针刺联合耳穴压豆治疗烟草依赖临床研究
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R246

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广州中医药大学第一附属医院创新强院课题(2019IIT12);广东省中医药局科研项目(20204005)


Clinical Study on Acupuncture Combined with Auricular Point Seed-Pressing for Tobacco Dependence
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    摘要:

    目的:观察针刺联合耳穴压豆治疗烟草依赖的临床疗效并评估其卫生经济学效益。方法:将纳入 烟草依赖的60 例患者采用随机数字表法分为研究组与对照组各30 例。研究组行针刺联合耳穴压豆治疗,对照 组行尼古丁贴治疗。比较2 组戒烟成功率,治疗前后呼出一氧化碳(CO) 值,尼古丁依赖检验量表(FTND)、 烟草自制力量表(AUTOS)、汉密顿焦虑量表(HAMA) 评分,以及改善每单位上述指标所需成本。结果:①临 床疗效结果。研究组戒烟成功5 例,成功率16.7%;对照组戒烟成功7 例,成功率23.3%,2 组戒烟成功率比 较,差异无统计学意义(P>0.05)。治疗后,2 组呼出CO 值,FTND、AUTOS、HAMA 评分分别与治疗前比 较,差异均有统计学意义(P<0.05)。2 组治疗后呼出CO 值,FTND、AUTOS、HAMA 评分比较,差异均无统 计学意义(P>0.05)。②卫生经济学评价结果。研究组总费用为32 720.00 元,对照组总费用为50 968.80 元, 2 组治疗费用比较,差异有统计学意义(P<0.05)。呼出CO 数值每下降1 ppm,研究组所需成本284.52 元, 对照组407.75 元;FTND 评分每减少1 分,研究组所需成本348.09 元,对照组579.19 元;AUTOS 评分每减少 1 分,研究组所需成本113.61 元,对照组146.88 元;HAMA 评分每减少1 分,研究组所需成本203.23 元,对 照组337.54 元。结论:针刺联合耳穴压豆与尼古丁贴治疗均可缓解尼古丁依赖,减轻焦虑,帮助戒烟,且疗 效相当,但获得相似戒烟效果,针刺结合耳穴治疗所需成本更低。

    Abstract:

    Abstract: Objective: To observe the clinical effect of the therapy of acupuncture combined with auricular point seed- pressing on tobacco dependence and to evaluate its health economics benefit. Methods:A total of 60 patients with tobacco dependence were included and divided into the study group and the control group according to the random number table method, with 30 cases in each group. The study group was given acupuncture combined with auricular seed-pressing for treatment,and the control group was treated with Nicotine Patches. The success rates of quitting smoking, the exhaled carbon monoxide (CO) values, scores of Fagerstrm Test for Nicotine Dependence (FTND), Autonomy over Tobacco Scale (AUTOS) and Hamilton Anxiety Scale (HAMA) before and after treatment, and the costs necessary to improve the above indexes were compared between the two groups. Results:① In terms of clinical effect, there were 5 patients who stopped smoking in the study group with a success rate of 16.7%;there were 7 patients who quitted smoking in the control group,with a success rate of 23.3%; there was no significant difference being found in the comparison of success rate between the two groups (P>0.05). After treatment, respectively comparing the exhaled CO values and scores of FTND, AUTOS and HAMA in both groups with those before treatment,differences were significant (P<0.05). There was no significant difference being found in the comparisons of exhaled CO values and scores of FTND,AUTOS and HAMA between the two groups (P>0.05). ② In terms of evaluation results of health economics benefit,the total cost was 32 720.00 yuan in the study group and 50 968.80 yuan in the control group,the difference being significant (P<0.05). For every 1 ppm decrease in exhaled CO value,the cost required for the study group was 284.52 yuan,and it was 407.75 yuan in the control group. For every 1 score reduction in FTND, the cost required for the study group was 348.09 yuan, and it was 579.19 yuan in the control group. For every 1 score reduction in AUTOS,the cost required for the study group was 113.61 yuan,and it was 146.88 yuan in the control group. For every 1 score reduction in HAMA, the cost required for the study group was 203.23 yuan, and it was 337.54 yuan in the control group. Conclusion: The therapy of acupuncture combined with auricular point seed- pressing or Nicotine Patches have a comparable curative effect,which can mitigate tobacco dependence and anxiety,and help quit smoking. However,to achieve similar effect,the required cost of therapy of acupuncture combined with auricular point seed-pressing is lower.

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陈家盛,林国华,曾婧纯,林诗雨,贾超.针刺联合耳穴压豆治疗烟草依赖临床研究[J].新中医,2023,55(22):155-160

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  • 在线发布日期: 2023-11-28
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