伏隔核毁损术治疗药物依赖性脑病术后复吸原因分析

Clinical Investigating and Analyzing Over Two Years Relapse Status Post Nucleus Accumbens Ablation with Stereotactic Surgery

回顾性调查手术后观察期2年以上的复吸患者43例,调查伏隔核毁损术后患者复吸原因,评价手术戒毒疗效。结果显示,除失随访9例,主要复吸原因为接触与吸食毒品相关的情境(28例,占82.4%)和生活负性事件的应激反应(6例,占17.6%);手术后的操守时间明显长于以往保守治疗后的操守时间;手术后每日吸食毒品量明显少于以往保守治疗后的吸食量;以手术组为研究对象,对操守时间及每日复吸量按复吸原因分组进行成组t检验均无显著性差异(P>0.05)。上述结果表明,手术戒毒疗效确切,术后操守时间长,复吸后每日吸食毒品量明显减少,对毒品的心理渴求感降低。

We analyzed the concrete reasons of relapse after the surgery. There were 28 out of 43 cases relapsed because of the drug addict surroundings（28 cases, 82.4 % ）and 6 out of 43 cases because of the stress（6 cases, 17.6 % ）, 9 patients were lost in follow- up,in addition. The results show that the main reason of relapse is the contaction of the drug addict surroundings. So after the surgery, the patients need psychological treatment, change the bad living environments and modes, engage in the jobs within their powers, posses inner resources,get rid of the drug addiction thoroughly, recover society function.