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Naloxone treatment in opioid addiction: the risks and benefits.阿片类药物成瘾的纳洛酮治疗:风险与益处
Expert Opin Drug Saf. 2007 Mar;6(2):125-32. doi: 10.1517/14740338.6.2.125.
2
24-Hour opiate detoxification and antagonist induction at home--the 'Asturian method': a report on 1368 procedures.在家进行24小时阿片类药物脱毒和拮抗剂诱导——“阿斯图里亚斯方法”:1368例操作报告
Addict Biol. 2002 Apr;7(2):243-50. doi: 10.1080/135562102200120479.
3
Safety, efficacy, and long-term results of a modified version of rapid opiate detoxification under general anaesthesia: a prospective study in methadone, heroin, codeine and morphine addicts.全身麻醉下改良快速阿片类药物脱毒的安全性、有效性及长期结果:一项针对美沙酮、海洛因、可待因及吗啡成瘾者的前瞻性研究
Acta Anaesthesiol Scand. 2000 Mar;44(3):326-33. doi: 10.1034/j.1399-6576.2000.440319.x.
4
Rapid and ultrarapid opioid detoxification techniques.
JAMA. 1998 Jan 21;279(3):229-34. doi: 10.1001/jama.279.3.229.
5
Three methods of opioid detoxification in a primary care setting. A randomized trial.基层医疗环境中阿片类药物脱毒的三种方法。一项随机试验。
Ann Intern Med. 1997 Oct 1;127(7):526-30. doi: 10.7326/0003-4819-127-7-199710010-00004.
6
Medical care for injection-drug users with human immunodeficiency virus infection.对感染人类免疫缺陷病毒的注射吸毒者的医疗护理。
N Engl J Med. 1994 Aug 18;331(7):450-9. doi: 10.1056/NEJM199408183310707.
7
Including narcotic addiction treatment in an office-based practice.在门诊医疗实践中纳入阿片类药物成瘾治疗。
JAMA. 1995;273(20):1619-20.
8
Primary care-based ambulatory opioid detoxification: the results of a clinical trial.
J Gen Intern Med. 1995 May;10(5):255-60. doi: 10.1007/BF02599882.
9
Rapid opiate detoxification with clonidine and naloxone.
Lancet. 1980 May 17;1(8177):1079-80. doi: 10.1016/s0140-6736(80)91516-0.

比较药物依赖患者的戒断症状、快速脱毒及可乐定脱毒情况

Comparing Symptoms of Withdrawal, Rapid Detoxi-fication and Detoxification with Clonidine in Drug Dependent Patients.

作者信息

Ziaaddini Hassan, Qahestani Abbas, Moin Vaziri Maryam

机构信息

Associate Professor of Psychiatry, School of Medicine and Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran.

General Practitioner, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Addict Health. 2009 Fall;1(2):63-8.

PMID:24494085
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3905486/
Abstract

BACKGROUND

Considering the fear of drug addicts from hangover symptoms and the costs of withdrawal treatment and their importance in deciding to withdraw, it is helpful to identify various ways of withdrawal and their effects. This study investigated the withdrawal symptoms of two methods of detoxification with clonidine and rapid detoxification of clonidine with naltrexone.

METHODS

This was a clinical trial study. Patients referred to Shahid Beheshti hospital for narcotic addiction treatment were randomly divided into two groups. Group matching was done based on entry and excluding criteria. Data were collected using a demographic questionnaire including questions on the drug abuse and the consumption method, and a questionnaire on the symptoms of opioid withdrawal.

FINDINGS

Restlessness, vomiting, feeling sick and significant decrease of diastolic blood pressure was higher in rapid detoxification method group. However, considering background variables, Spearman correlation coefficient showed significant relationship just for lacrimation. Temptation for drug consumption was lower for heavy abusers in rapid detoxification method and in general, those who had higher amount of consumption and were treated by rapid detoxification, experienced less temptation for consumption.

CONCLUSION

Rapid detoxification can be the first level treatment for heavy abusers, because it reduces the temptation for drug consumption and has shorter hospitalization and, as a result, has lower cost.

摘要

背景

考虑到吸毒者对宿醉症状的恐惧、戒毒治疗的费用以及这些因素在决定戒毒时的重要性,确定各种戒毒方法及其效果是有帮助的。本研究调查了可乐定两种戒毒方法的戒断症状以及可乐定与纳曲酮快速戒毒的情况。

方法

这是一项临床试验研究。转诊至沙希德·贝赫什提医院接受药物成瘾治疗的患者被随机分为两组。根据纳入和排除标准进行组间匹配。使用一份人口统计学调查问卷收集数据,该问卷包括关于药物滥用和消费方式的问题,以及一份关于阿片类药物戒断症状的问卷。

结果

快速戒毒方法组的烦躁不安、呕吐、恶心以及舒张压显著下降的情况更为严重。然而,考虑到背景变量,斯皮尔曼相关系数仅显示流泪存在显著关系。快速戒毒方法对重度滥用者的药物消费诱惑较低,总体而言,那些消费量较高且接受快速戒毒治疗的人,药物消费诱惑较小。

结论

快速戒毒可以作为重度滥用者的一级治疗方法,因为它降低了药物消费的诱惑,住院时间较短,因此成本较低。