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丁丙诺啡治疗海洛因依赖戒断综合征临床疗效分析
引用本文:刘海波,;商田歌. 丁丙诺啡治疗海洛因依赖戒断综合征临床疗效分析[J]. 临床心身疾病杂志, 2014, 0(4): 111-112
作者姓名:刘海波,  商田歌
作者单位:[1]肇庆市第一人民医院,广东肇庆526040; [2]肇庆市端州区红十字会医院,广东肇庆526040
摘    要:目的:探讨丁丙诺啡治疗海洛因依赖戒断综合征的临床疗效。方法将521例海洛因依赖戒断综合征患者随机分为两组,研究组舌下含服丁丙诺啡,静脉滴注氟哌啶醇+东莨菪碱治疗,对照组口服美沙酮治疗,观察2周。对两组临床疗效进行对比分析。结果研究组有效率为95.1%,对照组为75.1%,研究组有效率显著高于对照组(χ^2=41.99,P<0.01)。结论舌下含服丁丙诺啡、静脉滴注氟哌啶醇+东莨菪碱治疗海洛因依赖戒断综合征疗效显著,优于美沙酮替代治疗。

关 键 词:海洛因依赖戒断综合征  丁丙诺啡  美沙酮  替代治疗  氟哌丁醇  东莨菪碱

The efficacy of buprenorphine in heroin dependence withdrawal syndrome
Affiliation:Liu Haibo, Shang Tiange(The First People's Hospital of Zhaoqing City, Zhaoqing 526040, Guangdong, China)
Abstract:Objective To explore the efficacy of buprenorphine in heroin dependence withdrawal syndrome (HDWS) .Methods A total of 521 HDWS patients were randomly assigned to two groups ,research group was treated with sublingually buccal buprenorphine and intravenous drip of haloperidol+scopolamine ,and control group took orally methadone for 2 weeks .Efficacies of two groups were contrastively analyzed .Results Effective rate was respectively 95 .1% in research and 75 .1% in control group ,the former significantly higher than the latter (χ^2 =41 .99 ,P〈0 .01) .Conclusion Sublingually buccal buprenorphine and intravenous drip of haloperidol + scopolamine have an evident effect compared with methadone replacement therapy in HAWS .
Keywords:HDWS  buprenorphine  methadone  replacement therapy  haloperidol  scopolamine
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