电针治疗海洛因依赖者戒断后睡眠障碍的临床观察

Clinical Observation on Treatment of Dyssomnia of Heroin Addicts after Detoxification by Electro-acupuncture

目的 观察电针治疗海洛因依赖者戒断后睡眠障碍的临床疗效。方法 50例经脱毒治疗(7d)后,尿吗啡检测阴性的海洛因依赖者,随机分为治疗组和对照组,每组25例,治疗组给予电针治疗,对照组不予任何干预治疗;治疗前和治疗后4w、8w、10w采用《稽延性戒断症状评分量表》中三条有关睡眠障碍的项目对两组患者进行评分。结果 治疗组患者经电针治疗后,睡眠障碍的单项评分、综合评分均较治疗前有非常显著的下降(P<0. 001),且与相应时间段的对照组比较,其各项评分也非常显著地低于对照组(P<0. 001)。结论 电针能较快改善海洛因依赖者脱毒后的睡眠障碍,强化入睡状况,提高睡眠质量,延长睡眠时间。

Objective To investigate the effect of the electro-acupuncture in the treatment of dyssomnia of heroin addicts after detoxification.Methods Fifty heroin dependent patients who had been abstained from drugs for 7 days,with negative urinary test for morphine,were randomly divided into treatment group of 25 cases and control group of 25 cases,patients in treatment group were treated with electro-acupuncture and patients in control group were given no any treatment;Based on the three items of dyssomnia in the Prolonged Withdrawal Symptoms Rating Scale,the symptoms of patients in two group were rated before treatment,4 weeks,8 weeks and 10 weeks after treatment respectively.Results After treatment,the scores of the single item and the total scores of dyssomnia in treatment group were remarkably reduced when compared with before treatment (P<0.001),and also were remarkably lower than those in control group during the same periods (P<0.001).Conclusion Electro-acupuncture could rapidly improve the dyssomnia of heroin addicts after detoxification,deepen sleeping status,improve sleeping quality and prolong the sleeping time.