五行音乐结合耳穴贴压干预海洛因稽延性戒断症状的效果观察  

Efficacy observation of five-element music combined with auricular point pressing for heroin protracted withdrawal syndrome

作　　者：梁婷 刘茂娟[1] 黄文灵 关琳 黄斌 李飞飞 LIANG Ting;LIU Mao-juan;HUANG Wen-ling(Sanya Traditional Chinese Medicine Hospital,Sanya 572000,China)

机构地区：[1]三亚市中医院,572000 [2]海南省三亚强制隔离戒毒所,572000

出　　处：《中国实用医药》2024年第8期152-155,共4页China Practical Medicine

基　　金：三亚市医疗卫生科技创新项目(项目编号:2019YW25)。

摘　　要：目的 观察五行音乐结合耳穴贴压干预海洛因稽延性戒断症状的效果。方法 60例男性海洛因戒毒者,采用随机数字表法分为对照组和观察组,各30例。对照组接受一般康复治疗和护理,观察组在对照组基础上给予五行音乐结合耳穴贴压。比较两组患者干预前后的海洛因稽延性戒断症状评分(躯体症状、情绪症状、渴求症状、睡眠障碍评分及总分)以及血清多巴胺(DA)水平。结果 干预后,两组海洛因依赖稽延性戒断症状评分中躯体症状、情绪症状、渴求症状、睡眠障碍评分和总分均较干预前显著下降,且观察组的躯体症状、情绪症状、渴求症状、睡眠障碍评分和总分分别为(3.36±0.67)、(2.67±0.55)、(3.40±0.97)、(2.30±0.60)、(11.73±1.39)分,显著低于对照组的(6.03±1.50)、(4.37±1.38)、(5.93±1.86)、(3.57±1.07)、(19.90±3.05)分,差异有统计学意义(P<0.01)。干预后,两组的血清DA水平均较干预前显著下降,且观察组血清DA(55.78±4.61)pmol/L显著低于对照组的(69.45±8.43)pmol/L,差异具有统计学意义(P<0.05)。结论 应用五行音乐结合耳穴贴压能显著改善海洛因稽延性戒断症状,值得推广应用。Objective To observe the effect of five-element music combined with auricular point pressing for heroin protracted withdrawal syndrome.Methods 60 male heroin addicts were randomly divided into the control group and the observation group according to the random numerical table,with 30 cases in each group.The control group received general rehabilitation and nursing,while the observation group was given five-element music combined with auricular point pressing on the basis of the control group.The heroin protracted withdrawal syndrome score(scores of somatic symptoms,emotional symptoms,craving symptoms,sleep disturbances and total score)and serume dopamine(DA)levels were compared before and after the intervention.Results After the intervention,the scores of somatic symptoms,emotional symptoms,craving symptoms,sleep disturbances and total score in both groups decreased significantly compared with those before the intervention;the scores of somatic symptoms,emotional symptoms,craving symptoms,sleep disturbances and total score in the observation group were(3.36±0.67),(2.67±0.55),(3.40±0.97),(2.30±0.60)and(11.73±1.39)points,which were significantly lower than(6.03±1.50),(4.37±1.38),(5.93±1.86),(3.57±1.07)and(19.90±3.05)points in the control group;the difference was statistically significant(P<0.01).After the intervention,the serum DA level in both groups decreased significantly compared with that before the intervention;the observation group had significantly lower serum DA of(55.78±4.61)pmol/L than(69.45±8.43)pmol/L in the control group;the difference was statistically significant(P<0.05).Conclusion Application of five-element music combined with auricular point pressing can significantly improve heroin protracted withdrawal syndrome,which is worthy of clinical promotion an application.

关 键 词：海洛因 稽延性戒断症状 五行音乐 耳穴贴压 

分 类 号：R277.7[医药卫生—中医学]