1710例强制戒毒人员脱毒后中医证候分布调查分析  

Epidemiological survey on the distribution of the post-withdrawal syndrome of TCM in 1710 cases of forced withdrawal

作　　者：李群堂[1] 李延萍[1] 谭婧 谭红安 孙涛 刘赟 任莉 廖大拓 陈先超 唐梅[1] 艾亮[1] 钟曦 冯建荣 LI Qun - tang1 , LI Yan- ping1 ,TAN Jing1 ,TAN Hong - an2, SUN Tao2, LIU Yun2, REN Li2, LIAO Da - tuo2 , CHEN Xian - chao2 , TANG Mei1 , AI Liang1 , ZHONG Xi1 , FENG Jian - rong2(1. Chongqing Chinese Medicine Hospital, Chongqing 400021;2. Chongqing Alcohol and Drug Abuse Administration, Chongqing 401147)

机构地区：[1]重庆市中医院,重庆400021 [2]重庆市戒毒管理局,重庆401147

出　　处：《世界中西医结合杂志》2018年第9期1275-1278,共4页World Journal of Integrated Traditional and Western Medicine

基　　金：重庆市科学技术委员会2014年度科技计划项目(cstc2014yykf-A110035)

摘　　要：目的通过流行病学调查方法分析强制戒毒人员脱毒后稽延性戒断综合征的中医证候分布规律。方法对1710例强制戒毒人员进行横断面调查,采用自主设计的"强制戒毒人员脱毒后中医证候分布调查表"采集数据,采用自主开发软件作为数据录入软件。统计分析软件采用SPSS19.0进行。结果强制戒毒人员脱毒后中医证候分布,各大类症状表现严重程度依次是睡眠障碍、肝气郁滞、肺脾肾气虚、躯体症状、心瘾表现;在全部22个子项中,得分排在前四位的全部是"睡眠障碍"表现;在"心瘾表现"中,以"心里烦闷、或睡眠不好、或周身不适时就想吸毒"得分最高;在"躯体症状"中,以"肌肉关节酸胀疼痛,或全身疼痛,或胃痛"得分最高。结论睡眠障碍是稽延性戒断综合征最突出的表现,心身不适是诱发心瘾的重要因素,各种痛证是最常见的躯体症状,建议从"心神不宁"入手,开展对强制戒毒人员脱毒后的中医药康复治疗与干预。Objective To analyze the distribution rule of TCM symptoms of the post-withdrawal syndrome in the patients with forced withdrawal,using epidemiological survey. Methods The cross-sectional study was conducted in1710 patients receiving forced withdrawal. The self-designed questionnaire was used for the data collection of the distribution of the post-withdrawal syndrome in TCM in the patients of forced withdrawal. The self-developed software was adopted for the data input. SPSS 19. 0 was used for statistical analysis. Results The severity sequence of the symptom categories were sleep disorder,liver qi stagnation,qi deficiency of the lung,spleen and kidney,somatic symptoms and psychiatric dependence. Of 22 items,the first four symptoms were all in the category of sleep disorder. In the category of psychiatric dependence,the score for the soreness,distention and pain of muscle and joint,general pain or gastric pain was the highest. Conclusion Sleep disorder is the most dominant manifestation of post-withdrawal syndrome. The mental and physical discomforts are the key factor of psychiatric dependence. Pain disorder is the most common somatic symptom. It is suggested that treatment should be focused on disturbance of heart mind in TCM rehabilitation and intervention of post-withdrawal syndrome in the patients receiving forced withdrawal.

关 键 词：强制戒毒 稽延性戒断综合征 中医证候分布 流行病学调查 

分 类 号：R181.2[医药卫生—流行病学]