针治疗可卡因成:一个随机对照试验
Arthur Margolin1, Herbert D Kleber, S Kelly Avants
1Yale University School of Medicine, Substance Abuse Center, 34 Park St, New Haven, CT 06519, USA. arthur.margolin@yale.edu
JAMA
|January 12, 2002
概括
耳部针没有显示出比可卡因成的对照治疗更大的有效性. 这项研究表明,针不是可卡因成的独立治疗方法.
科学领域:
- 综合医学是一个整体的医学.
- 成精神病学成精神病学
- 临床试验 临床试验
背景情况:
- 耳部针是美国和欧洲可卡因成的常见治疗方法.
- 支持其在受控研究中的有效性的证据是不一致的.
研究的目的:
- 评估耳部针治疗可卡因成的疗效.
主要方法:
- 一个随机的,受控的,单盲临床试验,涉及620个可卡因成年人在6个美国诊所.
- 参与者被分配到耳部针,针插入控制组或放松控制组.
- 治疗每周进行5次,持续8周,同时提供药物咨询.
主要成果:
- 在耳部针和对照组之间没有发现可卡因使用减少的显著差异.
- 在所有疾病中,治疗延续率相似 (44%-46%).
- 在所有群体中,辅导会议的出席率都很低.
结论:
- 在这项研究中,耳针在减少可卡因使用方面并不比对照干预更有效.
- 这些研究结果并不支持针作为可卡因成的独立治疗方法,尤其是在最低限度的心理社会支持下.
- 需要进一步的研究来探索针作为成治疗中的辅助疗法的作用.
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