针刺不同穴位对海洛因戒断后焦虑和抑郁情绪的影响  

Effect of Acupuncture at Different Acupoints for Heroin Withdrawal Anxiety and Depression

作　　者：许静[1] 侯文光[1] 梁艳[1] 徐波[1] 宗蕾[1] 

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437

出　　处：《上海针灸杂志》2013年第6期433-435,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家中医药管理局重点学科建设项目;上海市教委创新项目(10YZ60)

摘　　要：目的探讨针刺不同穴位组对海洛因成瘾者戒断后焦虑和抑郁情绪的影响。方法将90例男性海洛因成瘾者随机分为针刺Ⅰ组(T5夹脊穴)30例、针刺Ⅱ组(内关穴)30例和针刺Ⅲ组(T5夹脊穴+内关穴)30例,针刺治疗4星期,每星期3次,共12次。采用汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)和汉密尔顿抑郁量表(Hamilton depression scale,HAMD)观察患者治疗前及治疗1～4星期后症状的变化。结果治疗后各组在改善海洛因依赖者戒断后焦虑症状和抑郁症状方面疗效明显(P<0.05);在治疗2星期后,针刺Ⅲ组优于针刺Ⅱ组(P<0.05);在治疗3星期后,针刺Ⅰ组在改善焦虑症状方面优于针刺Ⅱ组(P<0.05);在治疗4星期后,针刺Ⅲ组在改善抑郁症状方面优于针刺Ⅰ组(P<0.05)。结论针刺对于海洛因成瘾者戒断后焦虑和抑郁情绪具有治疗作用;针刺T5夹脊穴在治疗海洛因成瘾者戒断后焦虑症状方面较针刺内关穴具有优势;T5夹脊穴+内关穴在改善海洛因成瘾者戒断后焦虑和抑郁情绪方面具有协同效应。Objective To explore the effect of acupuncture at different groups of acupoints on withdrawal anxiety and depression in heroin addicts. Method Ninety male heroin addicts were randomized into acupunctue group I [T5 Jiaji points （EX-B2）] of 30 cases, acupuncture group II [Neiguan （PC 6）] of 30 cases, and acupuncture group III [T5 Jiaji points （EX-B2） and Neiguan （PC6）] of 30 cases to receive a 4-week acupuncture treatment, 3 times a week, 12 sessions in total. Hamilton Rating Scale for Anxiety （HAMA） and Hamilton Rating Scale for Depression （HAMD） were adopted to observe the changes of symptoms before treatment and after 1 -4 weeks of treatment. Result After treatment, three groups all showed significant improvements in heroin withdrawal anxiety and depression symptoms （P（0.05）; after 2-week treatment, acupuncture group III was superior to acupuncture group II （P〈0.05）; after 3-week treatment, acupuncture group I was better than acupuncture group II in improving anxiety symptoms （P〈0.05）; after 4-week treatment, acupuncture group III was superior to acupuncture group I in improving depression symptoms （P〈0.05）. Conclusion Acupuncture has therapeutic effect for withdrawal anxiety and depression in heroin addicts; compared to puncturing Neiguan, puncturing T5 Jiaji points has its advantage in treating withdrawal anxiety symptoms in heroin addicts; T5 Jiaji points plus Neiguan can produce a synergistic effect in improving withdrawal anxiety and depression emotions in heroin addicts.

关 键 词：物质禁断综合征 海洛因依赖 针刺 穴 夹脊 穴 内关 精神症状 

分 类 号：R246.6[医药卫生—针灸推拿学]