Smirnov V K
Probl Tuberk. 1991(7):40-4.
The results of nicorette therapy in 51 patients with tobacco dependence were analysed. Among the total number of patients 14 had ideational, 8 psychosomatic and 29 dissociated tobacco dependence. A year follow-up shows that 20 patients gave up smoking (predominantly with dissociated tobacco dependence). The clinical aspects of a reverse dynamics of the symptoms of a pathological tobacco addition, with consideration of the type of tobacco dependence and premorbid features of the course of mental cognition, show that nicorette possesses a certain clinical spectrum of action suppressing the activity of a secondary ideational component of pathological tobacco addiction. Nicorette may raise the level of a clinico-differential therapeutic approach aimed at giving up smoking in the form of monotherapy or a combined therapy with the use of tranquillizers, neuroleptics and antidepressants.
分析了尼古丁咀嚼胶疗法对51例烟草依赖患者的治疗结果。在所有患者中,14例为观念性、8例为心身性、29例为解离性烟草依赖。一年的随访显示,20例患者戒烟成功(主要是解离性烟草依赖患者)。考虑到烟草依赖类型和精神认知过程的病前特征,病理性烟草成瘾症状逆向动态变化的临床情况表明,尼古丁咀嚼胶具有一定的临床作用范围,可抑制病理性烟草成瘾的继发性观念成分的活动。尼古丁咀嚼胶可提高临床鉴别治疗方法的水平,该方法旨在以单一疗法或与使用镇静剂、抗精神病药物和抗抑郁药联合治疗的形式帮助戒烟。