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目的:评估酒依赖患者脱瘾治疗时不同时间段的戒断症状,为临床治疗及护理提供更完善的措施。方法:采用临床机构酒精依赖戒断评估表(CIWA-Ar)及临床戒断分级评估标准对58例使用酒精引起的精神和行为障碍患者停酒后脱瘾治疗不同时段的戒断症状进行评估并对评估结果进行分析然后采取针对性护理措施。结果:停酒24小时内84.5%患者出现戒断症状,戒断总分10.33±9.66;停酒24-48小时36.2%患者出现症状,戒断总分9.33±6.84;停酒48-72小时8.6%患者出现症状,戒断总分12.60±7.47。不同的时段其戒断症状的程度及表现形式有一定的差异。结论:酒依赖患者在脱瘾治疗期的戒断症状多发生在停酒后的48小时内,少数患者戒断症状较为严重,持续时间可达72小时以上,采用CIWA-Ar评估后采取针对性护理措施,可更好地保证护理质量,防止患者出现意外。
OBJECTIVE: To evaluate the withdrawal symptoms of alcohol dependence patients during different periods of withdrawal and to provide better measures for clinical treatment and nursing. Methods: 58 cases of alcohol-induced mental and behavioral disorders were evaluated for withdrawal symptoms at different periods after alcohol-withdrawal from treatment group by CIWA-Ar and clinical abstinence rating criteria Analysis of the results of the assessment and then take targeted care measures. RESULTS: Withdrawal symptoms occurred in 84.5% of patients within 24 hours of stopping alcohol, with a total score of 10.33 ± 9.66, with symptoms of withdrawal from 24-48 hours, with a total score of 9.33 ± 6.84 and withdrawal of 48-72 hours % Of patients with symptoms, with a total score of 12.60 ± 7.47 abstinence. Different periods of withdrawal symptoms of the extent and form of a certain difference. Conclusions: The withdrawal symptoms of alcohol dependence patients during withdrawal period occurred within 48 hours after alcohol withdrawal. The withdrawal symptoms of the few patients were more severe with the duration of more than 72 hours. The patients were targeted with CIWA-Ar Nursing measures to better ensure the quality of care to prevent accidents in patients.