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題名 | 建立中醫戒癮治療計畫=The Syudy of Developmene Model of Traditional Chinese Medicine Include in Drug Addiction Treatment |
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作 者 | 李聰界; | 書刊名 | 中醫藥年報 |
卷期 | 12 2023.10[民112.10] |
頁次 | 頁(7)1-(7)66 |
分類號 | 548.829 |
關鍵詞 | 戒毒; 中醫; 安非他命; 經皮穴位電刺激; Drug addiction treatment; Traditional Chinese medicine; Amphetamine; |
語文 | 中文(Chinese) |
中文摘要 | 研究目的: 藥物成癮不僅造成個人健康損傷和家庭的破碎,甚至危害到社會安全, 屬於全球公共衛生的議題,目前臺灣約有二十萬以上的人口使用過毒品,雖 然在臺灣吸食毒品是違反法律,但毒品的成癮性,迫使成癮者一再的接觸毒 品。根據臺灣衛福部食藥署 107 年 6 月藥物濫用案件暨檢驗統計資料,使 用安他命人的人數節節攀升,依造高等檢察署於 2019年7月發布的新聞稿, 顯示安非他命已經超越 K 他命成為臺灣最嚴重毒品,在毒品製造販賣運輸、 施用毒品人數、毒品持有人數方面,安非他命都超過 K 他命及新興毒品, 成為最嚴重毒品危害。加上安非他命有嚴重的傷害性,會損傷大腦的執行功 能,且易造成橫紋肌溶解症,甚至死亡,是個不容忽視的議題。根據 1996 年 11 月世界衛生組織在義大利米蘭的會議,提出 64 種針灸適應證,採用 類似針灸或傳統療法隨機對照試驗過的針灸適應證提到了戒毒,加上因為 中醫是全世界用來輔助及替代療法最普遍的一環,以及臺灣中醫體系完整 成熟,發展中醫療法來輔助戒除毒品,減輕戒斷的不適症狀,迫在眉頭,倘 若能建立中醫參與戒毒的治療模式,中西結合更能廣泛且有效的推廣與執 行戒毒。 研究方法: 本計畫蒐集參考過去國內外針灸戒毒相關中西文獻,整理歸納出具有 療效的中醫參與戒毒模式。並以多項量表評估、配合生理檢查,比較中醫介 入治療與常規治療的療效差異。結果與討論: 本計畫已完成文獻回顧,並召開數場專家會議對執行模式與政策進行 研討。經過專家會議討論,建立非侵入性且操作方便的經皮穴位電刺激來建 立及完善戒毒模式,共收案 39 人,其中 26 人接受經皮穴位電刺激治療, 為實驗組,其餘僅接受常規治療與追蹤,為對照組。結果發現,每周治療連 續一個月,治療 8-10 次後,實驗組之視覺類比量表、渴望量表、漢米爾頓 憂鬱量表之分數皆有下降,治療成效評估分數則有上升,且完成治療後續追 蹤兩個月,分數有持續改善。相較之下對照組之分數變化則未較實驗組顯著, 後續追蹤甚至有惡化。本計畫於 109 年 11 月 08 日於彰化基督教醫院舉辦 跨領域之中醫參與戒癮輔助治療專家會議,廣邀中西醫專家對此研究講授 相關專題與分享治療經驗,並提出相關政策與治療模式建議。 |
英文摘要 | Aim: Drug addiction is a global public health issue. At present, there are more than 200,000 people in Taiwan who have used drugs. According to the statistics of drug abuse cases and tests conducted by the food and Drug Administration of the Ministry of health and welfare of Taiwan in June, 107, the number of people using amphetamines is increasing. According to the press release issued by the higher prosecutor's office in July, 2019, amphetamine has surpassed ketamine as the most serious drug in Taiwan. In addition, amphetamine has serious harm, it will damage the executive function of brain, and it is easy to cause rhabdomyolysis, even death, which is an issue that can not be ignored. Traditional Chinese Medicine (TCM) is the most common part of complementary and alternative therapy in the world, so as to develop traditional Chinese medicine to assist drug rehabilitation and reduce drug consumption If we can establish the treatment mode of Chinese medicine participating in drug of abstinence of drugs, the combination of Chinese and Western medicine can promote and implement drug rehabilitation more widely and effectively. Method: Referring to the past Chinese and Western literature, we know that acupuncture is helpful to the treatment of drug addiction. At present, there is no strong and effective treatment method. Only psychiatric drugs are used for treatment. Therefore, it is imperative to develop the model of Chinese medicine for drug rehabilitation to treat amphetamine. Considering the risk of hemorrhage and infection in acupuncture, it is proposed to establish and improve the detoxification mode by non-invasive and easy to operate transcutaneous acupoint electrical stimulation. Results & Discussion: This study is expected to improve and establish acupuncture and moxibustion abstinence treatment modes such as "transcutaneous acupoint electric stimulation gloves of traditional Chinese medicine". Through case study and analysis, the differences between traditional Chinese medicine intervention and conventional treatment modes will be compared, and relevant standard operation procedures, training courses and quality indicators will be set up. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。