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电针结合棕榈酸帕利哌酮长效注射对甲基苯丙胺成瘾者戒断症状及神经递质的影响。

Effects of electroacupuncture combined with paliperidone palmitate long-acting injection on withdrawal symptoms and neurotransmitters in methamphetamine addicts.

机构信息

Department of Psychiatry, Wuhan Wudong Hospital, Wuhan, China.

Department of Psychiatry, Wuhan Mental Health Center, Wuhan, China. #These authors contributed equally to this study.

出版信息

Riv Psichiatr. 2024 May-Jun;59(3):120-126. doi: 10.1708/4288.42698.

DOI:10.1708/4288.42698
PMID:38912759
Abstract

OBJECTIVE

To investigate the effects of electroacupuncture combined with paliperidone palmitate long-acting injection (PP-LAI) on withdrawal symptoms and neurotransmitters in methamphetamine (MA) addicts.

MATERIALS AND METHODS

A total of 109 methamphetamine addicts, who were treated in the hospital from October 2021 to October 2022, were selected. According to the random number table, the patients were divided into the study group (n=54) and the control group (n=55), in which the control group was treated with PP-LAI and the study group was treated with electroacupuncture on the basis of the control group; the methamphetamine withdrawal symptom score scale was used to assess the therapeutic effect before treatment and within 12 months after treatment; the changes of brain neurotransmitters dopamine, γ-aminobutyric acid, serotonin, acetylcholine values were compared between the two groups.

RESULTS

  1. There was no statistical difference in MA withdrawal symptom scores between the two groups before treatment (p>0.05); 2) MA withdrawal symptom scores have a statistically significant difference between the study group and the control group after 3 and 6 months of treatment; 3) dopamine levels in the study group were significantly higher than those in the control group after 6 months of completion of treatment, and γ-aminobutyric acid values and 5- serotonin values in the study group were significantly lower than those in the control group (p<0.05).

CONCLUSIONS

Electroacupuncture combined with PP-LAI can partially improve the withdrawal symptoms and anxiety of methamphetamine addicts. This is a potential treatment for preventing relapse of withdrawal symptoms.

摘要

目的

观察电针联合棕榈酸帕利哌酮长效针剂(PP-LAI)对甲基苯丙胺(MA)成瘾者戒断症状及神经递质的影响。

材料与方法

选取 2021 年 10 月至 2022 年 10 月在我院治疗的 MA 成瘾者 109 例,采用随机数字表法将患者分为研究组(n=54)和对照组(n=55),对照组给予 PP-LAI 治疗,研究组在对照组基础上给予电针治疗,比较两组治疗前后及治疗 12 个月后的 MA 戒断症状评分量表评分、脑内神经递质多巴胺、γ-氨基丁酸、5-羟色胺、乙酰胆碱的变化。

结果

1)两组治疗前 MA 戒断症状评分比较,差异无统计学意义(p>0.05);2)两组治疗 3、6 个月后 MA 戒断症状评分比较,差异有统计学意义(p<0.05);3)研究组治疗结束后 6 个月时多巴胺水平明显高于对照组,γ-氨基丁酸值和 5-羟色胺值明显低于对照组(p<0.05)。

结论

电针联合 PP-LAI 能部分改善 MA 成瘾者的戒断症状及焦虑情绪,可能是预防戒断症状复发的一种潜在治疗方法。

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