Ogborne A C
Centre for Addiction and Mental Health, London, Ont.
CMAJ. 2000 Jun 13;162(12):1705-8.
Problem drinking is a serious health issue, but often patients whose alcohol consumption places them at risk are not diagnosed by physicians. Case finding is an essential component of "best practice." In many cases if given the appropriate advice, counselling and behavioural interventions, problem drinkers can be helped to reduce their use of alcohol and improve functioning in other areas of their lives. Some patients may benefit from more comprehensive therapy including the prescription of disulfiram, calcium carbimide or naltrexone. For those with serious problems with alcohol, referral to specialized addiction treatment programs and other community resource centres may also be appropriate.
问题饮酒是一个严重的健康问题，但饮酒量使其处于风险中的患者往往未被医生诊断出来。病例发现是“最佳实践”的重要组成部分。在许多情况下，如果给予适当的建议、咨询和行为干预，问题饮酒者可以得到帮助以减少饮酒量，并改善他们生活中其他方面的功能。一些患者可能会从更全面的治疗中受益，包括开具双硫仑、卡马西平或纳曲酮的处方。对于那些有严重酒精问题的患者，转介到专门的成瘾治疗项目和其他社区资源中心也可能是合适的。
