针刺对网络成瘾患者心理渴求的干预效果及对血浆DA、β-EP的影响  

Intervention Effect of Acupuncture on Psychological Desire and Plasma DA and β-EP of Patients with Internet Addiction Disorder

作　　者：赵玉霞[1] 章涵[1] ZHAO Yu-xia;ZHANG Han(Xinyang Vocational and Technical College,Xinyang,Henan,China,464000)

机构地区：[1]信阳职业技术学院,河南信阳464000

出　　处：《河南中医》2022年第2期310-313,共4页Henan Traditional Chinese Medicine

基　　金：河南省高等学校人文社会科学研究项目(2021-22JH-343)。

摘　　要：目的:观察针刺对网络成瘾患者心理渴求及血浆多巴胺(dopamine,DA)、β-内啡肽(β-Endorphins,β-EP)的影响。方法:采用随机数字表法将60例患者分为空白组、夹脊穴组、四肢穴组,每组20例。夹脊穴组和四肢穴组均有1例患者不配合干预,退出试验。夹脊穴组给予针刺夹脊穴治疗,取T5~T7夹脊穴、肾俞(双侧);四肢穴组给予针刺四肢穴治疗,取双侧四肢穴位内关、神门、足三里、三阴交、合谷、太冲;空白组不予任何干预治疗。采用网瘾自评量表评价成瘾程度、视觉模拟评分法(visual analogue score,VAS)评定心理渴求程度,采用放射免疫法检测血浆β-EP和DA含量。结果:干预后、干预后3个月,夹脊穴组和四肢穴组网瘾自评量表评分、VAS积分均低于空白组,差异有统计学意义(P<0.05);干预后、干预后3个月,夹脊穴组与四肢穴组网瘾自评量表评分、VAS积分比较,无统计学差异(P>0.05);干预后、干预后3个月,夹脊穴组和四肢穴组血浆β-EP、DA含量均高于空白组,差异有统计学意义(P<0.05);干预后、干预后3个月,夹脊穴组β-EP、DA含量高于四肢穴组,差异有统计学意义(P<0.05)。结论:针刺夹脊穴和四肢穴均可明显抑制网络成瘾患者心理渴求和成瘾程度,其机制可能与增加血浆β-EP和DA的含量有关。Objective:To observe the intervention effect of acupuncture on psychological desire and plasma dopamine(DA)andβ-Endorphins(β-EP)of patients with Internet addiction disorder(IAD).Methods:A total of 60 patients were randomly divided into the blank group,the Jiaji(EX-B2)group and the four-limb-acupoint group,with 20 cases in each group.There was one patient in the Jiaji group and the four-limb-acupoint group who did not cooperate with the intervention and withdrew from the experiment.The Jiaji group was treated with acupuncture at Jiaji(T5-T7)and Shenshu(BL 23,bilateral).The four-limb-acupoint group was treated with acupuncture at four-limb acupoints,including Neiguan(PC 6),Shenmen(HT 7),Zusanli(ST 36),Sanyinjiao(SP 6),Hegu(LI 4)and Taichong(LV 3);The blank group was not given any intervention.The degree of addiction was evaluated by self rating scale of Internet addiction;the degree of psychological desire was evaluated by visual analogue scale/score(VAS),and the plasmaβ-EP and DA content were measured by radioimmunoassay.Results:After intervention and 3 months after intervention,the scores of self rating scale of Internet addiction and VAS in the Jiaji group and the four-limb-acupoint group were lower than those in the blank group,and all the differences were statistically significant(P<0.05).After intervention and 3 months after intervention,there was no significant difference in the scores of self rating scale of Internet addiction and VAS between the Jiaji group and the four-limb-acupoint group(P>0.05).After intervention and 3 months after intervention,the plasmaβ-EP and DA content in the Jiaji group and the four-limb-acupoint group were all higher than those in the blank group,and all the differences were statistically significant(P<0.05).After intervention and 3 months after intervention,the plasmaβ-EP and DA content in the Jiaji group were all higher than those in the four-limb-acupoint group,and all the differences were statistically significant(P<0.05).Conclusion:Acupuncture at Jiaji(EX-B2)and the fou

关 键 词：网络成瘾 针刺疗法 心理渴求 多巴胺 Β-内啡肽 

分 类 号：R245.31[医药卫生—针灸推拿学]