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[使用注射用纳曲酮对有被剥夺亲权风险的酒精成瘾患者进行医学康复计划的效果]

[The efficiency of the medical rehabilitation program with the use of injectable naltrexone for alcohol addicted patients who are at risk of parental rights deprivation].

作者信息

Agibalova T V, Akhmetzyanov I I, Khaeva R F, Udachina G L, Poplevchenkov K N, Orlova A V, Nedobylskiy O V

机构信息

Moscow Research and Practical Center of Narcology of the Department of Health of Moscow, Moscow, Russia; Russian University of People's Friendship, Moscow, Russia.

Republic Narcological Dispensary, Kazan, Russia.

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2018;118(2):40-44. doi: 10.17116/jnevro20181182140-44.

DOI:10.17116/jnevro20181182140-44
PMID:29560940
Abstract

AIM

To evaluate the efficacy of treatment of patients at risk of deprivation of parental rights due to alcohol dependence under the 'Point of Soberness' program including psychotherapy and intramuscular injections of extended-release naltrexone (vivitrol).

MATERIAL AND METHODS

Results of therapy of 45 patients, 39 women and 6 men, are presented. Out of 45 patients, 42 (93.3%) received a full course of injections of prolonged naltrexone (6 or more) as part of a comprehensive outpatient rehabilitation program.

RESULTS AND CONCLUSION

Thirty-six (80.0%) patients maintained a remission. In 9 patients (20.0%), single breakdowns and breakdowns, resulting in a relapse of the disease were recorded. Forty-two patients (93.3%) retained their parental rights. The return of children was made in one case. The 'Point of Soberness' program makes it possible to achieve long remission of alcohol dependence, and to keep parental rights for these patients.

摘要

目的

评估在“清醒点”项目(包括心理治疗和肌肉注射长效纳曲酮(维沃托))下,对因酒精依赖而面临剥夺亲权风险的患者进行治疗的疗效。

材料与方法

呈现了45例患者(39名女性和6名男性)的治疗结果。在45例患者中,42例(93.3%)接受了作为综合门诊康复项目一部分的长效纳曲酮全疗程注射(6次或更多)。

结果与结论

36例(80.0%)患者维持缓解状态。9例(20.0%)患者出现单次复发及导致疾病复发的多次复发情况。42例(93.3%)患者保留了亲权。仅1例患者的孩子得以回归。“清醒点”项目能够使酒精依赖实现长期缓解,并让这些患者保留亲权。

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