电针对甲基苯丙胺成瘾者戒断症状的临床观察

目的观察电针对甲基苯丙胺成瘾者戒断症状的治疗效果,为甲基苯丙胺依赖的治疗提供客观临床依据。方法将60例男性甲基苯丙胺成瘾者随机分为对照组和电针组,采用《甲基苯丙胺戒断症状评分量表》、《汉密尔顿焦虑量表》和《汉密尔顿抑郁量表》观察患者治疗前及治疗1~4星期后各量表积分及戒断症状的变化。结果电针组相对于对照组在改善甲基苯丙胺依赖者戒断症状、焦虑症状和抑郁症状方面疗效明显(P0.05),在治疗后4星期以上症状改善最为显著(P0.01)。结论电针对于甲基苯丙胺戒断症状、情绪焦虑和抑郁症状具有治疗作用,可以作为有效的治疗方法应用于临床以治疗甲基苯丙胺戒断症状。并且以上症状的改善与针刺刺激量呈正相关。

Clinical Observation of Electroacupuncture for Withdrawal Symptoms in Methamphetamine Addicts

Objective To observe the effectiveness of electroacupuncture in treating the withdrawal symptoms in methamphetamine（MA） addicts, for providing objective clinical evidence for the treatment of MA dependence. Method Sixty male MA addicts were randomized into a control group and an electroacupuncture group. The MA Withdrawal Symptom Rating Scale, Hamilton Rating Scale for Anxiety（HAMA）, and Hamilton Rating Scale for Depression（HAMD） were adopted to observe the withdrawal symptoms before treatment and after 1-4 weeks of treatment. Result Compared with the control group, the electroacupuncture group had significantly better effectiveness in improving the withdrawal symptoms in MA dependence, anxiety symptoms, and depression symptoms（P0.05）, and the improvements were most remarkable after 4-week treatment（P0.01）. Conclusion Electroacupuncture is effective for MA withdrawal symptoms, anxiety, and depression, and thus it can be applied in clinic for MA withdrawal symptoms. Furthermore, the improvements of the above symptoms are positively related to the stimulation intensity of acupuncture.