Liang Yan, Xu Bo, Zhang Xue-Chun, Zong Lei, Chen Yue-Lai
Zhongguo Zhen Jiu. 2014 Mar;34(3):219-24.
To observe the efficacy difference of electroacupuncture and auricular acupuncture in the treatment of methamphetamine withdrawal syndrome.
Ninety male patients of methamphetamine addiction were randomized into an electroacupuncture group, an auricular acupuncture group and a control group, 30 cases in each one. In the electroacupuncture group, Neiguan (PC 6), Shenmen (HT 7), Zusanli (ST 36), Sanyinjiao (SP 6), Jiaji (EX-B 2) at T5 and L2 were selected bilaterally. In the auricular acupuncture group, jiaogan (AH(6a)), shenmen (TF4), fei (CO14) and gan (CO12) were selected unilaterally. The treatment was given 3 times a week, totally 12 treatments were required. In the control group, no any intervention was applied. Separately, before treatment and after 1, 2, 3 and 4 weeks treatment, the scores of methamphetamine withdrawal syndrome, Hamilton anxiety scale and Hamilton depression scale were observed in each group.
The total score of methamphetamine withdrawal syndrome, anxiety score and depression score were obviously reduced in 2, 3 and 4 weeks of treatment as compared with those before treatment in the electroacupuncture group and the auricular acupuncture group (all P < 0.05), and showed a trend of gradual decline as the extension of treatment. In 1,2,3,4 weeks of treatment, the total score of withdrawal syndrome, anxiety score and depression score in the electroacupuncture group and auricular acupuncture group were lower significantly than those in the control group (all P < 0.05), in which, the total score of withdrawal syndrome in the electroacupuncture group was lower significantly than that in the auricular acupuncture group in the 4th week of treatment (3.69 +/- 2.446 vs 5.73 +/- 3.169, P < 0.05); the anxiety scores were lower significantly than those in the auricular acupuncture group in 3 and 4 weeks of treatment (8.19 +/- 4.57 vs 9.65 +/- 4.24, 5.27 +/- 2.89 vs 7.38 +/- 3.10, both P < 0.05); the depression scores were lower significantly than those in the auricular acupuncture group in 2, 3 and 4 weeks of treatment (15.35 +/- 5.64 vs 19.81 +/- 5.37, 10.96 +/- 4.52 vs 15.00 +/- 4.53, 7.96 +/- 2.69 vs 12.35 +/- 3.59, all P < 0.05).
Electroacupuncture at the body points and auricular acupuncture play the therapeutic role in the treatment of methamphetamine withdrawal syndrome, anxiety and depression. The longer time the treatment is with electroacupuncture at the body points, the more obvious the efficacy will be on the above symptoms.
观察电针与耳针治疗甲基苯丙胺戒断综合征的疗效差异。
将90例男性甲基苯丙胺成瘾患者随机分为电针组、耳针组和对照组,每组30例。电针组双侧选取内关(PC 6)、神门(HT 7)、足三里(ST 36)、三阴交(SP 6)、T5和L2夹脊(EX - B 2)。耳针组单侧选取交感(AH(6a))、神门(TF4)、肺(CO14)和肝(CO12)。每周治疗3次,共需治疗12次。对照组不施加任何干预。分别于治疗前及治疗1、2、3、4周后,观察每组甲基苯丙胺戒断综合征评分、汉密尔顿焦虑量表评分及汉密尔顿抑郁量表评分。
与治疗前相比,电针组和耳针组在治疗2、3、4周时甲基苯丙胺戒断综合征总分、焦虑评分及抑郁评分均明显降低(均P < 0.05),且随治疗时间延长呈逐渐下降趋势。在治疗1、2、3、4周时,电针组和耳针组的戒断综合征总分、焦虑评分及抑郁评分均显著低于对照组(均P < 0.05),其中,治疗第4周时电针组的戒断综合征总分显著低于耳针组(3.69±2.446 vs 5.73±3.169,P < 0.05);治疗3、4周时焦虑评分显著低于耳针组(8.19±4.57 vs 9.65±4.24,5.27±2.89 vs 7.38±3.10,均P < 0.05);治疗2、3、4周时抑郁评分显著低于耳针组(15.35±5.64 vs 19.81±5.37,10.96±4.52 vs 15.00±4.53,7.96±2.69 vs 12.35±3.59,均P < 0.05)。
体针电针和耳针在治疗甲基苯丙胺戒断综合征、焦虑及抑郁方面均发挥治疗作用。体针电针治疗时间越长,对上述症状的疗效越明显。