Acupuncture for substance abuse.

Acupuncture for substance abuse.
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DOI:
10.1007/s11920-003-0065-6
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发表时间:
2003-10-01
影响因子:
6.7
通讯作者:
Margolin, Arthur
Margolin, Arthur
中科院分区:
医学2区
文献类型:
--
作者:
Margolin, Arthur

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针灸,在外耳两侧插入针的形式,在美国被广泛用于治疗成瘾。然而,对照研究对这种治疗形式的支持并不一致。这篇文章检查了最近的针灸成瘾治疗的临床试验,目的是向读者传达在这一领域进行研究所涉及的一些复杂问题。成瘾的针灸试验经常在没有初步剂量范围研究的情况下进行,以确定实验治疗的有效剂量,使用未知程度的活动的针刺控制,并且没有提出同时提供的心理治疗的类型或强度的理由。目前,根据现有研究的证据提出支持或反对针灸治疗成瘾的建议还为时过早。
Acupuncture, in the form of insertion of needles bilaterally in the outer ears, is widely used for the treatment of addiction in the US. However, support for this form of treatment from controlled studies has not been consistent. This article examines recent clinical trials of acupuncture for addiction treatment, with a goal of conveying to the reader some of the complex issues involved in conducting studies in this area. Acupuncture trials in addictions frequently have been conducted without preliminary dose-ranging studies to establish efficacious doses of the experimental treatment, use needle insertion controls of unknown degrees of activity, and present no rationale for the type or intensity of concurrently offered psychotherapy. At the present time, it is premature to put forth recommendations for or against acupuncture for the treatment of addiction based on evidence from extant studies.