海洛因依赖者伴发意识障碍22例分析  

An Analysis of 22 Conscious Disorder Cases Accompanied by the Heroin Abuse

作　　者：陈良[1] 王久树[1] 王建跃[1] 朱建林[1] 郑威[1] 

机构地区：[1]宁波市公安局强制戒毒所,宁波315500

出　　处：《中国药物滥用防治杂志》2004年第2期90-92,共3页Chinese Journal of Drug Abuse Prevention and Treatment

摘　　要：目的:了解海洛因依赖者住院戒毒期间伴发意识障碍的原因、临床表现以采取相应的防范措施。方法:对二年来住院戒毒期间发生的22例意识障碍进行回顾性分析。结果:意识障碍发生率为1.11%,其中强戒12例(0.67%)、自戒10例(5.1%)。意识障碍的发生与依赖严重度呈正相关,即滥用时间长、吸毒量大、静注及多次戒毒者易于发生。12例强戒者多与自然戒断和癫痫发作有关,10例自戒者中9例与联合用药过多,剂量偏大有关。结论:不论采取何种戒毒方式均应尽可能地减少自然戒断法和注意合理伍用催眠镇静药物。Objective: To investigate the reasons and clinical appearance of the conscious disorder accompanied by the heroin abuse in the hospital withdrawal period And to carry out corresponding precautious policy. Methods: A retrospective analysis was conducted on the 22 cases of conscious disorder which occurred in the hospital withdrawal period of recent two years. Results: The general occurrence rate of conscious disorder was 1.11 percent. And the occurrence of the 12 forced withdrawal cases was 0.67 percent. The occurrence rate of the 10 voluntary withdrawal cases was 5.1 percent. The occurrence of conscious disorder was positively correlated with the severity degree of heroin dependence. The conscious disorder was easy to occur in the heroin abusers who have abused heroin for long time or with large sum. The disorder was also easy to occur among heroin abusers with i.v injection of drug. The 12 forced withdrawal cases were closely related with the physical withdrawal and epilepsy episode. The nine cases of the 10 voluntary withdrawal abusers were related with the frequent use of combined drugs and overdose drugs. Conclusion: In spite of which way is being taken, it is necessary to reduce the physical withdrawal way and to pay attention to use the sedative drugs reasonably as soon as it is possible.

关 键 词：海洛因依赖者 意识障碍 癫痫发作 戒毒方式 

分 类 号：R749.61[医药卫生—神经病学与精神病学]