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酒精使用障碍治疗的当前及新出现趋势的叙述性综述

A Narrative Review of Current and Emerging Trends in the Treatment of Alcohol Use Disorder.

作者信息

Celik Muhammet, Gold Mark S, Fuehrlein Brian

机构信息

New York Medical College at Saint Joseph's Medical Center, Yonkers, NY 10705, USA.

Department of Psychiatry, School of Medicine, Washington University, St. Louis, MO 63130, USA.

出版信息

Brain Sci. 2024 Mar 20;14(3):294. doi: 10.3390/brainsci14030294.


DOI:10.3390/brainsci14030294
PMID:38539681
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10969323/
Abstract

Alcohol use disorder (AUD) is a significant contributor to morbidity and mortality in the United States. It contributes to over 140,000 annual deaths, to over 200 related diseases and health conditions globally, and accounts for 5.1% of the global disease burden. Despite its substantial impact, AUD remains undertreated, marked by a scarcity of approved medications. This paper explores the current treatment landscape and novel strategies for both alcohol withdrawal syndrome and AUD. Promising results, including the use of psychedelics alongside psychotherapy, noninvasive neural-circuit-based interventions, phosphodiesterase-4 inhibitors, and GLP-1 receptor agonists, have emerged from recent studies. While these advancements show potential, further research is crucial for a comprehensive understanding of their effectiveness. The clear shortage of approved medications and other treatment modalities underscores the pressing need for ongoing research.

摘要

酒精使用障碍(AUD)是美国发病和死亡的一个重要因素。它每年导致超过140,000人死亡,在全球范围内导致超过200种相关疾病和健康状况,占全球疾病负担的5.1%。尽管其影响巨大,但AUD的治疗仍不充分,其特点是获批药物稀缺。本文探讨了酒精戒断综合征和AUD的当前治疗情况及新策略。最近的研究取得了一些有前景的成果,包括将迷幻剂与心理治疗相结合、基于非侵入性神经回路的干预措施、磷酸二酯酶-4抑制剂和胰高血糖素样肽-1受体激动剂。虽然这些进展显示出潜力,但进一步的研究对于全面了解其有效性至关重要。获批药物和其他治疗方式的明显短缺凸显了持续研究的迫切需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2111/10969323/484be8aa4173/brainsci-14-00294-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2111/10969323/484be8aa4173/brainsci-14-00294-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2111/10969323/484be8aa4173/brainsci-14-00294-g001.jpg

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[7]
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[8]
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本文引用的文献

[1]
Motivational interviewing for substance use reduction.

Cochrane Database Syst Rev. 2023-12-12

[2]
Significant Decrease in Alcohol Use Disorder Symptoms Secondary to Semaglutide Therapy for Weight Loss: A Case Series.

J Clin Psychiatry. 2023-11-27

[3]
Baclofen during alcohol detoxification reduces the need for additional diazepam: a randomized placebo-controlled trial.

Alcohol Alcohol. 2023-9-9

[4]
Use of Gabapentin for Alcohol Withdrawal Syndrome in the Hospital Setting: A Randomized Open-Label Controlled Trial.

Subst Use Misuse. 2023

[5]
Evaluation of Gabapentin and Baclofen Combination for Inpatient Management of Alcohol Withdrawal Syndrome.

Fed Pract. 2023-4

[6]
The glucagon-like peptide-1 (GLP-1) analogue semaglutide reduces alcohol drinking and modulates central GABA neurotransmission.

JCI Insight. 2023-6-22

[7]
Medial Prefrontal Cortex Theta Burst Stimulation Improves Treatment Outcomes in Alcohol Use Disorder: A Double-Blind, Sham-Controlled Neuroimaging Study.

Biol Psychiatry Glob Open Sci. 2022-3-15

[8]
Evaluation of phenobarbital based approach in treating patient with alcohol withdrawal syndrome: A systematic review and meta-analysis.

Am J Emerg Med. 2023-7

[9]
[Antipsychotic Treatment of Alcohol Withdrawal Syndrome with Focus on Delirium Tremens: a Systematic Review].

Fortschr Neurol Psychiatr. 2025-1

[10]
Deep brain stimulation of the nucleus accumbens in treatment-resistant alcohol use disorder: a double-blind randomized controlled multi-center trial.

Transl Psychiatry. 2023-2-8

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