经皮穴位电刺激对气郁质甲基苯丙胺依赖者戒断后焦虑抑郁情绪及心理渴求的影响

目的:探讨经皮穴位电刺激对气郁质甲基苯丙胺依赖者戒断后焦虑抑郁情绪及心理渴求的影响。方法:将70例受试者随机分为治疗组和对照组,各35例。治疗组予经皮穴位电刺激治疗,对照组予模拟经皮穴位电刺激治疗,刺激的穴位均相同。采用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、视觉模拟评分(VAS)评估患者治疗前及治疗第1、2、4周末焦虑抑郁情绪及渴求程度变化情况。结果:(1)两组患者HAMD、HAMA、VAS评分均随着时间延长而下降(P<0.05),且治疗组患者下降趋势较对照组显著(P<0.05)。(2)与治疗前比较,两组患者HAMD、HAMA评分在治疗第1、2、4周末差异均有统计学意义(P<0.05);治疗组患者VAS评分在治疗第1、2、4周末差异有统计学意义(P<0.05),对照组仅在治疗第2、4周末差异有统计学意义(P<0.05)。(3)两组患者同一时间点比较,HAMD、HAMA评分在治疗第1、2、4周末差异均有统计学意义(P<0.05),VAS评分在治疗第2、4周末差异有统计学意义(P<0.05)。结论:经皮穴位电刺激对气郁质甲基苯丙胺依赖者戒断后焦虑抑郁情绪均有改善作用,且可减轻其对甲基苯丙胺的心理渴求。

Effect of Transcutaneous Electrical Acupoint Stimulation on the Anxiety,Depression and Psychological Craving of Methamphetamine Addicts with Qi-Stagnation after Withdrawal

Objective:To explore the effect of transcutaneous electrical acupoint stimulation on anxiety,depression and psychological craving of methamphetamine addicts with qi-stagnation.Methods:A total of 70 patients were randomly divided into treatment group and control group,35 cases in each group.The treatment group was treated with transcutaneous electrical acupoint stimulation,and the control group was treated with simulated transcutaneous electrical acupoint stimulation,and the stimulated acupoints were the same.The Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA),and Visual Analog Scale(VAS)were used to evaluate the changes in anxiety,depression and cravings before treatment and at the end of the 1 st,2 ndand 4 thweeks after treatment.Results:(1)The HAMD,HAMA,and VAS scores of the two groups of patients decreased with time(P<0.05),and the decreasing trend in the treatment group was more significant than that of the control group(P<0.05).(2)Compared with before treatment,the differences in HAMD and HAMA scores between the two groups of patients at the end of the 1 st,2 ndand 4 thweeks after treatment was statistically significant(P<0.05).The VAS scores of patients in the treatment group had statistically significant differences at the end of the 1 st,2 ndand 4 thweeks after treatment(P<0.05),while there was significant difference in the control group only at the end of the 2 ndand 4 thweeks after treatment(P<0.05).(3)Compaire the two groups of patients at the same time point,the differences in HAMD and HAMA scores at the end of the 1 st,2 ndand 4 thweeks after treatment were statistically significant(P<0.05).The scores of VAS at the same time point in the two groups were significantly different at the end of the 2 ndand 4 thweeks after treatment(P<0.05).Conclusion:Transcutaneous electrical acupoint stimulation can improve the anxiety and depression mood of methamphetamine addicts after withdrawal,and can reduce their psychological craving for methamphetamine.