调神法针刺对甲基苯丙胺戒断后焦虑情绪的影响  

Effect of Tiaoshen acupuncture on anxiety after methamphetamine withdrawal

作　　者：孙远征 丁园[1] 于天洋 陈存阳 李鹏 杨秀阁 孙颖哲 SUN Yuan-zheng;DING Yuan;YU Tian-yang;CHEN Cun-yang;LI Peng;YANG Xiu-ge;SUN Ying-zhe(School of Graduate,Heilongjiang University of CM,Harbin 150040;Second Department of Acupuncture and Moxibustion,Second Affiliated Hospital of Heilongjiang University of CM,Harbin 150001;Department of Internal Medicine,Heilongjiang Compulsory Isolation Detoxification Center)

机构地区：[1]黑龙江中医药大学研究生院,哈尔滨150040 [2]黑龙江中医药大学附属第二医院针灸二科,哈尔滨150001 [3]黑龙江省强制隔离戒毒所内科

出　　处：《中国针灸》2022年第3期277-280,331,共5页Chinese Acupuncture & Moxibustion

基　　金：国家中医药管理局全国名老中医药专家传承工作室建设项目:国中医药人教发[2014]20号;黑龙江省自然科学基金联合引导项目:LH2019H103;黑龙江中医药大学校科研基金资助项目:2019MS21。

摘　　要：目的:比较调神法针刺结合心理疗法与单纯心理疗法治疗甲基苯丙胺戒断后焦虑的临床疗效。方法:将78例患者随机分为观察组(39例,脱落2例)和对照组(39例,脱落1例)。对照组予心理疗法,观察组在对照组的基础上予调神法针刺治疗,穴取百会、神庭、本神、内关、神门。两组均每日治疗1次,6d为一疗程,共治疗4个疗程。分别于治疗前后观察两组患者汉密尔顿焦虑量表(HAMA)、药物成瘾者生命质量测定量表(QOL-DA)及匹茨堡睡眠质量指数(PSQI)评分。结果:治疗后,两组患者HAMA、QOL-DA和PSQI各项评分及总分均较治疗前降低(P<0.05),且观察组HAMA评分的躯体性焦虑因子、精神性焦虑因子及总分和QOL-DA各项评分及总分以及PSQI评分的睡眠质量、入睡时间、睡眠时间、日间功能障碍评分及总分低于对照组(P<0.05)。结论:调神法针刺结合心理疗法治疗可缓解甲基苯丙胺戒断后焦虑患者焦虑情绪、提高生命质量、改善睡眠情况,疗效优于单纯心理疗法。Objective To compare the therapeutic effect between Tiaoshen acupuncture combined with psychotherapy and simple psychotherapy on anxiety after methamphetamine withdrawal.Methods A total of 78 patients were randomized into an observation group(39 cases,2 cases dropped off)and a control group(39 cases,1 case dropped off).Psychotherapy was given in the control group.On the basis of the treatment in the control group,Tiaoshen acupuncture was applied at Baihui(GV 20),Shenting(GV 24),Benshen(GB 13),Neiguan(PC 6)and Shenmen(HT 7)in the observation group.The treatment was given once a day,6 days were as one course and totally 4 courses were required in both groups.The scores of Hamilton anxiety scale(HAMA),quality of life for drug addicts(QOL-DA)and Pittsburgh sleep quality index(PSQI)before and after treatment were observed in both groups.Results After treatment,the various scores and the total scores of HAMA,QOL-DA and PSQI were decreased compared before treatment in both groups(P<0.05),and the scores of somatic anxiety factor,the psychic anxiety factor and the total score of HAMA,each various score and the total score of QOL-DA as well as the scores of sleep quality,time to fall asleep,sleep time,daytime dysfunction and the total score of PSQI in the observation group were lower than those in the control group(P<0.05).Conclusion Tiaoshen acupuncture combined with psychotherapy can relieve the anxiety in patients with anxiety after methamphetamine withdrawal,improve the quality of life and sleep,the therapeutic effect is superior to the simple psychotherapy.

关 键 词：甲基苯丙胺戒断 焦虑 针刺 调神法 心理疗法 

分 类 号：R246.6[医药卫生—针灸推拿学]