Ear acupuncture for alcohol withdrawal in comparison with aromatherapy: A randomized-controlled trial
Ear acupuncture for alcohol withdrawal in comparison with aromatherapy: A randomized-controlled trial
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DOI：
10.1111/j.1530-0277.2006.00333.x
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发表时间：
2007-03-01
影响因子：
3.2
通讯作者：
Rau, Harald
中科院分区：
文献类型：
--
作者：
Kunz, Stephanie;Schulz, Michael;Rau, Harald
背景：针灸作为物质相关性疾病的治疗方法在临床上越来越被接受。针灸作为一种治疗住院患者戒断综合征的方法知之甚少。我们比较耳针与芳香疗法在减少酒精戒断症状的持续时间和严重程度。方法：接受酒精戒断的住院患者随机分配到针刺（n=55）和芳香疗法（n=54）。在前5个连续治疗日期间，每天应用两种治疗。评估酒精戒断综合征的评定量表（AWS量表）作为主要因变量，在戒断的前5天每天应用。进一步的措施包括主观视觉模拟量表的渴望和自我评估Manikin（SAM）。结果：36的55例接受针灸，38的54例接受芳香疗法，定期完成研究。这两组人最初自我报告的觉醒程度不同，然后在进一步的分析中作为协变量。在观察期间，两组之间的渴望程度和戒断症状都没有差异。两种治疗后第1天至第2天（p < 0.001）和一天内（p < 0.001），自我评定的唤醒反应均降低，我们发现治疗前与治疗后和天数之间存在显著的相互作用（p < 0.001）。包括受试者之间的影响和干预的相互作用没有达到显着性level.Conclusion：结果不支持的假设，针灸在控制治疗的酒精戒断症状的具体影响的优势。
Background: There is increasing clinical acceptance of acupuncture as a treatment of substance-related disorders. Little is known about acupuncture as a treatment for the withdrawal syndrome in inpatient settings. We compared auricular needle acupuncture with aromatherapy in reducing the duration and severity of symptoms of alcohol withdrawal.Methods: Inpatients undergoing alcohol withdrawal were randomly allocated to needle acupuncture (n=55) and aromatherapy (n=54). Both therapies were applied daily during the first 5 consecutive treatment days. The rating scale for the assessment of the alcohol-withdrawal syndrome (AWS scale) served as the main dependent variable and was applied daily during the first 5 days of the withdrawal. Further measures included a subjective visual analog scale of craving and the Self Assessment Manikin (SAM).Results: Thirty-six of the 55 patients who received acupuncture, and 38 of the 54 patients who received aromatherapy, finished the study regularly. The groups differed in their initial self-reported arousal, which then served as a covariate in the further analyses. Neither the extent of craving nor of withdrawal symptoms differed between groups over the observation period. Self-rated arousal decreased in response to both treatments from days 1 to 2 (p < 0.001) and within single days (p < 0.001), and we found a significant interaction between pretreatment versus posttreatment and days (p < 0.001). Interactions including between-subjects effects and intervention did not achieve the significance level.Conclusion: The results do not support the assumption of a superiority of acupuncture over the control therapy in its specific effects on alcohol withdrawal symptoms.