中医耳穴压豆法对160例吸烟者戒烟临床疗效观察

Research on the Clinical Effect of Auricular Point Sticking on 160 Cases of Smoking Cessation Based on the Method ofAuricular Point Sticking with Cow Herb Seed

目的:运用中医理论,探讨耳穴压豆戒烟的临床疗效,为进一步探索有效实用的中医戒烟方法提供理论依据。方法:采用社会招募被试者的方法。共招募有戒烟意愿的吸烟者160人,随机分为观察组与对照组,每组各80例。应用王不留行籽粘贴取耳穴压豆法实施戒烟,治疗3个月共4个疗程。结果:观察组总体显效率为70.0%,明显高于对照组的53.8%,差异有统计学意义(χ^(2)=3.81,P=0.05)。每日吸烟量15~20支的观察组显效率高达86.4%,明显高于对照组的63.0%,差异有统计学意义(χ^(2)=5.26,P=0.02);烟龄在10-15年的观察组显效率为84.3%,明显高于对照组的60.4%,差异有统计学意义(χ^(2)=6.260,P=0.01);吸烟味道改变早、成功戒烟次数少,差异有统计学意义(Z=5.78,P<0.001),且不出现戒断综合征。结论:耳穴压豆戒烟法对有戒烟意愿、烟量15~20支、烟龄10~15年的吸烟者戒烟成功率高,疗效肯定,是一种安全、可靠、可行和适宜的治疗技术,易于社区推广应用。

OBJECTIVE To explore the clinical effect of auricular point sticking on smoking cessation under the guidance of traditional Chinese medicine theory,and to provide theoretical basis for further exploring effective and practical methods of smoking cessation. METHODS The subjects were recruited by the society. 160 smokers were recruited and randomly divided into observation group and control group,80 cases in each group. The method of auricular point sticking with cowherb seed was used to give up smoking for 4 courses and 3 months. RESULTS The total effective rate of the observation group was 70.0%,which was significantly higher than 53.8% of the control group, it had statistical significant difference(χ^(2)=3.81,P=0.05). The effective rate of the observation group was 86.4%,which was significantly higher than 63.0% of the control group, it had statistical significant difference(χ^(2)=5.26,P=0.02);the effective rate of the observation group with 10~15 years of smoking was 84.3%,which was significantly higher than 60.4% of the control group(χ^(2)=6.260,P=0.01);the taste of smoking changed early,the number of successful smoking cessation was less, it had statistical significant difference(Z=5.78,P<0.001),and there was no withdrawal syndrome. CONCLUSION The methods ofauricular point sticking to quit smoking was a safe,reliable,feasible and appropriate treatment technique for smokers who were willing to quit smoking,smoking 15~20 cigarettes and smoking for 10~15 years,and had a high success rate and definite efficacy. It was easy to popularize and apply.