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苯二氮䓬类药物依赖:苯二氮䓬类药物的成瘾潜力比之前设想的更大(作者译)

[Benzodiazepine dependence: addiction potential of the benzodiazepines is greater than previously assumed (author's transl)].

作者信息

Kemper N, Poser W, Poser S

出版信息

Dtsch Med Wochenschr. 1980 Dec 5;105(49):1707-12. doi: 10.1055/s-2008-1070941.

Abstract

The position of benzodiazepine dependence among addiction diseases was studied retrospectively by analysing the case reports of in-patients at the Psychiatric Clinic, Göttingen. Addicts constitute the largest group of patients in this clinic, a situation probably true in general of psychiatric hospitals in the Federal Republic of Germany. Isolated alcoholism is the most frequent addiction, followed by combined alcohol-drug dependence and pure drug dependence. At present, benzodiazepines are the most commonly used addictive drugs. Although most of benzodiazepine dependents have changed to it from another drug, primary benzodiazepine dependence is increasing. Among the benzodiazepines, lorazepam seems to have a particularly high addiction potential. On withdrawal of benzodiazepines, symptoms were less marked than after stopping a combination of benzodiazepines and alcohol, and (or) barbiturates; they generally developed with some time delay.

摘要

通过分析哥廷根精神病诊所住院患者的病例报告,对苯二氮䓬类药物依赖在成瘾疾病中的地位进行了回顾性研究。成瘾者是该诊所最大的患者群体,这种情况在德意志联邦共和国的精神病医院可能普遍存在。单纯酒精成瘾是最常见的成瘾类型,其次是酒精与药物混合依赖和单纯药物依赖。目前,苯二氮䓬类药物是最常用的成瘾性药物。虽然大多数苯二氮䓬类药物依赖者是从另一种药物转而使用该类药物的,但原发性苯二氮䓬类药物依赖正在增加。在苯二氮䓬类药物中,劳拉西泮似乎具有特别高的成瘾潜力。停用苯二氮䓬类药物时,症状不如停用苯二氮䓬类药物与酒精和(或)巴比妥类药物联合使用后明显;症状通常会有一定延迟出现。

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