經皮穴位電刺激（TEAS）介入安非他命成癮戒治的治療成效

Efficacy of TEAS Intervention on Rehabilitation of Amphetamine Addiction

巫孟萱(Meng-Shiuan Wu) ； 李聰界(Tsung-Chieh Lee) ； 許文郁(Wen-Yu Hsu) ； 羅綸謙(Lun-Chien Lo) ； 陳運泰(Yun-Tai Chen)

《中西整合醫學雜誌》 24卷1期 (2022/06) Pp. 1-18

摘要

研究目的：近年來安非他命已經成為台灣最氾濫的毒品之一，藥物濫用問題不容忽視，但目前國內中醫在毒癮戒治的方面的參與卻相對有限。本研究嘗試以非侵入式的經皮穴位電刺激（TEAS）介入安非他命毒癮戒治，探討常規西醫戒癮治療合併中醫穴位刺激的療效，是否能為現有治療帶來更好的結果，近一步建立中醫在戒癮治療的參與模式。研究方法：本研究為非隨機對照實驗，收治68名年齡在18－65歲間、符合精神科診斷藥物成癮的患者，並根據患者接受治療的意願，分為接受精神科常規治療合併中醫治療的治療組，與僅接受精神科常規治療的對照組。治療組在合谷、勞宮、內關、外關使用刺激，至少須接受8次治療，對照組則僅要求受試者定期回診，兩者皆接受治療前後的量表問卷評估，並以受試者的四項量表分數變化作為療效評估的依據。結果：與單純接受常規戒癮治療的對照組相比，接受至少治療八次的治療組患者，能夠有效減輕在戒癮療程中遭遇的不適與憂鬱症狀，並改善毒品認知與毒品渴望。與常規治療互相結合，能夠得到更好的戒癮效果。

關鍵字

戒毒 ； 中醫 ； 安非他命 ； 經皮穴位電刺激

並列摘要

Aim: In recent years, amphetamines have become one of the most widely used drugs in Taiwan. Drug abuse has been an important public health problem. However, the Chinese medicine participating in the rehabilitation of drug addiction is limited at present. This study attempts to explore the efficacy of TCM acupoint stimulation combined with Western medicine addiction treatment, using non-invasive transcutaneous electrical acupoint stimulation (TEAS) to intervene in the of amphetamine addiction treatment. This study hopes to establish a mode of TCM participating in the treatment of amphetamine addiction. Method: This is a non-blind, non-randomized controlled trial. The study admitted 68 patients aged of 18-65 who were meet the diagnosis of drug addiction. According to the willingness of patients to receive treatment, they are divided into treatment group and control group. The treatment group received TEAS stimulation at Hegu, Laogong, Neiguan, and Waiguan, and received at least 8 treatments, while the control group received only conventional psychiatric treatment and were required to come back to OPD regularly. Both of two groups Both groups were tested on four scales before and after. The changes of the scores of the scales would be the basis for efficacy measurment. Results: Compared with the control group who received only conventional addiction treatment, treatment group receiving at least eight TEAS treatments were able to effectively alleviate the drug cravings and depression symptoms encountered during the addiction treatment course. The combination of TEAS and conventional treatment can achieve better withdrawal effects.

並列關鍵字

Amphetamines ； Drug addiction ； Detoxification ； Traditional Chinese medicine ； TEAS

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