目的:了解和分析针刺配合美沙酮递减治疗与单纯美沙酮维持治疗(MMT)海洛因依赖者心理健康状况及其复吸的影响。方法:分组及治疗采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对两组海洛因依赖者的心理状况进行调查,并做复吸统计。结果:针刺+美沙酮治疗组与美沙酮对照组SAS、SDS积分均有所下降,且针刺+美沙酮组比美沙酮对照组下降更明显(P<0.01)。针刺+美沙酮治疗组及美沙酮对照组患者的复吸率分别为69%及81%。结论:针刺配合美沙酮可明显改善海洛因依赖者心理健康状况,并且可遏制患者对海洛因的心理渴求,降低患者复吸率。 OBJECTIVE: To understand and analyze the effect of acupuncture combined with methadone decreasing treatment and simple methadone maintenance treatment (MMT) on the mental health status and relapse of heroin addicts. Methods: Grouping and Treatment The anxiety self-rating scale (SAS) and depression self-rating scale (SDS) were used to investigate the psychological status of heroin addicts in both groups. Results: The scores of SAS and SDS in acupuncture + methadone treatment group and methadone control group decreased, and acupuncture + methadone group decreased more significantly than methadone control group (P <0.01). The relapse rates of acupuncture + methadone group and methadone control group were 69% and 81% respectively. Conclusion: Acupuncture combined with methadone can significantly improve the mental health status of heroin addicts, and can curb the psychological cravings of heroin and reduce the relapse rate of heroin addicts.