针灸辅助治疗网络游戏障碍的效果观察  

Clinical efficacy of acupuncture and moxibustion in the adjuvant treatment of internet addiction disorder

作　　者：肖攀攀[1] 宋来云 郑小泳 曹健伟[2] 黄淑燕 Xiao Panpan;Song Laiyna;Zheng Xiaoyong;Cao Jianwei;Huang Shu yan.(Department of Traditional Chinese Medicine, Brain Hospital Affiliated to Guangzhou Medical University, Guangzhou, Guangdong 510370, China;Department of Psychiatry, the Third People ＇s Hospital of Jiangmen, Jiangmen , Guangdong 529000, China;Department of Psychiatry, Civil Affairs Bureau Mental Hospital of Guangzhou , Guangzhou , Guangdong 510430, China)

机构地区：[1]广州医科大学附属脑科医院中医科,广东省广州510370 [2]江门市第三人民医院精神科,广东省江门529000 [3]广州市民政局精神病院精神科,广东省广州510430

出　　处：《中国基层医药》2018年第11期1408-1411,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：广东省江门市科技计划项目（2014020）

摘　　要：目的探讨针灸辅助治疗网络游戏障碍者的临床疗效并评价其安全性。方法收集38例网络游戏障碍者，按就诊奇偶次序分为两组：一组以心理治疗、抗抑郁、抗焦虑等治疗，为对照组（n＝19）；另一组在上述治疗的基础上辅以针灸治疗，为针灸组（n＝19）。疗程为8周。治疗前后分别用中文网络成瘾量表（CIAS）、家庭功能评定量表（FAD）、汉密尔顿抑郁量表（HAMD）、汉密尔顿焦虑量表（HAMA）评定两组网络游戏成瘾严重程度及社会功能。治疗后评定两组不良反应（TESS）。比较两组疗效及安全性。结果针灸组与对照组治疗后CIAS、FAD、HAMA＋HAMD评分均有明显改善[（86.8±13.6）分比（38.3±11.5）分，t＝11.872，（85.6±12.3）分比（54.6±18.2）分，t＝7.123；（185.8±31.5）分比（80.6±29.4）分，t＝10.643，（182.7±12.7）分比（110.5±32.3）分，t＝9.068；（53.4±7.6）分比（21.7±9.7）分，t＝11.215，（55.2±8.3）分比（35.2±8.3）分，t＝7.428）]（均P〈0.05），且针灸组CIAS、FAD、HAMA＋HAMD评分均低于对照组（t＝3.301、2.985、10.825，均P〈0.05）。针灸组与对照组不良反应发生率（21.05%比15.78%）及TESS评分[（2.58±0.76）分比（2.71±0.84）分]差异均无统计学意义（均P〉0.05）。结论针灸辅助治疗网络游戏障碍者具有较好的临床疗效，安全性高，不良反应轻。ObjectiveTo investigate the clinical efficacy and safety of acupuncture and moxibustion in the adjuvant treatment of internet addiction disorder.MethodsFrom January 2013 to April 2015, a total of 38 patients with internet addiction disorder were randomly selected and divided into study group（19 cases） and control group（19 cases） according to the odd and even order of hospitalize.The control group received psychological therapy, antianxiety therapy and antidepression therapy.The study group received acupuncture and moxibustion in addition to all therapies of the control group.The patients were treated for 8 weeks.Chiese Internet Addiction Scale（CIAS）, Family Assessment Device（FAD）, HAMD, HAMA were used to determine the internet addiction severity and social function of the two groups at baseline and the 8th weekend of treatment, and TESS at the 8th weekend of treatment.ResultsAt the 8th weekend of treatment, the scores of CIAS, FAD, HAMA＋ HAMD in the two groups were all significantly lower than baseline[（86.8±13.6）points vs.（38.3±11.5）points, t=11.872, （85.6±12.3）points vs.（54.6±18.2）points, t=7.123; （185.8±31.5）points vs.（80.6±29.4）points, t=10.643, （182.7±12.7）points vs.（110.5±32.3）points, t=9.068; （53.4±7.6）points vs.（21.7±9.7）points, t=11.215, （55.2±8.3）points vs.（35.2±8.3）points, t=7.428）]（all P〈0.05）. At the 8th weekend of treatment, the scores of CIAS, FAD, HAMA＋ HAMD in the study group were significantly lower than those in the control group（t=3.301, 2.985, 10.825, all P〈0.05）. There was no statistically significant difference in the incidence rate of side effects between the two groups（all P〉0.05）.ConclusionAcupuncture and moxibustion is effective and safe in the treatment of patients with internet addiction disorder.

关 键 词：针灸疗法 网络游戏障碍 

分 类 号：R246.6[医药卫生—针灸推拿学]