美沙酮维持治疗海洛因依赖患者的吸烟行为与疼痛强度

发布时间：2018-03-12 15:46

  本文选题：吸烟　切入点：疼痛　出处：《中国神经精神疾病杂志》2017年07期 　论文类型：期刊论文

【摘要】：目的探讨接受美沙酮维持治疗(methadone maintenance treatment,MMT)的海洛因依赖患者(heroindependent patients,HDPs)吸烟行为与疼痛强度关系。方法 603例MMT门诊HDPs完成社会人口学和临床特征问卷、吸烟问卷、吸烟严重程度指数评估和Zung氏抑郁自评量表,用五点口述分级评分法评估疼痛强度。结果协方差分析控制社会人口学变量、临床特征变量和抑郁症状的混杂作用后,吸烟HDPs的疼痛强度高于非吸烟HDPs(F=11.836,P=0.002),两两比较,中重度尼古丁依赖患者疼痛强度最高,轻度尼古丁依赖患者次之,无尼古丁依赖患者疼痛强度最低[(3.11±1.04)vs.(2.67±1.13)vs.(2.47±1.15),均P0.01]。结论 MMT门诊HDPs的吸烟行为与疼痛存在显著关联,尼古丁依赖程度越重,疼痛强度越高。
[Abstract]:Objective to investigate the relationship between smoking behavior and pain intensity in heroin addicts receiving methadone maintenance treatment.Methods 603 HDPs patients with MMT were enrolled in this study. Smoking severity index and Zung's depression self-rating scale were used to evaluate the pain intensity. Results Covariance analysis controlled the mixed effects of social demographic variables, clinical characteristics variables and depression symptoms. The pain intensity of smoking HDPs was higher than that of non-smoking HDPsSN 11.836, P0. 002. In comparison, moderate and severe nicotine dependence patients had the highest pain intensity, and mild nicotine dependence patients were the second. The pain intensity of patients without nicotine dependence was the lowest [2.67 卤1.13 vs 2.67 卤1.13 vs 2.47 卤1.15]. Conclusion smoking behavior of HDPs in MMT outpatient clinic is significantly correlated with pain. The more nicotine dependence, the higher the pain intensity.
【作者单位】： 华中科技大学同济医学院附属武汉精神卫生中心(第九临床学院)精神科;
【基金】：武汉市卫生和计划生育委员会资助课题(编号:WG16A02)
【分类号】：R749.64
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本文编号：1602231