Tõendusmaterjali kokkuvõte-EvSu

NA NIH Consensus Conference. Acupuncture. JAMA 1998;280(17):151824. We performed a randomized trial of acupuncture on a group of 54 hardcore alcoholic recidivists to determine if sobriety could be achieved and episodes of drinking and/or Detox Center admissions be decreased by this mode of therapy. Patients in the treatment group received acupuncture points specific for the treatment of substance abuse; control patients received nonspecific points. Significant differences in the two groups were noted at the end of the study. Patients in the treatment group expressed less need for alcohol (p < 0.003), and had fewer drinking episodes (p < 0.0076) and admissions to the Detox Center (p < 0.03) during the study than did control patients. THe majority of treated patients felt that acupuncture had a definite impact on their desire to drink, whereas only a few control patients noted this effect (p < 0.015). The results of this study suggest that acupuncture may be able to interdict the cycle of alcoholic recidivism. Further investigation is needed to define the role of acupuncture in the treatment of alcoholism more precisely. The authors wish to express their appreciation to Dr. Michael O. Smith for his encouragement and consultation during the course of this study, and to Drs. Alvin L. Schultz and Nicole Lurie for their critical review of the manuscript. Mary Kay Messner provided expert secretarial assistance. Milton L Bullock MD*, Andrew J Umen MS, Patricia D Culliton MA andRobert T Olander MA Volume 11, Issue 3, pages 292–295, June 1987 published online: 11 APR 2006 Acupuncture treatment of alcoholic recidivism: a pilot study In a placebo-controlled study, 80 severe recidivist alcoholics received acupuncture either at points specific for the treatment of substance abuse (treatment group) or at nonspecific points (control group). 21 of 40 patients in the treatment group completed the programme compared with 1 of 40 controls. Significant treatment effects persisted at the end of the six-month follow-up: by comparison with treatment patients more control patients expressed a moderate to strong need for alcohol, and had more than twice the number of both drinking episodes and admissions to a detoxification centre. MiltonL. Bullock, PatriciaD. Culliton a, RobertT. Olander The Lancet, Volume 333, Issue 8652, Pages 1435 1439, 24 June 1989 doi:10.1016/S01406736(89)90135-9 Controlled trial of acupuncture for severe recidivist alcoholism We report clinical data on the efficacy of acupuncture for alcohol dependence. 503 patients whose primary substance of abuse was alcohol participated in this randomized, single blind, placebo controlled trial. Patients were assigned to either specific acupuncture, nonspecific acupuncture, symptom based acupuncture or convention treatment alone. Alcohol use was assessed, along with depression, anxiety, functional status, and preference for therapy. This article will focus on results pertaining to alcohol use. Significant improvement was shown on nearly all measures. There were few differences associated with treatment assignment and there were no treatment differences on alcohol use measures, although 49% of subjects reported acupuncture reduced their desire for alcohol. The placebo and preference for treatment measures did not materially effect the results. Generally, acupuncture was not found to make a significant contribution over and above that achieved by conventional treatment alone in reduction of alcohol use. Milton L Bullock, Thomas J Kiresuk, Robert E Sherman, Scott K Lenz, Patricia D Culliton, Tacey A Boucher, Christopher J Nolana Journal of Substance Abuse Treatment Volume 22, Issue 2, March 2002, Pages 71–77 A large randomized placebo controlled study of auricular acupuncture for alcohol dependence We conducted a randomized single-blind controlled study to determine whether auricular electroacupuncture reduces craving for alcohol. Patients who met Diagnostic and Statistical Manual of Mental Disorders IIIR criteria for alcohol-dependence or -abuse were randomized to specific electroacupuncture plus treatment as usual (group 1, n = 23), non-specific electroacupuncture plus treatment as usual (group 2, n = 20) or treatment as usual (group 3, n = 16). Electroacupuncture was carried out weekly for six weeks, each treatment lasting 30 min. Our main outcome measure was craving for alcohol, measured by a visual analogue scale. Assessments were done by blind investigators, at baseline, week 8 and week 24. There H. Rampes, S. Pereira, , A. Mortimer, S. Manoharan M. Knowles Complementary Therapies in Medicine Volume 5, Issue 1, March 1997, Pages 19–26 Does electroacupuncture reduce craving for alcohol? A randomized controlled study