强制戒毒人群病位证素分布研究

Research on the distribution of disease location syndrome elements of drug addicts under compulsory rehabilitation

目的:对强制戒毒人群的病位证素分布进行研究。方法:强制戒毒者的中医病理因素采用证素辨证方法采集,吸毒者诊断标准均符合《中国精神障碍分类与诊断标准》第3版(CCMD-3)。结果:公安组(192例)与司法组(167例)的病位均以肝、肾、脾为主;两组经过卡方检验及Ridit检验显示肺、肾、脾有显著性差异(P<0.05),且司法组的程度大于公安组;Logistic回归分析显示:司法组对毒瘾复吸有影响的病位在心,公安组在肺。结论:毒品成瘾的形成是多脏腑(肝、肾、脾)功能失调的结果,虚实夹杂是毒品成瘾的证候学特点。

Objective： To study the distribution of disease location syndrome element of drug addicts under compulsory rehabilitation. Methods： The Chinese medical pathological factors of drug addicts under compulsory rehabilitation were collected by means of syndrome elements authentication. Diagnosis standards of drug addicts conformed to the Standards in Chinese Classification and Diagnosis of Mental Disorders （CCMD-3）. Results： The disease location of the public security group （192 cases） and judicial group （167 cases） were given priority to liver, kidney and spleen. Chi-square test and Ridit test between these two groups exhibited that there were significant differences in lung, kidney and spleen （P〈0.05）, and the differences of judicial group were much more obvious than those of public security group. Logistic regression analysis showed that the disease location affecting drug relapse in justice group was heart while in the public security group was lung. Conclusion： The formation of drug addiction is the result of zang-fu organs （liver, kidney, spleen） dysfunction, and the excess and deficiency syndromes are the symptomatology characteristics of drug addiction.