-esteem (SES) were measured before and after treatment. Results: After 3 months of treatment, the experimental group showed a statistically significant decrease in SQLS score compared to that before treatment and compared to that in the control group (P<0.05); the control group showed no significant difference before and after treatment (P>0.05). The experimental group showed a significant decrease in PsP score after treatment compared to that before treatment and compared to that in the control group (P<0.05); the control group showed no significant difference in PsP scores before and after treatment (P>0.05). The two groups showed no statistical difference in SES scores (P>0.05). Conclusion: Music therapy as a supplement to conventional antipsychotic drugs can significantly improve the quality of life and social performance of chronic schizophrenia patients, but it cannot effectively improve patients’self-esteem.