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[电针结合心理干预对网络成瘾障碍患者焦虑状态及血清去甲肾上腺素含量的影响]

[Effects of electroacupuncture combined with psychologic interference on anxiety state and serum NE content in the patient of internet addiction disorder].

作者信息

Zhu Tian-Min, Jin Rong-Jiang, Zhong Xiao-Ming, Chen Ji, Li Hui

机构信息

College of Acupuncture and Massage, Chengdu University of TCM, Chengdu, Sichuan 610075, China.

出版信息

Zhongguo Zhen Jiu. 2008 Aug;28(8):561-4.

Abstract

OBJECTIVE

To observe therapeutic effect of electroacupuncture (EA) on internet addiction disorder (lAD) and to preliminarily probe the mechanism.

METHODS

Forty-seven cases of TAD were randomly divided into a psychotherapy group and an EA plus psychotherapy group. The psychotherapy group were treated with cognition and behavior therapy, once every 4 days, 10 sessions constituting one course; the EA plus psychotherapy group were treated with EA at Baihui (GV 20), Sishencong (EX-HN 1), Hegu (LI 4), Taichong (LR 3), Neiguan (PC 6), Sanyinjiao (SP 6), etc. once every other day, for 20 sessions, in combination with the same psychotherapy as that in the psychotherapy group. Changes of score of lAD, score of anxiety self-rating scale (SAS), score of Hamilton anxiety scale (HAMA) and serum norepinephrine (NE) content before and after treatment were observed.

RESULTS

The total effective rate was 91.3% in the EA plus psychotherapy group and 59.1% in the psychotherapy group, the former being better than the latter (P<0.05). The scores for IAD, SAS, HAMA, and the se-rum NE content after treatment were significantly decreased in the two groups (both P<0.01). Those in the EA plus psychotherapy group were significantly lower than those in the psychotherapy group (P<0.05).

CONCLUSION

Electroacupuncture combined with psychologic interference can significantly improve anxiety state and the mechanism is possibly related with the decrease of NE in the body.

摘要

目的

观察电针治疗网络成瘾症(IAD)的疗效并初步探讨其机制。

方法

将47例IAD患者随机分为心理治疗组和电针加心理治疗组。心理治疗组采用认知行为疗法治疗,每4天1次,10次为1个疗程;电针加心理治疗组在百会(GV 20)、四神聪(EX-HN 1)、合谷(LI 4)、太冲(LR 3)、内关(PC 6)、三阴交(SP 6)等穴位隔日电针治疗1次,共20次,同时结合与心理治疗组相同的心理治疗。观察两组治疗前后IAD评分、焦虑自评量表(SAS)评分、汉密尔顿焦虑量表(HAMA)评分及血清去甲肾上腺素(NE)含量的变化。

结果

电针加心理治疗组总有效率为91.3%,心理治疗组为59.1%,电针加心理治疗组疗效优于心理治疗组(P<0.05)。两组治疗后IAD评分、SAS评分、HAMA评分及血清NE含量均显著降低(均P<0.01),电针加心理治疗组降低更明显,与心理治疗组比较差异有统计学意义(P<0.05)。

结论

电针结合心理干预能显著改善焦虑状态,其机制可能与体内NE含量降低有关。

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