海洛因依赖稽延性戒断综合征的证候特点  

Characteristics of Symptoms in Protracted Abstinence Symptom of Opium-addicts

作　　者：李树春[1] 朱志慧[1] 崔箭[1] 李峰[2] 

机构地区：[1]中央民族大学,北京100081 [2]北京中医药大学,北京100029

出　　处：《时珍国医国药》2010年第3期682-683,共2页Lishizhen Medicine and Materia Medica Research

基　　金：高等学校优秀青年教师教学科研奖励计划资助

摘　　要：目的探讨稽延性戒断综合征的临床常见证候特点。方法检索相关学术专著及当代期刊文献中涉及阿片类物质依赖的辨证分型并有具体症状描述的文献,得到不同证候,按照证候出现频次,确定17个证候为稽延性戒断综合征的常见证候。然后按照症状出现频次确定主证和次证,分别给予相应的权重,计算诊断标准临界值。在此基础上,对太原市100例海洛因依赖稽延性戒断综合征患者进行调查分型。结果在17个证型中患者出现肝郁气滞、心虚、肝虚、肠燥津亏、痰血瘀阻、气虚和肾阴阳两虚较多,而单纯瘀血或痰阻者较少。结论肾阴阳两虚、肾气虚、肝郁、心虚似乎应为稽延性戒断综合征的主要证候。Objective To study the most common characteristics of protracted abstinence symptom of opium-addicts.Methods Through searching relative documents and academic monographs,which refers to opiates dependence of differentiation of symptoms and signs for classification of syndromes,with specific describing of syndromes,we categorized 17 syndromes according to the frequency of the symptoms occurring.Basing on it,principal and secondary syndromes were determined,with concerned weighing respectively,and calculated the standard critical value of diagnosis.Relying on it,we investigated and grouped 100 patients with protracted abstinence symptom of opium-addicts.Results Among the types of syndromes,patients with stagnation of QI due to depression of the liver,deficiency of heart,hepatic asthenia,dryness of the intestine with lacking body fluid,blood stasis and phlegm,deficiency of vital energy and asthenia of both ＂yin＂ and ＂yang＂,were more than the patients with simple stagnant blood and stagnation of phlegm.Conclusion It appears that kidney-＂yin＂ and kidney-＂yang＂ insufficiency,deficiency of kidney-＂QI＂,stagnation of liver-＂QI＂,deficiency of heart is the main symptoms of protracted abstinence symptom of opium-addicts.

关 键 词：稽延性戒断综合征 诊断 证候特点 

分 类 号：R259[医药卫生—中西医结合]