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[酒精中毒的循证治疗]

[Evidence-based treatment of alcoholism].

作者信息

Kiefer F, Mann K

机构信息

Klinik für Abhängiges Verhalten und Suchtmedizin, Zentralinstitut für Seelische Gesundheit, Universität Heidelberg, J5, 68159 Mannheim.

出版信息

Nervenarzt. 2007 Nov;78(11):1321-9; quiz 1330-1. doi: 10.1007/s00115-007-2345-6.

DOI:10.1007/s00115-007-2345-6
PMID:17898980
Abstract

The acute and post acute treatment of alcohol dependence consists of an individual combination of outpatient, day care or inpatient therapy approaches, including medical advice, motivational intervention, qualified detoxification, and psychotherapeutic and pharmacological relapse prevention treatment. Using these therapy approaches abstinence rates of 60-70% over 1 year can be achieved. In addition to a sufficient diagnostic assessment the practitioner applies motivational interview techniques as well as knowledge on effective therapeutic measures of outpatient and inpatient detoxification, pharmacological relapse prevention and the referral to a rehabilitation facility.

摘要

酒精依赖的急性和急性后期治疗包括门诊、日间护理或住院治疗方法的个体化组合,包括医学建议、动机干预、合格的戒毒治疗以及心理治疗和药物预防复发治疗。使用这些治疗方法,一年的戒酒率可达60%-70%。除了进行充分的诊断评估外,从业者还应运用动机访谈技巧,以及关于门诊和住院戒毒、药物预防复发的有效治疗措施和转介至康复机构的知识。

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Follow-up of 180 alcoholic patients for up to 7 years after outpatient treatment: impact of alcohol deterrents on outcome.对180名酒精成瘾患者进行门诊治疗后长达7年的随访:戒酒药物对治疗结果的影响。
Alcohol Clin Exp Res. 2006 Jan;30(1):86-95. doi: 10.1111/j.1530-0277.2006.00013.x.
2
[The development of evidence-based psychotherapy for use in alcoholism. A review].[循证心理治疗在酒精成瘾治疗中的应用进展。综述]
Nervenarzt. 2006 May;77(5):558-66. doi: 10.1007/s00115-005-2000-z.
3
New achievements and pharmacotherapeutic approaches in the treatment of alcohol dependence.
成瘾研究对理解肥胖症有何贡献?
Nervenarzt. 2009 Sep;80(9):1040-9. doi: 10.1007/s00115-009-2743-z.
酒精依赖治疗的新成果与药物治疗方法
Eur J Pharmacol. 2005 Dec 5;526(1-3):163-71. doi: 10.1016/j.ejphar.2005.09.028. Epub 2005 Nov 2.
4
Naltrexone for the treatment of alcoholism: a meta-analysis of randomized controlled trials.纳曲酮治疗酒精中毒:随机对照试验的荟萃分析。
Int J Neuropsychopharmacol. 2005 Jun;8(2):267-80. doi: 10.1017/S1461145704004997.
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The efficacy of acamprosate in the maintenance of abstinence in alcohol-dependent individuals: results of a meta-analysis.阿坎酸在维持酒精依赖个体戒酒方面的疗效:一项荟萃分析的结果。
Alcohol Clin Exp Res. 2004 Jan;28(1):51-63. doi: 10.1097/01.ALC.0000108656.81563.05.
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Brief interventions for alcohol problems: a meta-analytic review of controlled investigations in treatment-seeking and non-treatment-seeking populations.针对酒精问题的简短干预措施:对寻求治疗和未寻求治疗人群的对照研究的荟萃分析综述
Addiction. 2002 Mar;97(3):279-92. doi: 10.1046/j.1360-0443.2002.00018.x.
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Neurobiology of an addiction memory.
J Neural Transm (Vienna). 2001;108(6):755-65. doi: 10.1007/s007020170050.
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Rapid recovery from cognitive deficits in abstinent alcoholics: a controlled test-retest study.戒酒者认知缺陷的快速恢复:一项对照重测研究。
Alcohol Alcohol. 1999 Jul-Aug;34(4):567-74. doi: 10.1093/alcalc/34.4.567.