经皮穴位电刺激对男性合成毒品依赖者稽延性戒断综合征的影响  

Effect of Transcutaneous Electric Acupoint Stimulation on Protracted Withdrawal Syndrome of Male Synthetic Drug Addicts

作　　者：郑美凤[1] 谢长平 何芙蓉[1] 朱永铭 胡逸芳 林世春 罗菊芬[1] 廖华萍 ZHENG Meifeng;XIE Changping;HE Furong;ZHU Yongming;HU Yifang;LIN Shichun;LUO Jufen;LIAO Huaping(College of Acupuncture,Fujian University of Traditional Chiuese Medicine,Fuzhou,Fujian 350122,China;Fujian Fuzhou Judicia Compulsory Detoxification Institute,Fuzhou,Fujian 350122,China)

机构地区：[1]福建中医药大学针灸学院,福建福州350122 [2]福建省福州司法强制隔离戒毒所,福建福州350000

出　　处：《福建中医药》2018年第5期8-11,共4页Fujian Journal of Traditional Chinese Medicine

基　　金：福建省自然科学基金项目(2016J01777);福建省中青年教师教育科研项目(JAT160226)

摘　　要：目的观察经皮穴位电刺激疗法对男性合成毒品依赖者稽延性戒断综合征的影响。方法将108例男性合成毒品依赖患者按1∶1∶1的比例随机分为空白组、对照组和观察组各36例。观察组选取甜美穴、内关、足三里、三阴交采用经皮穴位电刺激治疗,对照组给予心理疏导治疗,空白组不给予任何干预。3组每次治疗1 h,连续治疗5 d,周末休息2 d,总疗程共28 d。比较3组治疗前后SCL-90总均分和各因子分值及血清5-HT含量的变化。结果与治疗前比较,2组抑郁、焦虑因子评分明显降低(P<0.05),血清5-HT含量明显升高(P<0.05);观察组SCL-90总均分及躯体化因子评分明显降低(P<0.05)。与空白组和对照组比较,观察组SCL-90总均分及躯体化、抑郁、焦虑因子评分治疗前后差值明显提高(P<0.05),血清5-HT含量及其治疗前后差值均明显升高(P<0.05)。结论经皮穴位电刺激疗法可改善男性合成毒品依赖者稽延性戒断综合征症状,尤其在治疗躯体化症状、抑郁、焦虑方面,并提高血清5-HT含量。Objective： To observe the effect of transcutaneous electric acupoint stimulation（TEAS） on protracted withdrawal syndrome of male synthetic drug addicts. Methods： According to the proportion of 1：1：1, 108 synthetic drug addicts were randomly divided into observation group, control group and blank group, each group contained 36 persons. The group accepted TEAS on the four acupoints： Tim-Mee, neiguan（PC6）, zusanli（ST36） and sanyinjiao（SP6）. The control group was given psychological guidance therapy, and the blank group offered no intervention. All of the person were treated for one hour each time, continuous treatment for 5 days and 2 days off on weekends, the total duration of treatment was 28 days. Compared the total scores of SCL-90 and each factor of the three groups, and concentration of serum 5-HT before and after the treatment. Results： Compared with that before treatment,the scores of depression, anxiety factors of control group and observation group were all significantly decreased（ P0.05）, The concentration of serum 5-HT of control group and observation group were significantly increased（P0.05）, The SCL-90 total average score and the score of somatization factor were significantly decreased（P0.05）. Compared with blank group and control group, the difference before and after treatment of the SCL-90 total average score, somatization, depression and anxiety factors of observation group were significantly increased（P0.05）, the concentration of serum 5-HT and the difference before and after treatment were significantly increased（P0.05）. Conclusion： TEAS could improve protracted withdrawal syndrome of male synthetic drug addicts,especially in somatization, depression and anxiety, and significantly improves the concentration of serum 5-HT.

关 键 词：戒断综合征 经皮穴位电刺激 电针 合成毒品 5-羟色胺 

分 类 号：R246.6[医药卫生—针灸推拿学]