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[纳曲酮在阿片类成瘾者治疗中的应用。疗效及各类型适应证]

[Use of naltrexone in the treatment of opiate addicts. Efficacy and indications for type categories].

作者信息

Faro G, Jarre P, Martucci M, Sargiotto A, Eandi M

机构信息

Centro Tossicodipendenze, USSL VI Torino.

出版信息

Clin Ter. 1991;139(3-4):93-9.

PMID:1837256
Abstract

Naltrexone is a pure narcotic antagonist with optimum pharmacologic properties for the long-term management of opiate addiction. The above study confirms the usefulness of naltrexone for the prevention of relapse in subjects who have been weaned from narcotics. However, the short follow up does not yet permit evaluation of its medium and long-term efficacy. The better course and outcome of treatment are significantly related to certain characteristics and types of addicts. It may be said that by assuring complete, albeit time-limited, remission the antagonist allows the addict to open a window through which to face the world, and offers the therapist the possibility to apply all the instruments at his disposal in an effective manner.

摘要

纳曲酮是一种纯阿片类拮抗剂,具有用于阿片类成瘾长期管理的最佳药理学特性。上述研究证实了纳曲酮在预防已停用麻醉药品的受试者复发方面的有效性。然而,短期随访尚无法评估其中长期疗效。治疗的更好过程和结果与某些成瘾者的特征和类型显著相关。可以说,通过确保完全缓解(尽管是有限时间的),拮抗剂使成瘾者能够打开一扇面对世界的窗口,并为治疗师提供了有效运用其所有可用手段的可能性。

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1
[Use of naltrexone in the treatment of opiate addicts. Efficacy and indications for type categories].[纳曲酮在阿片类成瘾者治疗中的应用。疗效及各类型适应证]
Clin Ter. 1991;139(3-4):93-9.
2
[Limited role of naltrexone in the treatment of opiate addiction].[纳曲酮在阿片类药物成瘾治疗中的有限作用]
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[Detoxication in opiate addiction and prevention of recurrence: administration of naltrexone and cognitive behavior therapy].[阿片类药物成瘾的解毒及复发预防:纳曲酮的应用与认知行为疗法]
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[Naltrexone and prevention of opiate dependence relapse. An Italian experience].
Minerva Psichiatr. 1989 Apr-Jun;30(2):93-8.
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Naltrexone: a clinical perspective.纳曲酮:临床视角
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[Naltrexone therapy. Experience with "Telephone Assistance" in Rome].[纳曲酮治疗。罗马“电话援助”的经验]
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Naltrexone in addicted physicians and business executives.
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8
[Addiction characteristics as prognostic factors in opiate dependence treated with naltrexone].[纳曲酮治疗阿片类药物依赖中作为预后因素的成瘾特征]
Actas Esp Psiquiatr. 2004 Jul-Aug;32(4):199-210.
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A new approach to preventing relapse in opiate addicts: a psychometric evaluation.预防阿片类成瘾者复发的新方法:一项心理测量学评估
Biol Psychol. 2006 Mar;71(3):231-5. doi: 10.1016/j.biopsycho.2005.06.005. Epub 2005 Jul 19.
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Clinical experience with naltrexone in suburban opioid addicts.纳曲酮在郊区阿片类药物成瘾者中的临床经验。
J Clin Psychiatry. 1984 Sep;45(9 Pt 2):42-5.