丁螺环酮合并认知疗法对酒依赖的疗效观察

目的探讨酒依赖患者应用丁螺环酮与认知疗法后的效果。方法67例酒依赖患者随机分两组。甲组在丁螺环酮治疗的同时应用认知疗法，疗程8周。乙组用丁螺环酮和一般性治疗。出院后两组均每个月随访一次，时间半年。应用汉密顿焦虑量表（HAMA）和汉密顿抑郁量表（HAMD）的评分及半年复饮率，判断患者戒酒疗效。结果治疗结束两组HAMA酒依赖HAMD的评分均显著下降。但甲组效果更明显，半年复饮率甲组显著低于乙组（P〈0.05）。结论丁螺环酮合并认知疗法有利于患者正确对待酗酒给家庭和自身带来的危害，帮助其戒酒，效果显著。

Effect of cognitive therapy in the treatmemt of alcohol addiction

Objective： To investigate the efficacy of cognitive therapy in the treatment of patients with alcoholism . methods A total of 67 patients with alcoholism were randomly divided into experimental group（ treated with Buspiren and congnitive therapy）and control group （treated with Buspiron and general treatment）for 8 weeks. After leaving hospital, all patients were followed up once a month for half a year. The efficacy were evaluated with Hamilton Anxiety Scale （HAMA） and Hamilton Depression Rating Scale （HAMD） score and readdictted rats during haft a year. Results The scores of HAMA and HAMD in two groups decreased significantly,but experimental group was more significant. The readdietted rats of experimental group was lower than that of control group in half a year. Conclusion Cognitive therapy is effective in the treatraemt of alcohol addiction.