Ka hopena o ka electro-acupuncture i hui pūʻia me ke kāpena o ke kino ma nā manaʻo noʻonoʻo a me ka P50 o ka mana hoʻonāeu i nā poʻe maʻi me ka maʻi pūnaewele (2017)

• Li Hui^a,
• Jin Rongjiang^b,
• Yuan Kezhu^b,
• Zheng Bo^c,
• Zheng Zhong^d,
• Luo Kama^e,
• Hua Hua^b,
• Huang Bingjie^b,
• Zhu Tianmin^b,,,

http://dx.doi.org/10.1016/S0254-6272(17)30025-0

Hōʻuluʻulu Manaʻo

Pahuhopu

No ka mālamaʻana i nā hopena maikaʻi o ka electro acupuncture (EA) me ka hāpai i keʻano o ke kino ma ka hōʻikeʻana o ka somzatization a iʻole ka nānāʻana a me kaʻike o ka naʻau o ke kaumaha a me ka manaʻo nui a me ka P50 o ka Auditory Evoked Potential (AEP) ma ka pūnaewele hōʻailona (IAD).

METHOD

Ua hoʻokaʻawale 'ia he hoʻokahi haneri a me ka iwakālua mau hihia o ka IAD i loko o kekahi hui EA, kahi hui psycho-intervention (PI) a me kahi hui kaiaulu (EA a me PI). Ua mālamaʻia nā maʻi o ka hui EA me EA. Ua mālamaʻia nā maʻi o ka hui PI me kaʻikeʻike a me ka hoʻolālā. Ua mālamaʻia nā poʻe maʻi ma ka EA me PI me ka electro-acupuncture me ke kuhiʻana o kaʻike. Nā helu helu IAD, ua heluʻia nā helu o ka hōʻailona helu 90 (SCL-90), kahakaha a me ka amplitude o P50 o ka AEP ma mua a ma hope o ka hoʻoponoponoʻana.

Nā Hua

ʻO ka helu IAD mahope loa o ka emiʻana o ka maʻi ma nā hui a pau (P <0.05), a ʻo nā helu o IAD i ka hui EA plus PI i haʻahaʻa loa ma mua o nā mea i nā hui ʻelua ʻē aʻe (P <0.05). Ua hōʻuluʻulu nā helu o SCL-90 a me kēlā me kēia mea ma hope o ka mālama ʻana i ka hui EA plus PIP <0.05). Ma hope o ka mālama ʻana i ka hui EA a me PI, ua hoʻonui maoli ʻia ka mamao amplitude o S1P50 a me S2P50 (S1-S2) (P <0.05).

PANINA

Hiki iā EA i hui pū me PI ke kōkua i ka hōʻailona naʻau o nā maʻi IAD, a ua pili paha ka mechanics i ka uluʻana o ka hana o ka cerebrum manaʻo.

ʻO nā hua'ōlelo nui

• Pūnaewele Hoʻohālikelike Pūnaewele;
• Electroacupuncture;
• Hoʻolālā psychological;
• ʻO ke ʻano hana;
• Nā mana hūnā

Introduction

Hōʻalo i ka pūnaewele addiction (IAD) kahi kūlana me ka noʻonoʻo kino o ka hoʻomanawanui ʻana, ka hoʻihoʻi ʻana i nā hōʻailona, ​​hopohopo, ka pilina pili ʻana, a me nā syndromes serial e like me ka physiological sub-health a me nā hana hoʻohālikelike o ka hana loiloi.^{1 ;  2} Hiki i ka IAD ke hopena maikaʻi loa i ka hoʻomohala ʻana i ka noʻonoʻo maʻamau a alakaʻi i nā sindroms serial e like me ka palakaʻole ʻana o ka naʻau, hana hoʻohaunaele, pilikia kino, a pēlā aku.³

Mai kēia manawa, ʻo nā hana wawaʻi no ka IAD e pili pū ana i ka ʻoihana lapaʻau, ka mālama ʻana i ka hana cognitive, ka paipai leo a pēlā aku.⁴ Ua noi ʻia kekahi mau noiʻi he hopena maikaʻi ka electro-acupuncture e pili ana i ka IAD,^{5 ;  6} akā ʻaʻohe kumu kūpono e wehewehe i ka mīkini therapeutic. I kēia manawa, hōʻike ka noiʻi neuropsychological i, ʻo ka hewa o ke kāʻei sensory (SG) e hopena i nā maʻi noʻonoʻo nui e like me ke kaumaha, schizophrenia a me ka maʻi kaumaha.^{7 ;  8} Me IAD kekahi kumu neuropsychological maʻamau me kēia mau pilikia. ʻO SG e pili ana i ka waiwai o ka lolo e pale ai i ka hoʻouluʻana i ka sensory e pili ana, he ʻano nui ia cognitive. Pānaʻi pinepine ʻia ka SG me nā hanana e pili ana i nā mea e hiki ke ana ʻia e P50, kekahi o ka nui o ka helu electro-neurophysiological hana. ʻO P50 e kuhikuhi i ka nalu maʻamau maʻamau ma waena o 30ms a me 90ms i loko o ka lolo ma hope o ka hoʻoulu ʻana. ʻO kahi hana e loaʻa ai i ka lolo ka pane o ka pale o ka hoʻoulu i ka lua ma hope o ka hoʻoulu mua. No laila P50 o ka mau auditory evoked mau mea (AEP) i hiki i ka mea hoʻohālike i ka hana pale a me ka hana SG kumu o ka lolo.⁹ Wahi a kēia, ke manaʻo nei mākou ʻo ka loli o P50 ma mua a ma hope o ka mālama ʻana i nā poʻe maʻi me ka IAD hiki ke hōʻike i ka hoʻololi o SG inhibition function of the brain, the therapeutic effects and be a point to match the different inter wawaences that to test if the electro- He kūpono ka acupuncture a ʻike i ke ʻano lāʻau ʻoi aku ka maikaʻi. Ma kēia noiʻi ʻana, ua ʻimi mākou i nā mea maʻi me ka IAD a māhelehele i nā kumuhana i loko o ka pūʻulu electro-acupuncture (EA), hui psycho-intervention (PI) a me ka hui ʻoihana holomua (CT), ʻike i ka hoʻololi o nā hōʻailona noʻonoʻo a me P50 o AEP i nā pūʻulu ʻekolu. . ^ E Ha yM.

METHOD

ʻĀina hana hoʻohālikelike

Ua hana ʻia ka maʻi hoʻoleʻa o IA e like me ke kūlana i ʻae ʻia e ka American Association of Psychology (1997).¹⁰

Nā ʻōlelo kūlike

(a)

Haka me ka ʻoluʻolu o ka net-play, ʻo ia hoʻi, hiki ke māʻona i ka mea maʻi ma o ka manawa nui wale nō ka nui o ka net-pāʻani; a i ʻole hiki ke hānai ʻia me ka manawa nī ʻano pāʻani ʻole kahiko ʻole.

(B)

Huli i kekahi o nā hōʻailona ma hope iho o ka pau ʻana o ka net-play:

ʻO ka maʻi haʻaleleʻana o nā hōʻike. psycho-motor irritability; ka noʻonoʻo noʻonoʻo ʻana i nā mea i hana i ka wā o ka net-play; he ʻuhane a i ʻole hoʻi ka moeʻuhane e pili ana i nā mea pili e pili ana i ka net-play; hanaʻole a i ʻole e hana i ka hana maalea kīwī ʻana. E hoʻonāukiuki kēia mau hōʻailona i ka manaʻo noʻonoʻo a i ʻole nā ​​mea hoʻonāukiuki i ka nohona, hana a i nā mea koʻikoʻi.

E hopohopo e hoʻohana i ka Pūnaewele a i ʻole kahi lawelawe like no ka hoʻonaninahana a pale aku paha i nā hōʻea.

(c)

Kipa pinepine pinepine ʻia ka pūnaewele a no ka manawa lōʻihi ma mua o ka nui i koho ʻia.

(d)

Mālama mau ʻoe i kahi e haʻalele ai a pale ʻole paha i ka pāʻani ʻana, akā ʻaʻole lapuwale nā ​​hoʻāʻo āpau.

(E)

Hoʻololi i nā manawa he nui i nā hana e pili ana i ka Pūnaewele, e like me ke kūʻai ʻana i nā puke i pili i ka pūnaewele, e ʻimi ana e holo i kahi polokalamu hou, a me ka waiho ʻana i nā mea i hoʻoiho ʻia.

(f)

Ma muli o ka pāʻani net, ka ʻauhau i haʻalele a waiho i nā hana koʻikoʻi nui, hana a i ʻole nā ​​hana hana.

(g)

Ke hoʻomau nei ka pāʻani ʻana i ka pūnaewele me ka leʻaleʻa, ʻoiai ua ʻike ka mea maʻi i nā pilikia mau ʻana a i ʻole hoʻi e ala i ka pāʻani-net ma ke kino, ka pilina, ʻona a me ka noʻonoʻo ʻana.

Nā hōʻike kūlike

ʻO nā maʻi: (a) ua loaʻa i ka maʻi noʻonoʻo i ka ʻokoʻa ma mua o IA; (b) loaʻa nā moʻolelo o ke hoʻohui ʻana i ka lāʻau lapaʻau; (c) me nā huahewa kūleʻa o EA, e like me nā maʻi cardiovascular koʻikoʻi, nā hematopathies, nā maʻi hōʻino, a me nā mea ʻē aʻe; (d) me hypersensitive i EA a i ʻole hiki ke hoʻomanawanui i ka hana EA a palupalu paha mai ka acupuncture; a (e) he wahine a i hāpai a hāpai paha.

Ka hoʻonohonoho noiʻi a me nā hiʻohiʻona lapaʻau o nā poʻe komo

He 120 mau kumuhana i komo i ka hoʻokolohua hoʻokolohua me kā lākou diagnoses e hālāwai ana me ke kūlana o ka Pūnaewele Pūnaewele (IA) i nānā ʻia mai ka 1st Hospital Hospital o Chengdu University of Traditional Chinese Medicine, nā Clinics for Substance Dependence of Xiqu Hospital, ka General Hospital of ka ʻĀpana Koa Chengdu, a me nā haumāna mai ke Kulanui o ke Kālā Waiwai ʻo Xi'nan a me ke Kulanui ʻo Chengdu TCM. Ma hope o ke kau inoa ʻana i kahi palapala ʻae hoʻomaopopo, ua helu ʻia lākou e like me ke kaʻina o kā lākou kipa ʻana a hāʻawi ʻia i ʻekolu mau pūʻulu e hoʻohana ana i ka papa ʻaina kikoʻī randomized i hana ʻia e ka polokalamu SAS 8.0 (mana 8.0 SAS Institute, Cary, NC, USA). Ua hāʻawi ʻia he kanahā mau kumuhana i kēlā me kēia hui EA, hui PI, a me ka hui CT. Ua hana ʻia kēia noi e like me nā kumumanaʻo o ka Declaration of Helsinki (Edinburgh mana, 2000). Ua ʻae ʻia ka protocol study e ke Kōmike Ethics o ka 1st Hospital Hospital o ke Kulanui ʻo Chengdu University of Medicine Chinese. Loaʻa ka ʻae hoʻomaopopo mai nā mea komo āpau. Hōʻike ʻia nā ʻano maʻi o nā mea komo i 1 Pūnaewele.

1 Pūnaewele.

Nā hiʻohiʻona maʻi o nā mea komo ( x x

Nā moʻolelo: ka hui o CT: hana ʻia me ka hoʻopili naʻau a me ka electro-acupuncture; Hoʻolālā EA: i mālama ʻia me ka electro-acupuncture wale nō; Nā pūʻulu PI: hana ʻia me ka pale noʻonoʻo pū kekahi. CT: therapy paʻa; EA: electro-acupuncture; Pi: psycho-intervent.

Nā koho papa

lapaʻau

Ua hoʻohana ʻia ʻo EA i kēlā me kēia lā i kēlā me kahi lā e kū ana ʻo 10 ma ke ʻano he papa hoʻokahi, me ʻelua mau papa i noi ʻia no kēlā me kēia hihia. Nā koho Acupoints: Baihui (GV 20), Sishengcong (EX-HN 1), Hegu (LI 4), Neiguan (PC 6), Taichong (LR 3) a me Sanyinjiao (SP 6). Ka hana: ʻO nā mea maʻi i ke kūlana kiʻekiʻe. Huatuo brand 0.25 mm × 40 / 25 mm mau lāʻau keleawe mai kā Suzhou Medical supplies Company (Suzhou, Kina) i hoʻohana ʻia, i komo pū i ka hana maʻamau, hoʻokō hui i nā kāʻei hana e kāohi ana a hōʻemi a hiki i "De Qi”. Mālama ʻia nā nila i Baihui (GV 20), Neiguan (PC 6) a me Sanyinjiao (SP 6) ma kahi o 30 min a hāʻawi ʻia i kahi kui kele e holo ana i kēlā me kēia 10 min; ua noi ʻia kahi hui hoʻonāuki uila ma hoʻokahi paʻa o nā 4 acupoints o Sishengcong (EX-HN 1), e hoʻohana ana i nā kiko ʻākau / hema a me nā kiko luna / lalo i kahi ʻē aʻe. ua noi ʻia kahi hui ʻē aʻe o ka hoʻoulu uila ma Hegu (LI 4) a me Taichong (LR 3), me ka hoʻohana ʻana i nā acupoints ma ka ʻaoʻao ʻākau a me ka ʻaoʻao hema ʻokoʻa. ʻO ia hoʻi, ua noi ʻia ʻelua mau pūʻulu stimulate ma 4 acupoints (2 pālua) i ka huli ʻana o EA. Ua lawelawe ʻia ka hoʻoulu uila me ka hoʻohana ʻana i kahi mea hana uila electro-acupuncture G6805 ʻano mai Huayi mea lāʻau lapaʻau Factory (Shanghai, Kina), me nā palena i hoʻonohonoho ʻia o ke alapine 10-100 Hz, ka nalu ākea ākea, ka laulā 0.3 ms, ka ikaika o ka stimulus i hoʻonohonoho ʻia ma ka hoʻomanawanui ʻana o ka mea maʻi a mālama ʻia no 30 min.

Ua hoʻokō ʻia ʻo PI e ka hana naʻau noʻonoʻo ma 4: 00-5: 00 PM i kēlā me kēia 4 lā, ma 30 min i kēlā me kēia huli, me 5 huli ma ke ʻano hoʻokahi papa, a ʻelua mau papa i noi ʻia. Ua holomua i nā ʻano 4: (a) E kamaʻāina me nā ʻike mua o ka mea maʻi, a aʻo i nā aʻa o kāna hana maʻi maʻi a me ka manaʻo maikaʻi ʻole; (b) ke kaupaona ma ka Pūnaewele i ka pahuhopu a me ka laulima pū me ka mea hoʻomanawanui i mea e hoʻololi ai i kāna ʻikepili i ka net-infatuation a me ka hilinaʻi; (c) e hoʻokumu i kahi papa hana ʻepekema o ka hana / hoʻomaha pū me ka mea hoʻomanawanui, e hoʻihoʻi i kona ʻano ola; a (d) e alakaʻi i ka hoʻoikaika i ka hana ma ke kūkākūkā ʻana a me ke kau inoa ʻana i kahi ʻaelike o ka abstinence IA me ka mea maʻi a me nā lālā o kona ʻohana no ka hoʻonā liʻiliʻi ʻana iā IA. I ka hui laulima (CT) hui, lawelawe ʻia ʻo EA plus PI, me EA no 10 huli a PI no 5 huli ma ke ʻano he hoʻokahi papa.

huahelu

Ua nānā ʻia nā kūlana olakino o nā mea maʻi e ka nānā ʻana i ka hoʻohana ʻana i ke kāʻei haʻahaʻa ponoʻī no IAD a me SCL-90. Ua loaʻa nā kiʻi ma 2 mau manawa i kēlā me ka hoʻomaka a me ka hopena o ka hoʻokolokolo, a hoʻopaʻa ʻia nā hopena. ʻO ka pākana helu hoʻonaninani no IAD i hoʻokumu ʻia e Kimberly Young, University of Pittsburgh, USA.¹¹

Aia ʻo SCL-90 i nā mea 90, a ua hoʻokaʻawale ʻia ma 5 mau pae ma ka kiʻi ʻana iā 1 – 5.¹² ʻO ka nui o nā helu a me nā mākau e ʻike i nā mea kūpono a me nā pihi o nā mea pili me ka hōʻailona somatization, nā hōʻailona obsitive-compulsion, hoʻonaninau interpersonal, kaumaha, hopohopo, hoʻāhewa, weliweli, pehu, nā hōʻailona psychotic i loiloi.

Ua hoʻohana ʻia nā hoʻoholo āpau ma lalo o ka ʻōlelo aʻo a ka mea loiloi, i kahi ʻano mālie, me ka mea i hoʻāʻo ma ke ʻano maopopo a ua paʻa kona manaʻo. A laila ua hoʻokō ʻia ka loiloi e kahi ʻenehana loea i koho ʻia.

Ua nānā ʻia ka nānā ʻana iā ERP ma 9: 00-12: 00 ma loko o kahi keʻena pale, e hāpai ana i ke ala o Su a me al, ¹³ me ka hoʻohana ʻana i ka mea hiki ke hopu i ka MEB 9200-evoked detector mai ka Nihon Kohden Company (Tokyo, Iapana). Ua ukali ʻia nā ʻōlelo aʻoaʻo a me nā loiloi ʻokoʻa i ka wā o ka hoʻāʻo, a ua hana ʻia e ka mea i hana ʻia.

Wahi a ka ʻōnaehana ʻōnaehana 10/20 o ka honua no electroencephalogram, ua kau ʻia nā electrodes hoʻopaʻa leo ma ke kiko waena o ka ʻili (Cz) a me ka kiko waena o ka lae me ka honua e pili ana. nā electrodes kūmole i aia i nā apo pepeiao ʻelua, ka impedance i hoʻonohonoho ʻia ma waena o ka electrode a me ka ʻili ma <5 kΩ. ʻO nā pālua pālua (S1, S2) i hoʻoulu ʻia e ka mea hana hōʻailona kūwaho me kahi alapine o 85Hz. ʻO nā kaomi he nalu huinahā kaulike a me 0.10ms i ka lōʻihi. ʻO kēlā me kēia hoʻokolokolo he ʻelua mau kaomi (S1, S2) me kahi manawa waena stimulus o 500ms. Ua hana hou ʻia nā hoʻokolokolo me kahi kūloko o 10s. Ua hāʻawi ʻia nā kumuhana i nā hui he 32 o ka pālua pālua ma o nā pēpē. ʻO nā mea hoʻonāukiuki o S1 a me S2 i laʻana i hoʻohālikelike ʻia a me kēlā me kēia. Ua hoʻonui ʻia ka hōʻailona hoʻokomo 200ms i ka puka aniani. ʻO P50 i hoʻonāukiuki ʻia e S1 e hoʻouluulu (S1-P50) ʻoiai e S2 e hoʻāʻo nei (S2-P50). Ka latency a me ka amplitude o S1-P50 a me S2-P50 a me ka lakio o ka amplitude o S2-P50 a me S1-P50 (S2 / S1), a me ka ʻokoʻa ma waena o ka amplitude o S1-P50 a me S2-P50 (S1- S2) i hoʻopaʻa ʻia.

ʻIkeʻIke Heluhelu

Ua hōʻike ʻia nā ʻikepili e like me ± ka palena maʻamau ( x¯ ± s), a hoʻopaʻa ʻia me SPSS 13.0 (version 13.0 SPSS Inc., Chicago, IL, USA), T-ʻOna, hoʻokahi ʻano loiloi o ke ʻano ʻē, χ² hōʻike ʻia, hoʻokama ʻia ʻo Ridit i hōʻike i nā ʻokoʻa ʻē i waena o nā hui. P Ua hōʻike ʻia ʻo 0.05 XNUMX i koʻikoʻi nui ia.

Nā Hua

Loaʻa kahi nui o 112 mau kumuhana i ka hōʻike hope loa o ka hoʻokolokolo (Hōʻike 1). ʻEwalu mau kumumanaʻo i hoʻokuʻu ʻia: hoʻokahi kumuhana o ka pūʻulu ʻo EA i waiho i lalo ma muli o ka nāwaliwali ma ka mālama mua ʻana o ka hana EA; i waena o nā kumumanaʻo ʻehā i ka pūʻulu PI, ua hoʻoholo ʻia kekahi ma muli o ka appendicitis ma hope o ke ʻano lapaʻau ʻelua, ʻelua ma muli o ke ʻano kula ma mua o ka hoʻōho ʻana o ka 4th PI, a ʻo ka mea hope loa ma muli o ka pono e kipa i kona kupuna wahine maʻi nui ma hope o ka 4th PI hoʻokaumaha; i waena o nā kumuhana ʻekolu i ka hui o ka CT, kahi i hoʻohemo ʻia ma hope o ka mālama mua ʻana no ka huakaʻi o waho aku, ʻelua e ʻike i ka hōʻike ma hope o ka 1st a me 3rd CT, kēlā me kēia.

Hōʻike 1. 

Hōʻalo kiʻi i nā poʻe i komo

Nā pūʻulu o CT: i mālama ʻia me ka hoʻoweliweli kūlohelohe a me electro-acupuncture; Hoʻolālā EA: i mālama ʻia me ka electro-acupuncture wale nō; Nā pūʻulu PI: hana ʻia me ka pale noʻonoʻo pū kekahi. CT: therapy paʻa; EA: electro-acupuncture; Pi: psycho-intervent.

Nā koho kiʻi

Ka hoʻohālikelike o nā MA Scores

Ua ʻokoʻa nā hōʻailona IA ma mua o ka mālama ʻana i nā ʻekolu ʻekolu.P > 0.05). Ma hope o ka mālama ʻana, ua emi ka helu i nā hui ʻekolu (P <0.05), a me ke kēkelē IA i koho ʻia iā lākou e like me CT <EA <PI (nā mea āpau P <0.05, 2 Pūnaewele).

2 Pūnaewele.

Hoʻohālikelike o nā helu IA o nā pūʻulu o PI, EA, CT ( x x

Nā moʻolelo: ka hui o CT: hana ʻia me ka hoʻopili naʻau a me ka electro-acupuncture; Hoʻolālā EA: i mālama ʻia me ka electro-acupuncture wale nō; Nā pūʻulu PI: hana ʻia me ka pale noʻonoʻo pū kekahi. CT: therapy paʻa; EA: electro-acupuncture; Pi: psycho-intervent.

a

P <0.05, hoʻohālikelike ʻia me ma mua o ka lapaʻau ʻana;

b

P <0.05, hoʻohālikelike ʻia me ka hui PI;

c

P <0.05, hoʻohālikelike ʻia me ka hui EA.

Nā koho papa

Hoʻohālikelike o nā Scores SCL-90

Ma hope o ka mālama ʻana, ua hōʻemi nui ka nui o nā helu SCL-90 a me nā helu kumu āpau.P <0.05); i ka hui EA, koe wale nō ke kumu o ka inaina a me ka weliweli, ua hōʻemi loa nā helu a me nā helu helu ʻē aʻe (P <0.05); i ka hui PI, koe wale nā ​​helu o ka somatization a me ka weliweli, ua hōʻemi loa nā helu a me nā helu o nā kumu ʻē aʻe. ʻO nā helu helu a me nā māka waena o nā mea maikaʻi a me nā helu o nā mea e like me nā ʻōuli somatization, ʻōuli obsessive-compulsion, ʻike pilikino, kaumaha, hopohopo, hoʻowahāwahā a me nā mea weliweli, paranoid, psychotic a me nā mea ʻē aʻe i ka hui CT i koʻikoʻi. malalo o ka hui EA a me ka hui PI (P <0.05). ʻO nā helu helu āpau a me nā helu helu helu o ka hui EA he mea nui ʻokoʻa ia mai nā mea ma ka hui PI (P <0.05, 3 Pūnaewele).

3 Pūnaewele.

Hoʻohālikelike o nā ʻike SCL-90 o nā pūʻulu ʻo PI, EA, CT ( x x

Nā moʻolelo: ka hui o CT: hana ʻia me ka hoʻopili naʻau a me ka electro-acupuncture; Hoʻolālā EA: i mālama ʻia me ka electro-acupuncture wale nō; Nā pūʻulu PI: hana ʻia me ka pale noʻonoʻo pū kekahi. CT: therapy paʻa; EA: electro-acupuncture; Pi: psycho-intervent.

a

P <0.05, hoʻohālikelike ʻia me ka mālama mua ʻana;

b

P <0.05, hoʻohālikelike ʻia me ka hui PI;

c

P <0.05, hoʻohālikelike ʻia me ka hui EA.

Nā koho papa

ʻO ka hoʻohālikelike o ka Latency a me ke ʻano o P50

Ma hope o ka mālama ʻana, hoʻonui nui ʻia ka S1-P50 i ka pūʻulu PI a me S2-P50 i ka hui ʻana o CT.P <0.05). Ua hoʻemi nui ʻia ka latency o S1-P50 ma ka hui CT ma mua o kēlā me ka hui PI a me ka hui EA (P <0.05). ʻO ka ʻokoʻa ma waena o ka amplitude o S1-P50 a me S2-P50 (S1-S2) i hoʻonui nui ʻia (P <0.05). ʻO S1-S2 i ka hui EA ʻoi aku ka kiʻekiʻe ma mua o ka wā akā he ʻokoʻa nui ʻole (P > 0.05, 4 Pūnaewele ;  5 Pūnaewele).

4 Pūnaewele.

ʻO ka hoʻohālikelike o ka latency o P50 o PI, EA, ʻo nā hui ʻo CT (ms, x x

Nā moʻolelo: ka hui o CT: hana ʻia me ka hoʻopili naʻau a me ka electro-acupuncture; Hoʻolālā EA: i mālama ʻia me ka electro-acupuncture wale nō; Nā pūʻulu PI: hana ʻia me ka pale noʻonoʻo pū kekahi. CT: therapy paʻa; EA: electro-acupuncture; Pi: psycho-intervent.

a

P <0.05, hoʻohālikelike ʻia me ka mālama mua ʻana;

b

P <0.05, hoʻohālikelike ʻia me ka hui PI;

c

P <0.05, hoʻohālikelike ʻia me ka hui EA.

Nā koho papa

5 Pūnaewele.

ʻO ka hoʻohālikelike o ka hoʻonui ʻana o ka P50 o PI, EA, ʻo nā hui ʻo CT (VV, x x

Nā moʻolelo: ka hui o CT: hana ʻia me ka hoʻopili naʻau a me ka electro-acupuncture; Hoʻolālā EA: i mālama ʻia me ka electro-acupuncture wale nō; Nā pūʻulu PI: hana ʻia me ka pale noʻonoʻo pū kekahi. CT: therapy paʻa; EA: electro-acupuncture; Pi: psycho-intervent.

a

P <0.05, hoʻohālikelike ʻia me ka mālama mua ʻana.

Nā koho papa

KA HOOHOLO

I kēia noi ʻana, ua hōʻike nā hopena o ka pālākiō lāki pono pilikino no IAD i kēia noi ʻana ma hope o ka hoʻomaʻamaʻa ʻana ua emi loa ka helu o IAD. Ua ʻoi aku ka haʻahaʻa o ka helu ma ka hui CT ma mua o ka hui EA a me PI. ʻO ia e ʻōlelo, hiki i ka laulā therapy (EA + PI) ke loaʻa ka hopena koʻikoʻi i ka mālama ʻana iā IAD.

Hiki i ka SCL-90 ke hōʻike piha i nā hōʻailona Psychological o nā poʻe hui me ka nānā ʻana i ke ʻano, ka manaʻo, ka noʻonoʻo, ka naʻauao, ka ʻano e like me ke ʻano o ke ola, ka pilina interpersonal, kaʻai ʻana a me ka hiamoe, a me nā mea ʻē aʻe. ʻaʻole naʻe.^{14; 15 ;  16} Ma kēia noiʻi ʻana, ma hope o ka CT, ua hōʻemi nui ka helu nui a me nā helu o kēlā me nā mea āpau o SCL-90.P <0.05); a me nā helu helu a me nā māka waena o nā mea maikaʻi a me nā helu o nā mea e pili ana i nā ʻōuli-obsessive-compulsion, kaumaha, hopohopo, psychotic a me nā mea ʻē aʻe i ka hui CT ma lalo o ka hui EA a me ka hui PI. Ua hōʻike ʻia ka hopena, hiki i ka CT ke hoʻoponopono i ke kūlana psychological a hoʻomaikaʻi i ka pae o ke olakino noʻonoʻo.

ʻO ka Sensory gating (SG) e pili ana i kahi waiwai o ka lolo e pale ai i ka pilina o sensory e pili ana. Kuhi pili kēia ʻano o ka waiwai i ke kuhikuhi pono o ka hana noʻonoʻo. Hiki i ka lolo ke pale i ka hoʻomohala ʻole ʻana ma o SG i mea e pale ai i ka hoʻoulu ʻana. Hiki ke piʻi paha ka hemahema o SG i nā pilikia me ka nui o ka noʻonoʻo o ka naʻau.¹⁷ ʻO AEP P50, kahi pona i hoʻopiʻi maikaʻi ʻia o nā mea i makemake ʻia, e ʻike pinepine ʻia e like me 30∼90ms ma hope o ka hoʻoulu ʻana, e lilo i ka huaʻōlelo kino physiological kikoʻī e hōʻike ana i ka SG. I ka loaʻa ʻana o nā kumuhana i ka hoʻoulu hou ʻana me ka pōkole pōkole, e emi ka nui o AEP P50. Kēia ʻano ʻano hoʻohālikelike ʻoi aku ka mana o ka lolo i hiki ke hoʻololi i ka hoʻoulu ʻana. ʻO ka hoʻohālikelike o ka amplitude o S2-P50 a me S1-P50 (S2 / S1), a me ka hoʻokaʻawaleʻana ma waena o ka S1-P50 a me S2-P50 (S1-S2) hiki i ka hoʻohālikelike i ka hana kumu o SGNUMX-PXNUMX a me SXNUMX-PXNUMX (SXNUMX-SXNUMX) hiki i ka hiki ke noʻonoʻo^{18 ;  19} ʻO ka hapa liʻiliʻi o S2 / S1, a i ʻole ka nui nui o ka S1-S2, ka ikaika ikaika o SG.

Ua hōʻike ʻia ma kēia haʻawina ʻoiai ma hope o ka ʻokoʻa ma waena o ka hoʻonui ʻana o S1P50 a me S2P50 (S1-S2) nui me ka hoʻonui ʻana i ka ʻike, hiki i ke kumu ke hōʻemi i ka noʻonoʻo noʻonoʻo o nā mea maʻi ma ka hoʻoponopono ʻana i ka hana o SG a me ka hōʻemi ʻana i ka nui o ka stimuli.

I ka hopena, hōʻoia ka noiʻi hiki i ka CT ke hōʻoluʻolu i nā hōʻailona noʻonoʻo o nā mea maʻi IAD, a pili paha ke ʻano i kāna mau hopena i ka hoʻomaikaʻi ʻana i ka hana naʻau gory hana o nā maʻi IAD.

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Ua kākoʻoʻiaNational Natural Science Foundation o China: Ka noiʻi ʻana i ke Central mekanism i ke Electro Acupuncture ma ka hoʻolālā ʻana i ka hoʻohui pūnaewele ʻana o ka poʻe maʻi me ka hoʻohana ʻana i nā pono pūnaewele no ka Mirror Neuron System(Kāpena 81574047); Ka noiʻi ʻana i nā lawelawe ʻana ma Central on the Electro Acupuncture ma ka Hoʻoponopono o ka Pūnaewele Hoʻohui Kūlohelohe Pūnaewele(Kāpena 81072852); ʻIke kālā o ka Pūnaewele Hoʻonaʻauao Fok Ying Tung: Ka noiʻi ʻana o ka ʻenehana hoʻohui ʻana ma ka Electro Acupuncture i loko o ka hoʻoponopono ʻana o nā Prefrontal Cortex-Buckle Impulse control Loops e pili ana i ka hoʻohui pūnaewele.(Kāpena 131106); ʻO nā ʻenehana hoʻomaʻamaʻa haʻawina a me ke alakaʻi ʻenehana ma ke kula ʻo Sichuan: Ka noiʻi ʻana i ka Central Centralism o nā Electro-Acupuncture Rehabilitation Treatment for Addiction pūnaewele e pili ana i ka Brain Working Memory Network; Nā Polokalamu ʻikepili ʻenehana noiʻi o ka ʻĀina ʻenehana o Sichuan ʻenehana a me ʻenehana: Ka noiʻi ʻana o ka Central Integrization mékanika ma ka hopena o ka Electro Acupuncture ma ʻO ka hana Brain e hana nei i ka Hoʻopili Pūnaewele Hoʻohui Pūnaewele(Kāia. 2013JY0162); Kahi a ka ʻĀina Hoʻonohonoho Waiwai o Sichuan: Ka ʻimi noiʻi i ka hiki ʻole o ka hana Brain a me ke ʻano o ka Entropy Electroencephalograph i nā mea maʻi IAD(Kāpena 110083); People's benefiting Technology Research and Development Project of Chengdu Science and Technology Bureau: Research on Electro Acupuncture ma 5-HT a me 5-HTT Gene e like me kāna Expression Control of Pathological Internet Use Patients(No (2014-HM01-00180-SF); Ke Kulanui o nā Kulanui a me nā Kulanui noi Hoʻolālā Hoʻolālā Ka Hoʻohui-Huli ma Chengdu Municipal Science and Technology Bureau: Ka noiʻi ʻana o ka Central Responsive Mechanism a me ka hopena o ke kaʻina elekule ma kahi e hana nei i ka hoʻomanaʻo ʻana o ka IAD nā maʻi(No (12DXYB148JH-002)

Wahi a: Prof. Zhu Tianmin, College of Acupuncture and Massage, Chengdu University of Traditional Chinese Medicine, Chengdu 610075, China, kelepona: + 86-13608216905

Kuleana kope © 2017 ʻ Chineselelo Kūʻai Kūʻai Kūʻai Kūʻai Kūʻai Kūʻai Kūʻai. ʻO ka hana a me ka hoʻokipa ʻana e Elsevier BV