甘肃男性海洛因成瘾者社会心理因素与中医证素特征研究  

Study on Social Psychological Factors and TCM Syndrome Element Characteristics of Male Heroin Addicts in Gansu

作　　者：金李[1] 安会如 林华坚[1] 刘新爱[1] 宫璞[1] 张金玲[1] 李灿东[1] 杨朝阳[1] 

机构地区：[1]福建中医药大学,福建福州350108

出　　处：《云南中医学院学报》2017年第1期28-32,共5页Journal of Yunnan University of Traditional Chinese Medicine

基　　金：国家自然科学基金(81373553)

摘　　要：目的探讨甘肃地区男性海洛因成瘾者社会心理因素与中医证素特征。方法对甘肃省下属平凉、酒泉、嘉峪关三所强制戒毒所共298例自愿参加调查的海洛因成瘾者,开展流行病学特征及毒品成瘾者中医PRO量表采集,应用证素辨证法提取中医证素。结果多个证素成立比例较高,排名前三的病位证素分别为肝、肾、脾;实性病性证素为气滞、湿、痰,虚性病性证素为气虚、阳虚,血虚。吸毒对成瘾者社会关系大多为中等程度的影响。社会关系与多个中医证素存在相关性(P<0.01)。结论毒品成瘾是多脏腑功能失调的表现,肝郁是毒瘾形成的重要诱因,脾肾两虚是主要病理基础,痰是导致毒瘾缠绵难愈的根本原因。毒品的戒断,除了生理因素,还和社会因素、心理因素密切相关。Objective To explore the Social psychological factors and TCM syndrome element characteristics of Male heroin addicts in Gansu province. Methods To carry out the collection of Epidemiological characteristics and TCM-PRO scale of Drug addicts in three compulsory rehabilitation centers which has 298 heroin addicts volunteers for the survey in 3 subordinate cities （Pingtiang, Jiuquan, Jiaynguan ） of Gansu province. Extracting the TCM syndrome elements with the syndrome factor differentiation method. Results Multiple syndrome elements have high proportion of establishment. The top three syndrome elements of disease location is liver, kidney, spleen ; excess syndrome elements is Qi stagnation, dampness, phlegm ; deficiency syndrome elements is Qi deficiency, Yang deficiency, blood deficiency. The drug addicts cause moderate impact on social relations of majority addicts. There is relationship between social relations and multiple Syndrome Elements （P〈0.01）. Conclusion The drug addiction is the result of multiple Zang Fu dysfunctions. Liver depression is an important cause of the formation of drug addiction, Deficiency of the Spleen and Kidney is the main pathological basis, Phlegm istbe root cause of drug addiction lingering. Apart from the physiological factors, drug-withdrawal is closely related to social and psychological factors.

关 键 词：海洛因 成瘾者 社会关系 心理 中医 证素 

分 类 号：R277.7[医药卫生—中医学]