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立体定向术治疗海洛因成瘾临床随访观察

A follow-up study of patients with heroin addiction after stereotactic surgery
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摘要 目的:了解立体定向术治疗海洛因成瘾者后3年的复吸率和不良反应。方法:对接受脑立体定向术治疗的海洛因成瘾者215例,运用门诊随访、信访、电话随访和登门拜访的方式,采取统一随访表、家属问卷和心理卫生调查表进行随访,了解患者出院后的病情信息。结果:术后3年有75例患者复吸,未复吸者107例,失随访32例,1例在手术3年后车祸去世。未复吸者中64例参加工作,出院后结婚20例,生子女24例,不吸烟者7例,目前存在睡眠障碍16例,情绪不稳、行为幼稚者4例,记忆力下降12例,自感性功能下降1例。结论:立体定向手术治疗海洛因成瘾是有效的,不良反应较小,有进一步研究的价值。 Objective: To investigate the relapse rate and adverse effect three years after the stereotactic surgery therapy for patients with heroin addiction. Method:215 patients leaving hospitals were followed up by telephone, letter, interview at outpatient department or home using the investigation inventory and mental health questionnaire. Results:75 patients relapsed into heroin addiction and 107 patients didnt, while 32 cases missed follow-up and one case died in a traffic accident. Of 107 unrelapsed patients, 64 people were employed; 20 people were married; 24 people had their own children and 7 cases remained free of smoking. 16 people had sleep disorders; 4 people had unstable mood and naive behaviors; 12 people had memory deficiency; one person had sex dysfunction. Conclusion: The stereotactic surgery therapy is effective with few side effects for patients with heroin addiction and is worth further study.
出处 《临床精神医学杂志》 2009年第1期10-12,共3页 Journal of Clinical Psychiatry
关键词 海洛因 立体定向术 戒断 随访 heroin stereotactic surgery abstinence follow-up
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