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用山莨菪碱、针刺治疗的方法对64例自愿戒毒的海洛因依赖者进行脱毒治疗,并对其脱毒机理进行初步探讨。治疗开始的1-3d内,2.0-2.4me/kg·d的山莨菪碱加于生理盐水1000ml内,缓慢静脉滴注,速度为15-18滴/min;针刺百会、印堂、双侧内关及神门穴,留针10min,1/d。对戒断症状中出现最多的10个症状作为本文重点观察的疗效指标,仅以这些症状的减少或消失及患者对继续用药的愿望程度做为分析考察脱毒治疗效果的指标。结果显示,治疗的第16,就能控制部分戒断症状;第3d大部分戒断症状可得到控制,只有少数戒断症状在个别患者中存在,第4~5d完全消失。山莨菪碱、针刺治疗确能迅速有效地控制海洛因依赖者的戒断症状,与文献中报告的可乐宁比较,在戒断症状的控制时间方面优于可乐宁,已具备治疗作用的时效关系特点,可作为一种脱毒治疗的方法,用于海洛因依赖者的治疗。
With anisodamine, acupuncture treatment of 64 cases of voluntary detoxification of heroin addicted to detoxification treatment, and its detoxification mechanism for preliminary study. Within 1 to 3 days after the start of treatment, anisodamine 2.0-2.4me / kg · d was added to 1000ml of normal saline, slowly by intravenous drip, the speed was 15-18 drops / min; acupuncture Baihui, Yin Tang , Both sides of the customs and Shenmen point, needle 10min, 1 / d. Ten symptoms of withdrawal symptoms as the focus of this article to observe the efficacy of indicators, only the reduction or disappearance of these symptoms and the patient’s desire to continue the use of medication as an indicator to examine the effect of detoxification. The results showed that the treatment of the first 16, you can control some of the withdrawal symptoms; 3d most of the withdrawal symptoms can be controlled, only a small number of withdrawal symptoms exist in individual patients, 4 ~ 5d completely disappeared. Anisodamine and acupuncture treatment can effectively and quickly control the withdrawal symptoms of heroin addicts. Clonidine is superior to clonidine in controlling the withdrawal symptoms compared with that reported in the literature, and has the therapeutic effect of aging It can be used as a detoxification treatment for the treatment of heroin addicts.