酒依赖患者MAST评定结果分析及与疗效的相关性研究

目的探讨酒依赖患者MAST的特点及与疗效的关系。方法68例酒依赖患者入组前给予MAST评定,然后随机给予纳曲酮或安慰剂治疗12周,每两周回访一次,随访时给予一般性心理治疗,根据患者和家属记录的每日饮酒状况记录表,判断患者戒酒疗效。结果两组酒依赖患者存在较严重的酒相关性问题,对酗酒危害婚姻家庭方面的认识与治疗效果存在影响。同时也对该量表在我国的应用提出了修改的建议。结论强化酗酒对婚姻家庭方面的影响,强化嗜酒者的家庭治疗有利于帮助酒依赖患者彻底戒酒,合并纳曲酮治疗效果更显著。

Relationship of MAST and curative effect in patients with alcohol dependence

Objective To investigate the characteristics of MAST in patients with alcohol dependence and its relationship with curative effect. Methods Sixty eight patients with alcohol dependence were assessed with MAST ,and then they were randomly divided into naltrexone group and placebo groups. All the patients were treated with naltrexone or placebo for twelve weeks. The patients were treated with general psychotherapeutics when returning a follow-up every two weeks. The curative effect was evaluated with the daily drinking records which were written by the patients and their family. Results In both groups, the patients had seriuos cognitive ability for answering alcohol-related problems.The relationship between recognition of the effects of excessive drinking on marriage and family and the curative effect was exited. Also the revised proposal on this scale used in China were raised . Conclusion Marriage and family are profit patients the with alcohol dependence abstain from wine, especially accompanied with naltrexone.