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| 題 名 | 建立中醫戒癮治療計畫=The Study of Development Model of Traditional Chinese Medicine Include in Drug Addiction Treatment |
|---|---|
| 作 者 | 李聰界; | 書刊名 | 中醫藥年報 |
| 卷 期 | 13 2024.10[民113.10] |
| 頁 次 | 頁(4)1-(4)127 |
| 分類號 | 413.915 |
| 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,目前台灣約有二十萬以上的人口使用過毒品,雖然在台灣吸食毒品是違 反法律,但毒品的成癮性,迫使成癮者一再的接觸毒品。根據台灣衛福部食藥署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他命成為台灣最嚴重毒品,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 台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: 本計畫此計畫預計完善及建立「中醫經皮穴位電刺激手套」的針灸戒癮治療模式, 透過案例整理與分析,比較中醫介入與常規治療模式之差異,亦會建置相關標準作業流 程、訓練課程及品質指標等,另外擬組成中醫團隊至少每季開一次討論會,討論執行層面的困難,提出解決方案。並且籌組「中醫參與戒毒治療專家諮詢委員會」,廣邀各界 長官專家學者參與,透過專家會議,針對中醫參與戒毒治療的相關議題進行討論,如政 策建議、臨床治療、品質指標、法規及實務面等,彙整專家意見,形成共識,做為中醫 參與戒毒治療政策建議之基礎,尤其近來二級三級毒品氾濫,亟需討論中醫在防治上所 能提供之協助。 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33人,25人已完成,包含治療組12人,對照組7人,偽治療組6人。6人尚在治療中,2 人因失聯中斷治療。結果發現,每周治療2次連續一個月,治療組之視覺類比量表、渴 望量表、漢米爾頓憂鬱量表、戒斷症狀量表之分數皆有下降,治療成效評估分數則有上 升。與之相對,對照組、偽治療組之各項量表分數皆沒有改善。本計畫於110年10月17 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 200000 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 terms of drug manufacturing, trafficking, transportation, number of drug users and drug holders, amphetamine have become the most serious drug harm. 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: This project is a one-year plan. It is expected to improve and establish acupuncture abstinence treatment modes such as "transcutaneous acupoint electric stimulation gloves ". Through case study and analysis, the differences between transcutaneous acupoint electric stimulation appliance and conventional treatment modes will be compared, and relevant standard operation procedures, training courses and quality indicators will be set up. In addition, a discussion meeting will be held at least once a quarter to discuss the difficulties, and make a poster and film of the treatment results of transcutaneous acupoint electric stimulation appliance . Results & Discussion: In addition, the project plans to set up a "Consultation Committee of experts on Chinese medicine's participation in drug treatment", which will invite experts and scholars from all walks of life to participate. Through the expert meeting, we will discuss issues related to Chinese medicine's participation in drug treatment, such as policy recommendations, clinical treatment, quality indicators, laws and regulations, and practical aspects. We will gather experts' opinions and form a consensus as a policy recommendation for Chinese medicine's participation in drug treatment It is necessary to discuss the assistance of TCM in prevention and treatment. |
本系統中英文摘要資訊取自各篇刊載內容。