针刺治疗海洛因戒断综合征的临床应用

Clinical application of acupuncture for treatment of heroin withdrawal syndrome

目的:规范针刺治疗海洛因戒断综合征手法操作技术。方法:对220例海洛因戒断综合征患者按随机数字表分为针刺治疗组111例和对照组109例。治疗组用针刺疗法;对照组口服盐酸洛非西定片,观察两组的临床疗效。结果:两组均有效戒除海洛因成瘾(急性期)。治疗组前后自身比较戒断症状总分优于对照组(P<0.01),治疗组逐日戒断症状总分第4、第5天优于对照组(P<0.05),治疗组治疗失眠症状优于对照组(P<0.05),治疗组自身汉密尔顿焦虑量表(HAMA)计分优于对照组(P<0.001),治疗组HAMA计分第4天后优于对照组(P<0.05)。结论:针刺治疗海洛因戒断综合征起效快,安全可靠,临床疗效满意。

Objective To make technical standard of acupuncture manipulation for acupuncture treatment of heroin withdrawal syndrome. Methods Two hundred and twenty cases of heroin withdrawal syndrome were randomly divided into an acupuncture group of 111 cases and a control group of 109 cases. They were respectively treated with acupuncture and oral administration of lofexidine hydrochloride, and their therapeutic effects were observed. Results The heroin dependence （acute stage） were effectively withdrawn in the two groups. The treatment group in change of total scores for withdrawal symptoms before and after treatment, the total scores for withdrawal symptoms at the 4th and 5th days, treatment of insomnia and the score for self-Hamilton Anxiety Scale and the score after at the 4th day was superior to the control group （P〈0. 05, P〈0. 01, P〈0. 001）. Conclusion Acupuncture has a satisfactory, rapid, safe and reliable clinical therapeutic effect.