强戒所海洛因依赖患者慢性严重疼痛的检出率及特征分析  

PREVALENCE AND CHARACTERISTICS OF CHRONIC SEVERE PAIN AMONG HEROIN ADDICTS FROM COMPULSORY DRUG REHABILITATION CENTERS

作　　者：高艳杰[1] 王立娜[2] 曲鸿儒[1] 徐庆迎[1] 孔永彪 张宝华[3] 张伟[3] 

机构地区：[1]天津市安宁医院,天津300300 [2]天津市安定医院,天津300074 [3]天津市公安局安康医院,天津300240

出　　处：《中国疼痛医学杂志》2016年第7期523-526,共4页Chinese Journal of Pain Medicine

摘　　要：目的:了解强制隔离戒毒所(强戒所)海洛因依赖患者(Heroin addicts,HAs)慢性严重疼痛的检出率及特征。方法:用自编问卷和Zung氏抑郁自评量表评估204例接受康复治疗的强戒所HAs的社会人口学特征、临床特征和抑郁情绪,用简明疼痛评估量表评估其疼痛的严重程度和临床显著性,用卡方检验比较不同特征戒毒者慢性严重疼痛的检出率。结果:强戒所康复期HAs慢性严重疼痛的检出率为39.7%,其中女性、无业、有饮酒史、吸毒年限>7年和抑郁的戒毒者慢性严重疼痛的检出率较高。结论:康复期HAs慢性严重疼痛检出率高,戒毒临床实践应关注戒毒者疼痛的评估和治疗。Objective： To examine the prevalence and characteristics of chronic severe pain（CSP） among heroin addicts（HAs） from compulsory drug rehabilitation centers（CDRSs）. Methods： We collected information on socio-demographics, clinical characteristics and depressive emotion through a basic information questionnaire and Zung＇s Self-rating Depression Scale from 204 HAs, who were receiving rehabilitation services in CDRSs. The Brief Pain Inventory was used to assess the severity and clinical significance of their pain condition. Chi-square test was used to compare prevalence rates of CSP between subgroups of different characteristics. Results： The prevalence of CSP in HAs from CDRSs was 39.7%. HAs, who were female, minority, unemployed, currently drinking, in poor physical condition, with a heroin abuse history of more than 7 years and depressed, were more likely to have CSP. Conclusions： HAs in recovery period have a higher prevalence of CSP. These findings underscore the importance of assessment and treatment of pain in clinical practice for drug addicts under treatment.

关 键 词：海洛因依赖 疼痛 流行病学 

分 类 号：R749.64[医药卫生—神经病学与精神病学]