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目的观察美沙酮维持治疗结合认知行为治疗及家属同步健康教育对海洛因毒瘾患者康复的影响。方法选取海洛因毒瘾患者100例,随机分为观察组和对照组,每组50例。对照组给予美沙酮维持治疗(MMT)和健康教育,观察组在对照组治疗基础上给予认知行为治疗,以及对其家属同时实行健康教育。疗程均为1年。比较2组患者MMT脱落率,及治疗前、后对海洛因等毒品危害的认知率和错误行为活动发生率。结果疗程结束后,2组MMT脱落率比较差异无统计学意义(P>0.05)。观察组对海洛因等毒品危害的认知率为90.00%,高于对照组的62.00%(P<0.01);观察组错误行为活动发生率为20.00%,低于对照组的52.00%(P<0.01)。结论 MMT和家属健康教育结合有助于改善患者认知行为,提高治疗效果。
Objective To observe the effects of methadone maintenance therapy combined with cognitive behavioral therapy and family health education on the rehabilitation of heroin addicts. Methods 100 cases of heroin addicts were randomly divided into observation group and control group, 50 cases in each group. The control group was given methadone maintenance treatment (MMT) and health education. The observation group was given cognitive behavioral therapy based on the treatment of the control group, and the health education was also given to their relatives. Treatment are 1 year. The rate of MMT excretion and the incidence of misconduct activities of heroin and other drugs before and after treatment were compared between the two groups. Results After the course of treatment, there was no significant difference in the rate of MMT exfoliation between the two groups (P> 0.05). The cognition rate of the observation group on the harm of heroin and other drugs was 90.00%, higher than that of the control group (62.00%, P <0.01). The incidence of false behavior in the observation group was 20.00%, which was lower than that of the control group (52.00%) ). Conclusion The combination of MMT and family health education can help to improve the cognitive behavior of patients and improve the therapeutic effect.