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耳穴电针联合纳洛酮治疗慢性疼痛患者的快速戒毒

Rapid narcotic detoxification in chronic pain patients treated with auricular electroacupuncture and naloxone.

作者信息

Kroening R J, Oleson T D

出版信息

Int J Addict. 1985 Sep;20(9):1347-60. doi: 10.3109/10826088509047771.

DOI:10.3109/10826088509047771
PMID:2867052
Abstract

Severe withdrawal signs which accompany the detoxification of narcotic addicts from opiate drugs are also a serious problem for chronic pain patients taking high levels of analgesic medications. A rapid narcotic detoxification procedure utilizing auricular electroacupuncture was applied to 14 chronic pain patients to be withdrawn from their opiate medications. All patients were first switched to oral methadone. They were then given bilateral electrical stimulation to needles inserted in the "lung" and "shen men" acupuncture points on the ear, followed by periodic intravenous injections of low doses of naloxone. Twelve of the patients, 85.7%, were completely withdrawn from narcotic medications within 2-7 days, and they experienced no to minimal side effects. These results are explained by the relationship of electroacupuncture to the release of endorphins.

摘要

对于服用高剂量镇痛药的慢性疼痛患者而言,阿片类药物成瘾者戒毒时出现的严重戒断症状也是一个严重问题。一种利用耳穴电针的快速戒毒程序应用于14名需要停用阿片类药物的慢性疼痛患者。所有患者首先改用口服美沙酮。然后对插入耳部“肺”和“神门”穴位的针进行双侧电刺激,随后定期静脉注射低剂量纳洛酮。12名患者(85.7%)在2至7天内完全停用了麻醉药物,且未出现或仅出现轻微副作用。这些结果可通过电针与内啡肽释放的关系来解释。

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