头针联合耳穴揿针改善男性酒精依赖者认知功能的对照研究  

A comparative Study of Scalp Acupuncture Combined With Auricular Point Pressing on Improving Cognitive Function of Male Alcohol Dependence

作　　者：刘燕菁 罗小光 覃颖 杨勇 赵静雯 邓婧 靳泽宇 LIU Yanjing;LUO Xiaoguang;QIN Ying;YANG Yong;ZHAO Jingwen;DENG Jing;JIN Zeyu(Addiction medicine departmen,the second People’s Hospital of Guizhou Province,Guiyang 550004,Guizhou,China;Acupuncture and massage department,the Affiliated Hospital of Guizhou medical university,Guiyang 550001,Guizhou,China)

机构地区：[1]贵州省第二人民医院成瘾医学科,贵州贵阳550004 [2]贵州省医科大学附属医院针灸推拿科,贵州贵阳550001

出　　处：《中国药物滥用防治杂志》2021年第4期470-474,共5页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：贵州省中医药、民族医药科学技术研究专项课(编号:QZYY-2019-030);贵州省卫生健康委科学技术基金(编号:gzwjkj2019-1-114)。

摘　　要：目的:探讨头针联合耳穴揿针改善男性酒精依赖者认知功能的临床效果。方法:选取2019年9月—2021年3月贵州省精神卫生中心收治的60例男性酒精依赖者作为研究对象,随机均分为对照组和针刺组,每组30例。针刺组给予针刺(头针联合耳穴揿针)合并团体心理治疗,对照组常规给予团体心理治疗。收集两组男性酒精依赖者人口学资料、饮酒信息、酒精相关心理评估等一般临床资料;测评两组男性酒精依赖者治疗前、后蒙特利尔认知评估量表(Mo CA量表)各认知维度因子、事件相关电位(ERP)P300的潜伏期及波幅。结果:治疗后,针刺组MoCA总分及其五个认知维度因子(含视觉空间与执行功能、语言、抽象、注意、延迟回忆)评分较对照组差异有统计学意义(P<0.05);针刺组P300潜伏期(324.27±59.22)ms较对照组(369.67±36.15)ms短,差异有统计学意义(P<0.05);针刺组P300波幅(8.61±4.32)μV较对照组(6.15±4.6)μV高,差异有统计学意义(P<0.05)。结论:头针联合耳穴揿针可改善男性酒依赖者视觉空间与执行功能、语言、抽象、注意、延迟回忆等方面认知、缩短其P300潜伏期及升高P300波幅,即能一定程度上改善男性酒精依赖者认知功能。Objective: To investigate the clinical effect of scalp acupuncture combined with auricular pressing needle on improving cognitive function of male alcohol dependent patients. Methods: From September 2019 to March 2021 in Guizhou mental health center, 60 male alcohol dependencers were randomly divided into the control group and acupuncture group with 30 cases each. The acupuncture group was treated with acupuncture(scalp acupuncture combined with auricular point pressing) and group psychotherapy, while the control group was treated with group psychotherapy. Demographic data, drinking information, alcohol related psychological assessment and other general clinical data were collected;The cognitive dimension factors of Montreal Cognitive Assessment Scale(MoCA) and the latency and amplitude of event-related potential(ERP) P300 were evaluated before and after treatment. Results: Before treatment, there was no significant difference in demographic data, drinking information, alcohol-related psychological assessment and other general clinical data between the two groups(P > 0.05), suggesting that there was comparability between the two groups;After treatment, the results were as follows: The total score of MOCA and its five cognitive dimension factors(including visual space and executive function, language, abstraction, attention and delayed recall) in the acupuncture group were significantly different from those in the control group(P < 0.05);The P300 latency in the acupuncture group(324.27±59.22) ms shorter than(369.67±36.15) ms in the control group, the difference was statistically significant(P<0. 05);P300 amplitude of acupuncture group(8.61±4.32) μV higher than(6.15±4.6) μV in the control group, and difference was statistically significant(P < 0.05). Conclusion: Scalp acupuncture combined with auricular point pressing can improve the cognitive function of male alcohol addicts in visual space and executive function, language, abstraction, attention, delayed recall, shorten the P300 latency and increase the P30

关 键 词：头针 耳穴揿针 酒精依赖 认知功能 事件相关电位 

分 类 号：R246.6[医药卫生—针灸推拿学]