电针结合心理干预对网络瘾患者大脑工作能力的影响

Effect of Electro-acupuncture and Psychological Intervention on the Cerebral Working Ability of Internet Addiction Disorder Patients

目的观察电针结合心理干预对网络瘾(IAD)患者大脑工作速度、准确性及脑电超慢涨落图的影响,并探索其可能治疗机制。方法选取120例符合纳入标准的IAD患者随机分为电针组、心理组、综合组各40例。电针组选取百会、四神聪、合谷、内关、太冲、三阴交穴,予电针治疗,隔天1次,共治疗20次;心理组采用认知行为疗法,4天1次,共治疗10次;综合组运用电针结合心理干预疗法。观察治疗前后各组患者IAD量表评分、安菲莫夫量表评分及脑电超慢涨落图的S波谱变化。结果治疗后综合组IAD自评量表评分较治疗前显著降低(P<0.01),且显著低于电针组和心理组(P<0.05或P<0.01);综合组安菲莫夫量表总阅字数、阅字速度、大脑工作能力指数(IMC)均较治疗前显著增高,错漏数、错漏率较治疗前显著降低(P<0.05);脑电超慢涨落图检测综合组S2系较治疗前显著增高(P<0.05)。结论电针结合心理干预可以改善IAD患者大脑功能,可能通过提高脑内谷氨酸含量而提高工作速度及准确性。

Objective To observe the effect of electro-acupuncture and psychological intervention on the cerebral working speed and accuracy and encephalofluctuogram （EFG） of internet addiction disorder （IAD） patients and to explore the possible mechanism. Methods Totally 120 IAD patients selected according to the enrollment criteria were randomized into electro-acu- puncture group, psychological intervention group, and electro-acupuncture plus psychological intervention （comprehensive） group, with 40 in each. The electro-acupuncture group was treated with electro-acupuncture at Baihui （GV20）, Sishencong （EX-HN1）, Hegu （LI4）, Neiguan （PC6）, Taichong （LR3）, and Sanyinjiao （SP6）, once every other day, 20 sections in all. The psychological intervention group was treated with cognitive behavioral therapy （CBT）, once every 4 days, 10 sections in all. The comprehensive group was treated with both electro-acupuncture and psychological intervention. The changes in the scores of IAD and AnFei merv scale, and S-wave spectrum of ET were observed. Results After treatment, in the comprehen- sive group, the IAD score was significantly decreased （P〈0. 05）, and significantly lower than that in the electro-acupuncture group and psychological intervention group （P〈0.05）; the total reading words, reading speed, and index of mental capacity （IMC） were all significantly increased （P〈0.05）, .and number of missed words and error rate were significantly decreased （P〈0.05） ; and the S2 system of ET was significantly increased （P〈0. 05）. Conclusion The combination of electro-acupuncture with psychological intervention is effective in improving the cerebral functions of IAD patients. It improves the working speed and accuracy of brain through increasing the content of intracerebral glutamic acid （Glu）.