The effect of acupuncture on the acute withdrawal symptoms from rapid opiate detoxification.

Acta anaesthesiologica Sinica Pub Date : 2002-12-01
Kamran Montazeri, Mehdi Farahnakian, Mahmood Saghaei
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Abstract

Background: Rapid Opiate Detoxification (ROD) is among the best treatments for substance abuse. Unfortunately this method is associated with severe withdrawal reaction. The effect of body acupuncture has not been clearly identified during ROD. This study was designed to evaluate the effect of acupuncture on the severity of withdrawal reaction during ROD.

Methods: Forty adult male subjects addicted to opioids and scheduled for ROD by naloxone were randomly divided into acupuncture and control groups. In the acupuncture group during three consecutive days immediately before induction of ROD, body acupuncture was performed while in the control group it was exempted. Severity of withdrawal reaction was assessed having recourse to Clinical Institute Narcotic Assessment (CINA) Score and compared between two groups.

Results: After induction of ROD, CINA score raised significantly during the consecutive days in both groups compared with baseline values but the rise was significantly lower in acupuncture group.

Conclusions: The result of this study shows that body acupuncture reduces the severity of withdrawal symptoms associated with rapid opiate detoxification and it is recommended that this nonpharmacologic method of treatment should be included in ROD program.

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针刺对阿片快速解毒急性戒断症状的影响。
背景:快速阿片解毒(ROD)是药物滥用的最佳治疗方法之一。不幸的是,这种方法与严重的戒断反应有关。ROD期间体针的作用尚未明确。本研究旨在评价针刺对ROD戒断反应严重程度的影响。方法:将40例阿片类药物依赖的成年男性受试者随机分为针刺组和对照组。针刺组在ROD诱导前连续3天进行体针治疗,对照组不进行体针治疗。采用临床研究所麻醉评估(CINA)评分评估戒断反应的严重程度,并比较两组间的差异。结果:ROD诱导后,两组患者连续d的CINA评分均较基线值显著升高,针刺组升高幅度明显低于基线值。结论:本研究结果表明,体针可降低与阿片类药物快速解毒相关的戒断症状的严重程度,建议将这种非药物治疗方法纳入ROD方案。
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