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| 调神法针刺治疗甲基苯丙胺戒断后睡眠障碍的临床研究 |
| Clinical Observation on treatment of Sleep Disorders after Methamphetamine Withdrawal by Tiaoshen Acupuncture |
| 投稿时间：2022-04-14 录用日期：2022-06-21 |
| DOI： |
| 中文关键词: 甲基苯丙胺 戒断症状 睡眠障碍 调神法 耳穴贴压 |
| 英文关键词: Methamphetamine, Withdrawal symptoms, Sleep Disorders, Tiaoshen Acupuncture, Earacupoint press |
| 基金项目:国家中医药管理局全国名老中医药专家传承工作室建设项目：国家中医药人教发[2014]20号；黑龙江省自然科学基金联合引导项目:LH2019H103 |
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| 中文摘要: |
| 目的：比较调神法针刺联合耳穴贴压疗法与单纯耳穴贴压疗法治疗甲基苯丙胺戒断后睡眠障碍的临床疗效。方法：将70例患者随机分为观察组(35例,脱落3例)和对照组(35例,脱落2例)。对照组予耳穴贴压治疗,取心、交感、神门、内分泌、皮质下为主穴,肾、肝、脾为配穴,按压3-5 min/次,3-5次/天,隔日换耳按压,双耳交替施治；观察组在对照组治疗基础上给予调神法针刺治疗,穴取百会、神庭、双侧本神、双侧内关、双侧神门,针刺30 min/次,1次/天。二组各每周治疗6日后休息1日,1周为1个疗程,连续治疗4周。分别于治疗前、后观察患者的匹茨堡睡眠质量指数(PSQI)评分、甲基苯丙胺戒断症状评分量表及血清中γ-氨基丁酸(GABA)含量的变化。结果：治疗后,两组患者PSQI、甲基苯丙胺戒断症状评分量表评分及血清中GABA含量均较治疗前有所改善(P<0.01),且观察组各项评分及血清中GABA含量变化均优于对照组(P<0.05,P<0.01)。结论：调神法针刺联合耳穴贴压疗法可改善甲基苯丙胺戒断后睡眠障碍患者睡眠状况、缓解戒断症状、升高血清中GABA含量,疗效优于单纯耳穴贴压疗法。 |
| 英文摘要: |
| Objective To compare the clinical efficacy between Tiaoshen acupuncture combined with earacupoint press therapy and simple earacupoint press therapy in the treatment of sleep disorders after methamphetamine withdrawal. Methods 70 patients were randomly divided into observation group (35 cases, 3 cases dropped out) and control group (35 cases, 2 cases dropped out). The control group was given earacupoint press therapy, the main acupoints of heart, sympathetic, Shenmen, endocrine, and subcortical were main acupoints, and kidney, liver, and spleen were matched acupoints,the pressure was 3-5 min/time, 3-5 times/day, and changed every other day. Auricular pressure, alternate treatment for both ears. The observation group was given Tiaoshen acupuncture on the basis of the treatment of the control group. 30 min/time, 1 time/day. Both groups were treated for 6 days a week and then rested for 1 day, 1 week was a course of treatment, and the treatment was continued for 4 weeks. The Pittsburgh Sleep Quality Index (PSQI) score, Methamphetamine Withdrawal Symptom score scale and serum gamma-aminobutyric acid (GABA) content were observed before and after treatment. Results After treatment, the PSQI, Methamphetamine Withdrawal Symptom score scale and serum GABA content in the two groups were improved compared with those before treatment (P<0.05), and the scores and serum GABA content of the observation group changed. All were better than the control group (P<0.05). Conclusion Tiaoshen acupuncture combined with earacupoint press therapy can improve sleep status, relieve withdrawal symptoms, and increase serum GABA content in patients with sleep disorders after methamphetamine withdrawal. |
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