鼻腔内低强度激光照射与心理联合治疗对海洛因成瘾者的疗效对照研究  

EFFECTIVE STUDY ON THE COMBINED TREATMENT OF INTRANASAL LOW INTENSITY LASER THERAPY WITH PSYCHOTHERAPY

作　　者：曾红[1] 武晓艳[1] 王声涌[2] 

机构地区：[1]暨南大学医学院医学心理学教研室,广州510632 [2]暨南大学医学院流行病学教研室,广州510632

出　　处：《中国药物依赖性杂志》2009年第5期393-397,共5页Chinese Journal of Drug Dependence

基　　金：深圳劳教二所与暨南大学医学院横向课题基金(40105014)

摘　　要：目的:探求鼻腔内低强度激光照射(ILILT)与心理联合治疗对海洛因成瘾者的治疗效果。方法:研究对象分成3组,ILILT组、综合组和对照组,前两组分别运用我国自制的低强度激光照射仪对被试进行3个疗程的鼻腔激光照射,同时综合组进行为期3个月的心理障碍消除心理治疗,以同期参加所内常规治疗的30名海洛因成瘾者组成对照组。使用稽延性戒断症状评定量表、焦虑自评量表、抑郁自评量表、SCL-90进行组和对照组的测试。结果:ILILT组与对照组在失眠(F=1.74,P<0.05),烦躁(F=3.68),疼痛(F=4.12),胃肠不适(F=5.04,P<0.01)方面差异呈显著性;综合组在各项得分上与对照组比较差异都呈显著性,其中,SDS:F=2.03,P<0.05),SAS、SCL-90两项F分别为4.98,5.24,P<0.01;综合组与ILILT组在疼痛,肠胃不适得分上差异无显著性,但SAS(t=3.24,P<0.05),SDS(t=0.37,P<0.05),SCL-90(t=2.19,P<0.01)得分上差异呈显著性。显示心理治疗对烦躁、抑郁等情绪心理特征问题有较好的作用,但对疼痛,肠胃不适这样的生理问题作用不大。结论:ILILT对改善稽延性戒断症状有较好的效果,但对心理症状疗效不明显,联合心理治疗则对心理障碍有较好的疗效,证明联合ILILT、心理治疗的综合治疗对药物成瘾者的身心具有较好的治疗效果,可帮助降低引发复吸的危险性。Objective：To explore the therapeutic efficacy of the combined treatment of intranasal low intensity laser therapy （ILILT） with psychotherapy for withdrawal symptoms of heroin addicts. Methods： Ninety heroin addicts with drug free for 15 -90 days were divided into three groups, ILILT group, combined treatment group and control group, each group consisted of 30 patients. Both ILILT and combined group were treated with ILILT for 3 courses, but combined treatment group received extra psychotherapy for 3 months at the same time. The control group received routine treatment. The Scale for the Assessment of Protracted Withdrawal Symptoms of Heroin Addicts, Self- Rating Anxiety Scale （SAS）, Self- m - Checklist 90（ SCL - 90） Rating Depression Scale （SDS）were used to assess the efficacy. Results：After 3 courses of ILILT and 3 months of psychotherapy, ILILT had better effect on controlling prolonged withdrawal symptoms than psychotherapy; ILILT showed significant deviation with control group, for insomnia, F=1. 74, P〈0. 05, for fidget, F=3.68, for pain, F=4. 12, sore with stomach and intestines, F = 5.04, P 〈 0.01 but the effect on depression in ILILT was not as good as psychotherapy, there was significant deviation of the scores of SDS, SAS and SCL -90 between control group and combined group, for SDS, F = 2.03, P 〈 0. 05, for SAS, F = 4.98, P 〈 0. 01, SCL - 90, F = 5.24, P 〈 0. 01 ; there was no significant deviation between combined group and ILILT group in the scores of pain, sore with stomach and intestines, but for the SAS（t =3.24, P 〈0. 05）, SDS（t =0. 37, P 〈 0. 05）, SCL - 90 （ t = 2. 19, P 〈 0. 01 ）, showed significant deviation, which reveals that psychotherapy has good effect on fidget, depression. But limited effect to body pain, sore with stomach and intestines. Conclusion： ILILT has good effect on prolonged withdrawal symptoms, but not psychological symptoms. If ILILT combined with psychotherapy, it will work on psychological symptoms. So, combined treatment o

关 键 词：鼻腔内低强度激光照射 心理治疗 海洛因成瘾 

分 类 号：R312[医药卫生—基础医学] R595.5