山莨菪碱治疗麻醉剂依赖性

来源 :新药与临床 | 被引量 : 0次 | 上传用户:e5134
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
阿片成瘾者250例(男性222例,女性28例,年龄30±s5a)应用山莨菪碱0.5-2mg/(kg·d),分2-3次加入10%葡萄糖250mL或5%葡萄糖生理盐水500mL静脉滴注;东莨菪碱0.02-0.03mg/kg加入10%葡萄糖250mL静脉滴注1次,必要时对重患者追加1次,疗程5-7d。结果戒断症状均有改善(P<0.01),27例需加用羟丁酸钠。不良反应轻,可作为阿片瘾者的脱瘾药物。*P<0.01。碱确能解除阿片药物戒断症状。其对阿片戒断症状缓解时间在治疗4-5d后,强烈觅药渴求也随之逐渐消失。150例(60%)要求进食,175例(70%)仍需借助安眠药睡眠。另65例(26%)戒断症状阵发性发作,每次持续0.5-1h,症状轻重不一,轻者流泪、全身弥漫性疼痛,重者焦躁不安、心中猫抓虫咬样难受,甚至想自残,可配合艾司唑仑3-4mg/d,po或氯硝西泮6-10mg/d,po;也可用氯硝西泮1-2mg/次,im,每日2-3次;针刺胃俞、脾俞、中脘、足三里、印堂、太阳、百会、内关、合谷、命门、夹脊和肾俞穴位,根据临床症状任选其中3-5个穴位进行治疗或心理治疗能快速减轻患者戒断症状。治程中27例(10.8%)重? 250 opiate addicts (222 males and 28 females, age 30 ± s5a) were anesthetized with anisodamine 0.5-2 mg / (kg · d), and 10% dextrose 250 mL or 5% dextrose Saline 500mL intravenous drip; scopolamine 0.02-0.03mg / kg add 10% glucose 250mL intravenous infusion 1, if necessary, additional patients with heavy 1, the course of treatment 5-7d. Results Withdrawal symptoms were improved (P <0.01), 27 cases need to add sodium oxybate. Adverse reactions are mild and can be used as addicts for opiate addicts. * P <0.01. Alkali can really lift the withdrawal symptoms of opiate drugs. The opiate withdrawal symptoms alleviate the time in the treatment of 4-5d, a strong desire to find medicine also will gradually disappear. 150 (60%) require eating, 175 (70%) still need to sleep with sleeping pills. The other 65 cases (26%) with paroxysmal episodes of withdrawal symptoms, each lasting 0.5-1h, the symptoms vary in severity, the light of the tears, systemic diffuse pain, severe restlessness, the hearts of cat catching insects bitter uncomfortable , Or even want to self-mutilation, with 3-4mg / of eszolam, po or clonazepam 6-10mg / d, po; also available clonazepam 1-2mg / time, im 2-3 Acupuncture stomach, spleen, Zhongli, Zusanli, Yintang, the sun, Baihui, Neiguan, Hegu, life gate, Jiaji and Shenshu acupuncture points, according to the clinical symptoms of optional 3-5 acupuncture points Treatment or psychological treatment can quickly reduce withdrawal symptoms in patients. Treatment of 27 cases (10.8%) weight?
其他文献
会议
会议
会议
会议
会议
随着国土资源部“严格控制高档商品住房用地,停止申请报批别墅用地”一系列政策的出台,不少人意识到现有别墅的升值空间正日益体现出来。以至于在别墅用地审批“叫停”政策