韩氏穴位神经刺激仪（HANS）对75例海洛因戒断者心率的影响

EFFECT OF HAN'S ACUPOINT NERVE STIMULATOR(HANS) ON THE HEART RATE OF 75 INPATIENTS DURING HEROIN WITHDRAWAL

本研究根据一定频率的电刺激可促使中枢神经系统释放阿片肽的原理，应用韩氏穴位神经刺激仪（ＨＡＮＳ），治疗７５例海洛因戒断者，观察到ＨＡＮＳ对海洛因戒断者的心动过这具有明显的抑制作用。每日刺激１次，在首次治疗的５ｍｉｎ后，心率即开始下降，由治疗前的１０９±３次／分降至１０３±２．５次／分；至１０ｍｉｎ时心率降至９８±１．６次／分，与对照组相比有显著性差异（Ｐ＜０．０１）；至３０ｍｉｎ时心率下降为９１±１．４次／分（Ｐ＜０．００１）。连续治疗４天以后，心率可稳定在正常水平（７２±１．１～８２±１．５次／分之间）。

The previous study (Chinese Journal of Pain Medicine 1995, 1: 30～38) have shown that morphine abstinence syndrome in patients with opioid addicts can be suppressed by Han’s Acupoint Nerve Stimulator(HANS) of 2Hz or 100Hz or 2/100Hz. In the present study we have observed that the tachycardia of heroin addicts subjected to abrupt abstinence can be suppress by HANS of 2/100Hz. In the control group the heart rate remained 107±3. 0～104±2. 7b/miN within 60 minute. In the group receiving HANS of 2/100Hz treatment heart rate decreased to 103±2. 5b/min (5min), 98±1. 6b/min (10min, compared with control P<0. 05), 95±1. 3b/min(15min, compered with control P<0. 01), 91±1. 4b/min(30min, compared with control P<0. 001) after first treatment(30min), an effects lasting for at least 20 minute. Within 4 days of HANS treatment, the heart rate returned from 105±2. 4b/min to normal level(72±1.1～82±1.5b/min).