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激光经络按摩降低美沙酮维持治疗中阿片类药物使用障碍男性的觅药渴求。

Laser meridian massage decreased craving in men with opioid use disorder on methadone maintenance treatment.

机构信息

Department of Chinese Medicine, Chang Gung Memorial Hospital at Kaohsiung, Kaohsiung, Taiwan; Fooyin University College of Nursing, Kaohsiung, Taiwan; Kaohsiung Medical University College of Medicine, Kaohsiung, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan.

Department of Psychiatry, Chang Gung Memorial Hospital at Kaohsiung, Kaohsiung, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan.

出版信息

Biomed J. 2022 Apr;45(2):414-423. doi: 10.1016/j.bj.2021.04.010. Epub 2021 May 1.

Abstract

BACKGROUND

The incidence of opioid use disorder (OUD) is increasing worldwide, and the opioid-related overdose crisis is currently a major global challenge. This study investigated the effects of adjuvant laser meridian massage (LMM) in men with OUD undergoing methadone maintenance treatment (MMT).

METHODS

A case-controlled study was conducted from February 2019 to April 2020. Fourteen men with OUD on MMT were enrolled from an addiction treatment center as an experimental group. An age-matched control group comprising 13 men was also enrolled. The experimental group received LMM on the back, including over the Bladder meridian and Governor Vessel, three times weekly for 4 weeks. The control group received only MMT. Urinary morphine levels, patients' self-reports of the number of episodes or days of heroin use, and visual analog scale scores for heroin craving/refusal to use heroin during the previous week were evaluated. Quality of life was reported using the Short Form (SF)-12v2.

RESULTS

The experimental group showed a significant decrease in heroin use (p < 0.05), whereas the control group showed a significant increase in heroin craving (p < 0.05). The SF-12v2 Health Survey revealed a significant improvement in physical health in the experimental group (P < 0.05).

CONCLUSION

The results of this study suggest that laser meridian massage can be considered a safe, well-tolerated, and potentially useful adjuvant intervention for opioid use disorder.

摘要

背景

阿片类药物使用障碍(OUD)的发病率在全球范围内呈上升趋势,阿片类药物相关的过量危机目前是一个主要的全球挑战。本研究调查了辅助性激光经络按摩(LMM)对接受美沙酮维持治疗(MMT)的男性 OUD 患者的影响。

方法

这是一项病例对照研究,于 2019 年 2 月至 2020 年 4 月进行。14 名接受 MMT 的男性 OUD 患者从一个成瘾治疗中心被纳入实验组。同时纳入了年龄匹配的 13 名男性对照组。实验组接受背部 LMM,包括膀胱经和任脉,每周 3 次,共 4 周。对照组仅接受 MMT。评估尿吗啡水平、患者自我报告的海洛因使用次数或天数,以及前一周海洛因渴求/拒绝使用海洛因的视觉模拟评分。使用短式健康调查问卷(SF-12v2)报告生活质量。

结果

实验组的海洛因使用量显著减少(p<0.05),而对照组的海洛因渴求显著增加(p<0.05)。SF-12v2 健康调查显示实验组的身体健康状况显著改善(P<0.05)。

结论

本研究结果表明,激光经络按摩可以被认为是一种安全、耐受良好、对阿片类药物使用障碍可能有用的辅助干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d1/9250097/e0cce62b36e2/gr1.jpg

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