电针联合综合性接受与实现疗法对网络游戏障碍患者网络游戏渴求程度的影响  

Efficacy of electroacupuncture(EA)combined with comprehensive acceptance and implementation therapy for patients with internet gaming disorder(IGD)and its influence on craving level of online game

作　　者：谢景强 李昊淼 齐丹 李德海[4] XIE Jingqiang;LI Haomiao;QI Dan;LI Dehai(Department of Psychology,Qinhuangdao Hospital of Traditional Chinese Medicine,Qinhuangdao,Hebei 066000;Four Department of Clinical,Department of Clinical Psychiatry,Qinhuangdao Jiulongshan Hospital,Qinhuangdao,Hebei 066000;Ninth Department of Clinical,Department of Psychiatry,Qinhuangdao Jiulongshan Hospital,Qinhuangdao,Hebei 066000;Fifth Department of Clinical,Department of Psychiatry,Qinhuangdao Jiulongshan Hospital,Qinhuangdao,Hebei 066000)

机构地区：[1]河北省秦皇岛市中医院心理科,河北秦皇岛066000 [2]河北省秦皇岛市九龙山医院临床精神科临床四科,河北秦皇岛066000 [3]河北省秦皇岛市九龙山医院精神科临床九科,河北秦皇岛066000 [4]河北省秦皇岛市九龙山医院精神科临床五科,河北秦皇岛066000

出　　处：《河北中医》2023年第12期2058-2062,共5页Hebei Journal of Traditional Chinese Medicine

基　　金：河北省2021年度医学科学研究课题(编号:20211462)。

摘　　要：目的探究电针联合综合性接受与实现疗法对网络游戏障碍患者网络游戏渴求程度的影响。方法选取2020年2月至2022年2月网络游戏障碍患者96例,按照奇偶数字法随机分为2组。对照组48例予帕罗西汀治疗,治疗组48例在对照组治疗基础上予电针联合综合性接受与实现疗法治疗,均治疗6个月。比较2组治疗前后汉密尔顿抑郁量表17项(HAMD-17)、汉密尔顿焦虑量表(HAMA)、匹兹堡睡眠质量指数(PSQI)量表、中文网络成瘾程度量表修订版(CIAS-R)、症状自评量表(SCL-90)评分,使用视觉模拟量表(VAS)对患者治疗前后网络游戏渴求程度评价,脑功能涨落图仪分析2组患者治疗前后5-羟色胺(5-HT)、乙酰胆碱(Ach)、去甲肾上腺素(NE)、多巴胺(DA)功率。结果治疗后,2组HAMD-17、HAMA、PSQI、CIAS-R、SCL-90、VAS评分均较本组治疗前降低,且治疗组均低于对照组,比较差异均有统计学意义(P<0.05)。治疗后,2组5-HT、NE功率较本组治疗前升高(P<0.05),Ach、DA功率降低(P<0.05),且治疗组5-HT、NE功率均高于对照组(P<0.05),Ach、DA功率低于对照组(P<0.05)。结论电针联合综合性接受与实现疗法治疗网络游戏障碍患者,能够改善患者焦虑、抑郁状态,提高睡眠质量,降低对网络游戏渴求程度。Objective To explore the efficacy of electroacupuncture(EA)combined with comprehensive acceptance and implementation therapy for patients with internet gaming disorder(IGD)and its influence on craving level of online game.Methods From February 2020 to February 2022,a total of 96 IGD patients were randomly assigned into the treatment group(n=48)and the control group(n=48)by odd-even number method.All patients were managed by paroxetine,and those in the treatment group were additionally treated with EA combined with comprehensive acceptance and implementation therapy.Treated for 6 months,the aim was to compare 17-item Hamilton Depression Scale(HAMD-17),Hamilton Anxiety Scale(HAMA),Pittsburgh Sleep Quality Index(PSQI),Chinese Internet Addiction Scale revised edition(CIAS-R),Symptom Checklist-90(SCL-90)scale.The craving level of online game was assessed using Visual Analogue Scale(VAS).Encephalofluctuograph(EFG)was used to analyze 5-hydroxy tryptamine(5-HT),acetylcholine(Ach),norepinephrine(NE),dopamine(DA).Results After treatment,HAMD-17,HAMA,PSQI,CIAS-R,SCL-90,VAS in the both groups were significantly decreased(P<0.05),which decreased notably in the treatment group compared with the control group(P<0.05).Significantly increased 5-HT and NE,and decreased Ach and DA were detected in the both groups(all P<0.05),and the treatment group was superior to the control group for 5-HT,NE,Ach,DA(all P<0.05).Conclusion For IGD patients,EA combined with comprehensive acceptance and implementation therapy can improve anxiety,depression and sleep quality,and reduce craving level of online game.

关 键 词：网络成瘾障碍 接受与投入疗法 氟西汀 帕罗西汀 脑电超慢涨落图技术 

分 类 号：R749.052[医药卫生—神经病学与精神病学]