电针与耳针对甲基苯丙胺成瘾者戒断症状疗效差异的比较研究  

Comparative study on effects between electroacupuncture and auricular acupuncture for methamphetamine withdrawal syndrome

作　　者：梁艳[1] 徐波[1] 张雪纯[1] 宗蕾[1] 陈跃来[2] 

机构地区：[1]上海中医药大学附属岳阳中西医结合医院针灸科,上海200437 [2]上海中医药大学

出　　处：《中国针灸》2014年第3期219-224,共6页Chinese Acupuncture & Moxibustion

基　　金：上海市教委创新项目:12YZ 070;上海市教委项目:10YZ 60;上海市重点学科项目:S 30304;国家中医药管理局针灸重点学科项目

摘　　要：目的:比较电针与耳针对甲基苯丙胺依赖者戒断症状的疗效差异。方法:将90例男性甲基苯丙胺成瘾者按随机数字表法分为电针组、耳针组和对照组,各30例。电针组取双侧内关、神门、足三里、三阴交,T5、L2夹脊穴;耳针组取单侧交感、神门、肺、肝,均每周治疗3次,共治疗12次;对照组不予任何干预措施。分别于治疗前,治疗1、2、3、4周后观察各组甲基苯丙胺戒断症状评分、汉密尔顿焦虑量表评分和汉密尔顿抑郁量表评分情况。结果:电针组和耳针组甲基苯丙胺戒断症状总评分、焦虑症状评分和抑郁症状评分在治疗2、3、4周后与治疗前相比明显降低(均P<0.05),并且随着治疗时间的延长呈现逐渐下降趋势;对照组以上各评分在治疗4周后较治疗前降低(均P<0.05);治疗1、2、3、4周后,电针组和耳针组戒断症状总分、焦虑症状评分和抑郁症状评分均显著低于对照组(均P<0.05);治疗4周后电针组戒断症状总分显著低于耳针组(3.69±2.446vs 5.73±3.169,P<0.05),治疗3、4周后电针组焦虑症状总分显著低于耳针组(8.19±4.57vs 9.65±4.24,5.27±2.89vs 7.38±3.10,均P<0.05),治疗2、3、4周后电针组抑郁症状总分显著低于耳针组(15.35±5.64vs 19.81±5.37,10.96±4.52vs 15.00±4.53,7.96±2.69vs 12.35±3.59,均P<0.05)。结论:电针体穴和耳针对于甲基苯丙胺戒断症状、情绪焦虑和抑郁症状均具有治疗作用,并且随着治疗时间的延长,电针体穴对以上症状的改善更明显。Objective To observe the efficacy difference of electroacupuncture and auricular acupuncture in the treatment of methamphetamine withdrawal syndrome. Methods Ninety male patients of methamphetamine addic- tion were randomized into an electroacupuncture group, an auricular acupuncture group and a control group, 30 ca- ses in each one. In the electroacupuncture group, Neiguan （PC 6）, Shenmen （HT 7）, Zusanli （ST 36）. Sanyin- jiao （SP 6）, Jiaji （EX-B 2） at T5 and L2 were selected bilaterally. In the auricular acupuncture group, jiaogan （AH6.）, shenmen （TF4）, fei （CO14） and gan （CO12） were selected unilaterally. The treatment was given 3 times a week, totally 12 treatments were required. In the control group, no any intervention was applied. Separately, before treatment and after 1. 2, 3 and 4 weeks treatment, the scores of methamphetamine withdrawal syndrome, Hamilton anxiety scale and Hamilton depression scale were observed in each group. Results The total score of methamphetamine withdrawal syndrome, anxiety score and depression score were obviously reduced in 2. 3 and 4 weeks of treatment as compared with those before treatment in the electroacupuncture group and the auricular acu- puncture group （all P〈0.05）, and showed a trend of gradual decline as the extension of treatment. In 1,2,3,4 weeks of treatment, the total score of withdrawal syndrome, anxiety score and depression score in the electroacu- puncture group and auricular acupuncture group were lower significantly than those in the control group （all P〈 0.05）, in which, the total score of withdrawal syndrome in the electroacupuncture group was lower significantly than that in the auricular acupuncture group in the 4th week of treatment （3.69±2.446 vs 5. 73±3. 169 ,P〈0. 05）the anxiety scores were lower significantly than those in the auricular acupuncture group in 3 and 4 weeks of treat- ment （8.19±4.57 vs 9.65±4.24,5.27±2.89 vs 7.38±3.10,both P〈0.05）; the depression scores were lower signific

关 键 词：甲基苯丙胺成瘾 戒断症状 电针 耳针 

分 类 号：R246.6[医药卫生—针灸推拿学]