酒精依赖患者戒断后复饮的相关因素分析  

Related factors of repeating drinking in patients with alcohol dependence after withdrawal

作　　者：张伟 黄子夜 沙建敏 杜江[2] 

机构地区：[1]浙江省温州市第七人民医院精神科,浙江温州325005 [2]上海市精神卫生中心精神科,上海200030

出　　处：《中国现代医生》2015年第11期4-7,共4页China Modern Doctor

基　　金：浙江省温州市医药卫生科研项目(2014B23);国家科技支撑计划(2012BA101B07)

摘　　要：目的：探讨酒精依赖患者戒断后复饮的相关因素。方法以2012年1月~2013年2月收治的130例单纯酒精依赖患者为研究对象，经戒断治疗出院后随访，并分为复饮组和未复饮组，分析两组临床特征、社会人口资料、家庭环境及戒断期认知功能与复饮的关系。结果剔除失联患者21例，复饮组67例，未复饮组42例，两组治疗前饮酒量、饮酒频数、伴人格改变、伴情感症状、单身/离异、经济状况、受教育年限、酗酒家族史有明显差异（P〈0.05）。两组家庭环境中亲密度、情感表达、矛盾性、独立性、娱乐性、组织性、控制性有明显差异（P〈0.05）。两组戒断期间注意力DST、CPT-IP，记忆力：S/VM、SS、DS，执行力WCST的总应答数、完成分类数、正确应答率有明显差异（P〈0.05）。饮酒量、伴情感症状、家庭亲密度、家庭组织性、家庭独立性、注意力、执行力是酒精依赖戒断后复饮的独立影响因素（P〈0.05）。结论酒精依赖患者既往饮酒量大，伴随情感症状，家庭环境缺乏亲密度、组织性、独立性及戒断期缺乏注意力和执行力者复饮可能大，应重视家庭环境管理和心理治疗改善患者戒断期认知功能。Objective To explore relevant factors of drinking relapse after alcohol withdrawal for patients with alcohol dependence. Methods 130 patients with pure alcohol dependence who were admitted from January 2012 to February 2013 were selected. They received withdrawal treatment and were followed-up after discharge. They were assigned to relapse group and non-relapse group. The relations between drinking relapse and clinical characteristics, socio-demographic data, family environment and cognitive functions during withdrawal period in the two groups were analyzed. Results Excepted for 21 patients who were out of touch, there were 67 patients in the relapse group and 42 patients in the non-relapse group. Amount of drinking, frequency of drinking, personality changes, emotional symptoms, being single/divorced, finan-cial situation, education years, and family history of alcoholism before the treatment between the two groups were signifi-cantly different （P〈0.05）. Intimacy, emotional expression, independence, entertainment, organization, controlling and con-tradictoriness in the family environment between the two groups were significantly different （P〈0.05）. During withdrawal pe-riod, total response number, number of completed classification and correct response rate of attention （DST and CPT-IP）, memory （S/VM, SS and DS） and execution （WCST） between the two groups were significantly different （P〈0.05）. Amount of drinking, emotional symptoms, family intimacy, family organization, family independence, attention and execu-tion were independent influencing factors of drinking relapse for patients with alcohol dependence after withdrawal （P〈0.05）. Conclusion Patients with alcohol dependence have a large capacity for alcohol previously, and patients with emo-tional symptoms, in lack of intimacy, organization and independence in family environment, or in lack of attention and ex-ecution during withdrawal period are highly likely to relapse. Management of family environment and psychological t

关 键 词：酒精依赖 戒酒治疗 复饮 认知功能 相关因素 

分 类 号：R4[医药卫生—临床医学] R749.62