中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2012年
8期
734-736
,共3页
闫社因%牛艳%陈家民%秦阳
閆社因%牛豔%陳傢民%秦暘
염사인%우염%진가민%진양
酒精依赖%戒酒治疗%复饮率%危险因素
酒精依賴%戒酒治療%複飲率%危險因素
주정의뢰%계주치료%복음솔%위험인소
Alcohol dependence%Abstinence%Relapse rate%Risk factor
目的 探讨酒精依赖患者复饮的影响因素.方法 使用自编人口学资料调查表、家庭环境量表中文版、临床酒精戒断状态评定量表、慢性脑器质性人格改变评定量表对117例酒精依赖住院患者进行评定.出院1年后使用自编酒精依赖诊断问卷对105例受访者随访,发现57例复饮,48例未复饮.使用t检验和x2检验对57例复饮者和48例未复饮者的一般人口学资料、临床资料和庭环境量表评分进行单因素分析比较,使用Logistic回归筛选酒依赖复饮的相关因素.结果 复饮组离婚或分居或再婚率高于未复饮组(21/36:7/41,x2=6.60,P=0.010);受教育年限短于未复饮组[(5.2±1.8)年,(7.2±1.7)年,t =-5.64,P=0.000];日饮酒量大于未复饮组[(512±186)ml,396±109)ml,t=3.93,P=0.000];日饮酒次数多于未复饮组[(2.6±0.9)次,1.8±0.6)次,t=5.38,P=0.000];伴有人格改变、智能损害、情感障碍者多于未复饮组(均P＜0.05);亲密度、情感表达、独立性、组织性、控制性评分低于未复饮组(均P＜0.05);矛盾性评分高于未复饮组(P=0.017).Logistic回归分析显示每日饮酒次数多、伴有智能损害、情感障碍、独立性差为酒依赖患者复饮的危险因素(OR分别为7.44,3.99,3.92,2.96);控制性为酒依赖患者复饮的保护性因素( OR =0.19).结论 不良的婚姻状态、受教育年限短、日饮酒量大、日饮酒次数多、伴有人格改变、智能损害和情感障碍者复饮率高.家庭环境不良者复饮率高.
目的 探討酒精依賴患者複飲的影響因素.方法 使用自編人口學資料調查錶、傢庭環境量錶中文版、臨床酒精戒斷狀態評定量錶、慢性腦器質性人格改變評定量錶對117例酒精依賴住院患者進行評定.齣院1年後使用自編酒精依賴診斷問捲對105例受訪者隨訪,髮現57例複飲,48例未複飲.使用t檢驗和x2檢驗對57例複飲者和48例未複飲者的一般人口學資料、臨床資料和庭環境量錶評分進行單因素分析比較,使用Logistic迴歸篩選酒依賴複飲的相關因素.結果 複飲組離婚或分居或再婚率高于未複飲組(21/36:7/41,x2=6.60,P=0.010);受教育年限短于未複飲組[(5.2±1.8)年,(7.2±1.7)年,t =-5.64,P=0.000];日飲酒量大于未複飲組[(512±186)ml,396±109)ml,t=3.93,P=0.000];日飲酒次數多于未複飲組[(2.6±0.9)次,1.8±0.6)次,t=5.38,P=0.000];伴有人格改變、智能損害、情感障礙者多于未複飲組(均P＜0.05);親密度、情感錶達、獨立性、組織性、控製性評分低于未複飲組(均P＜0.05);矛盾性評分高于未複飲組(P=0.017).Logistic迴歸分析顯示每日飲酒次數多、伴有智能損害、情感障礙、獨立性差為酒依賴患者複飲的危險因素(OR分彆為7.44,3.99,3.92,2.96);控製性為酒依賴患者複飲的保護性因素( OR =0.19).結論 不良的婚姻狀態、受教育年限短、日飲酒量大、日飲酒次數多、伴有人格改變、智能損害和情感障礙者複飲率高.傢庭環境不良者複飲率高.
목적 탐토주정의뢰환자복음적영향인소.방법 사용자편인구학자료조사표、가정배경량표중문판、림상주정계단상태평정량표、만성뇌기질성인격개변평정량표대117례주정의뢰주원환자진행평정.출원1년후사용자편주정의뢰진단문권대105례수방자수방,발현57례복음,48례미복음.사용t검험화x2검험대57례복음자화48례미복음자적일반인구학자료、림상자료화정배경량표평분진행단인소분석비교,사용Logistic회귀사선주의뢰복음적상관인소.결과 복음조리혼혹분거혹재혼솔고우미복음조(21/36:7/41,x2=6.60,P=0.010);수교육년한단우미복음조[(5.2±1.8)년,(7.2±1.7)년,t =-5.64,P=0.000];일음주량대우미복음조[(512±186)ml,396±109)ml,t=3.93,P=0.000];일음주차수다우미복음조[(2.6±0.9)차,1.8±0.6)차,t=5.38,P=0.000];반유인격개변、지능손해、정감장애자다우미복음조(균P＜0.05);친밀도、정감표체、독립성、조직성、공제성평분저우미복음조(균P＜0.05);모순성평분고우미복음조(P=0.017).Logistic회귀분석현시매일음주차수다、반유지능손해、정감장애、독립성차위주의뢰환자복음적위험인소(OR분별위7.44,3.99,3.92,2.96);공제성위주의뢰환자복음적보호성인소( OR =0.19).결론 불량적혼인상태、수교육년한단、일음주량대、일음주차수다、반유인격개변、지능손해화정감장애자복음솔고.가정배경불량자복음솔고.
Objective To investigate environmental factors of the relapse of alcohol dependence.Methods One hundred and seventeen in-patients with alcohol dependence were assessed with a home-designed questionnaire,Family Environment Scale Chinese Version (FES-CV),Clinic Institute Alcohol Withdrawal Syndrome Scale Chinese Version(CIWA-Ar) and the Scale of Personality Change Post-Traumatic Brain Injury(SPCPTBI).One hundred and five patients reassessed with alcohol dependence syndrome diagnostic criteria 1 year after hospitalization.t -test,chi-square and logistic regression were used for analysis.Results 57 of 105 were relapse and 48 of them were not relapse.The results showed that relapse group had a higher divorce or separated or remarried rate (21/36) than the no-relapse one (7/41 ) ( chi-square =6.60,P =0.010) ; a less number of years of education (5.2 ± 1.8 vs 7.2 ± 1.7,t =5.64,P =0.000) ; a bigger daily drinking ( (512 ± 186) ml vs (396 ± 109) ml,t =3.93,P =0.000) ; a higher drinking frequency in relapse group ( (2.6 ± 0.9 ) vs ( 1.8 ± 0.6) times,t =5.38,P=0.000) ;a higher rates in personality change(47/57 vs 15/48 ),brain damages (27/57 vs 13/48 ) and mood disorders (35/57 vs 17/48 ),They also showed that relapse group had more problems on intimate degree (5.66 ±1.40 vs 6.20 ± 1.20),emotional expression (4.59 ± 1.54 vs 5.41 ± 1.26,independence (3.61 ± 1.29 vs 4.64± 1.49),organization (4.26 ± 1.56 vs 5.22 ± 1.18 ),and self-controlling (4.21 ± 1.43 vs 5.12 ± 1.12 ),the differences were significant (P＜0.05) ;a higher contradiction score(4.35 ± 1.73 vs 3.64 ± 1.22,t =2.42,P =0.017).Logistic regression analysis showed that the number of daily drinking,intelligent damaged,emotional problems,arid dependence were the risk factors for the alcoholic relapse ( OR =7.44,3.99,3.92,2.96) ;Self-controlling was the protective factors for the alcoholic relapse ( OR =0.19).Conclusion Problem marital status,less education,and heavy drinking,and the number of drinking times,personality change,intellectual impairment and mood change,and poor family environment were the risk factors for the relapse of alcohol dependence.
