Vabret François
Unité d'alcoologie, CHU de Caen.
Rev Prat. 2006 May 31;56(10):1093-9.
The period immediately after breaking alcohol for alcohol dependent patients is marked by several pathologies troubles like withdrawal syndrome. Taking charge therapeutic of withdrawal is made to limit the severity of this withdrawal syndrome to prevent complications and guarantee a transition toward an accompaniment in abstinence. An attitude based on measuring the withdrawal syndrome and risk factors is effective to limit eventual complications. The detoxification can be realised in ambulatory or in hospital depending on different modes, with specifies indications for hospitalization. The patient preference intervenes often in the mode of choice for the method. An attentive surveillance clinical, benzodiazepine, hydration and vitamin therapy are essential for good alcohol withdrawal.
对于酒精依赖患者而言,刚戒酒的这段时期会出现多种病理问题,比如戒断综合征。进行戒断治疗旨在减轻这种戒断综合征的严重程度,预防并发症,并确保顺利过渡到戒酒陪伴阶段。基于对戒断综合征及风险因素进行评估的治疗态度,对于限制可能出现的并发症是有效的。根据不同方式,脱毒可在门诊或住院进行,并有明确的住院指征。患者的偏好常常会影响脱毒方法的选择。细致的临床监测、苯二氮䓬类药物治疗、补液及维生素治疗对于良好的酒精戒断至关重要。