中文摘要：

目的：观察电针结合心理干预疗法对网络瘾（IAD）患者网络渴求、焦虑等戒断症状的影响，并探讨其作用机制。方法：将120例IAD患者随机分为电针组、心理组、电针结合心理组（综合组）。电针组选取百会、四神聪、合谷、内关、太冲、三阴交穴，行电针治疗，隔天1次，共治疗20次；心理组采用认知行为疗法，4天1次，共治疗10次；综合组运用电针结合心理干预疗法。观察治疗前后患者网瘾自评量表、网络渴求程度、ZUNG焦虑自评量袁评分及脑电超慢涨落图（ET）的S波谱变化。结果：治疗结束后，综合组网瘾自评量表、网络渴求程度、ZUNG焦虑自评量表评分均较治疗前显著降低（均P〈0．01），且综合组网瘾自评量表评分显著低于电针组和心理组（P〈0．01，P〈0．05），网络渴求程度评分显著低于心理组（P〈0．01）；综合组脑电图S11系波谱较治疗前显著降低（P〈0．05），且显著低于心理组和电针组（均P〈0．05）。结论：电针结合心理干预可降低IAD患者网络渴求及焦虑状态，其机制可能与患者中枢多巴胺（DA）含量下降有关。

英文摘要：

Objective To observe the effect of electroacupuncture （EA） combined with psychological interference on abstinence symptom such as network craving and anxiety in internet addiction disorder （lAD） and explore its mechanism. Methods One hundred and twenty cases of IAD were randomly divided into EA group, psychotherapy group and EA plus psychotherapy group （combined therapy group）. In EA group, Baihui（GV 20）, Sishencong （EX-HN 1）, Hegu（LI 4）, Neiguan（PC 6）, Taichong（LR 3） and Sanyinjiao（SP 6） were seiected in EA, once every 2 days, for 20 sessions totally. In psychotherapy group, the cognition and behavior therapy was applied, once every 4 days, for 10 sessions totally. In combined therapy group, EA combined with psychological interference was administered. The changes in IAD self-scale table, network craving scale, ZUNG self-rating anxiety scale （SAS） and S spectrum of encephalofluctuogram （ET） were observed before and after treatment. Results After treatment, the results of IAD self-scale table, network craving scale and ZUNG SAS in combined therapy group were reduced significantly as compared with those before treatment （all P〈0.01） and the score of lAD selfscale table was lower significantly as compared with EA group and psychotherapy group （P〈0.01, P〈0. 05）, and the score of network craving scale Was lower than that in psychotherapy group （P〈0.01）. S11 spectrum in combined therapy group decreased significantly as compared with that before treatment （P〈0.05） and was lower significantly as compared with psychotherapy group and EA group （both P〈0.05）. Conclusion Electroacupuncture combined with psychological interference can reduce network craving and anxiety of lAD patients and its mechanism is probably related with the decrease of dopamine content in central system.