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老年期酒依赖的临床特点 附52例分析 |
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方明昭 孙宝民 樊国珍 崔玉华
【摘要】目的：了解老年期酒依赖的临床特点，以利于采取有效的预防及干预措施。方法：通过出院卡查寻老年酒依赖患者，对其临床症状进行分析。结果：老年酒依赖患者占同期住院酒依赖患者的14.8％，按Carruth的三型分类，最多见为老年恶化型(76.92％)，其次为早发型(13.46％)，迟发型最少。老年酒依赖绝大多数由于老年期应激而引起，年轻时有轻度酒依赖，进入老年期如不减酒或戒酒，将导致老年期酒依赖。结论：老年期酒依赖有增加趋势。老年期只有减酒、戒酒，减少或正确对待应激事件才会减少老年酒依赖。
【关键词】老年期酒依赖 应激
Clinical Characteristics of Geriatric Alcohol Dependence
Fang Mingzhao Sun Baomin Fan Guozhen et al.
（Institute of Mental Health， Beijing Medical University， Beijing， CHINA 100083）
【Abstract】Objestive： To investigate the clinical characteristics of geriatric alcohol dependence and to determine the preventive measures. Method： Fifty-two Geriatric patients with alcohol dependence were screened out through registration cards of the discharged and their clinical characteristics were analyzed according to the classification criteria of Carruth. Results： 14.8% of all the contemporary alcohol-dependent inpatients were the elderly (more than 60 years old). Classified with Carruth s criteria， most (76.92%) were included in the deteriorated type in the old age， followed with early-onset (13.46%) and late-onset type. Geriatric alcohol dependence was most probably initiated by stress. Those who had mild alcohol dependence in their youth tended to suffer geriatric alcohol dependence without reduction of alcohol consumption or abstinence. Conclusion： Alcohol dependence presents an increasing tendency in older population. In order to reduce occurrence of alcohol dependence， older people should give up drinking or reduce alcohol consumption as well as coping with stress in an appropriate manner.
【Key words】geriatric alcohol dependence stress
为了解中国老年酒依赖的现状及临床特点，以便进行预防及治疗，特对北医大精神卫生研究所等三所医院住院的老年酒依赖患者进行了临床分析。
对象与方法
对象 均为慢性酒中毒的老年病人。入组条件 (1)符合CCMD-2-R酒依赖的诊断标准；(2)年龄在60岁以上；(3)排除标准：除外各种原因引起的精神障碍。
病例来源于北医大精神卫生研究所，泰安地区精神病院，吉林省精神病院的住院病人。
方法 通过出院登记卡片查出老年酒依赖的病例。
根据Carruth[1] [2] 下一页
上一个医学论文： 慢性酒精中毒与抑郁症状的临床分析
下一个医学论文： 海洛因依赖患者自然戒断状态下症状频谱的动态变化
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