目的　观察有氧运动对海洛因依赖者康复的影响。方法　 110例患者分为二组 ,运动组 6 0例 ,在美沙酮 (Met)撤药 2 4h进行有氧运动 6个月 ;对照组 5 0例 ,运动强度非常轻 ,相当于Borg指数 9～ 10。于脱毒前后 ,运动 6个月内对两组迁延戒断症状、Zung抑郁自评量表 (SDS)、Zung焦虑自评量表 (SAS)、分别进行测评 ;两组并随访 12个月 ,观其操守情况。结果　运动组与对照组迁延性戒断症状 ,停药 1～ 2周达到高峰 ,均渴求使用毒品 ,两组差异无显著性 (P >0 .0 5 )。随运动坚持 ,运动组较好缓解迁延性戒断症状 ,优于对照组。于运动第 12～ 2 4周运动组与对照组差异有非常显著性(P <0 .0 1)。两组脱毒后的抑郁、焦虑情绪有改善 ,较脱毒前差异有非常显著性 (P <0 .0 1) ,但仍有抑郁、焦虑倾向 ,两组间差异无显著性 (P >0 .0 5 ) ;运动开始至前 3周两组抑郁、焦虑情绪无明显差异(P >0 .0 5 )。随运动坚持 ,运动组能较好地改善抑郁、焦虑情绪 ,优于对照组 ,于运动第 16～ 2 4周 ,运动组与对照组差异有非常显著性 (P <0 .0 1)。运动组 1年操守率明显高于对照组 ,差异有非常显著性 (P <0 .0 1)。结论　长期有节律地有氧运动有利于海洛因依赖者的康复 ,对最终摆脱毒品有一定意义 Objective To observe the effect of aerobic exercise on the recovery of heroin addicts. Methods One hundred and ten patients were divided into two groups: exercise group 60 cases, aerobic exercise 24 months after methadone withdrawal 24 hours; control group 50 cases, exercise intensity was very light, equivalent to Borg index 9-10 . Before and after detoxification, within 6 months of exercise, withdrawal symptoms, Zung depression self-rating scale (SDS) and Zung self-rating anxiety scale (SAS) were evaluated respectively. Two groups were followed up for 12 months, Their integrity. Results There were no significant differences between the two groups (P> 0.05). The patients in the exercise group and the control group had prolonged withdrawal symptoms and reached the peak at 1 to 2 weeks after drug withdrawal. With exercise insisted, exercise group better relieve symptoms of persistent withdrawal, better than the control group. There was a significant difference between exercise group and control group at 12th to 24th week (P <0.01). Depression and anxiety after detoxification were improved in both groups, which were significantly lower than those before detoxification (P0.01), but there was still depression and anxiety tendency (P0.05) .0 5). There was no significant difference in depression and anxiety between the two groups before exercise 3 weeks (P> 0.05). With exercise insisted, exercise group can improve depression and anxiety better than control group. There was significant difference between exercise group and control group at 16th to 24th week (P <0.01). The one-year exercise rate in exercise group was significantly higher than that in control group, with significant difference (P <0.01). Conclusions Long-term rhythmic aerobic exercise is beneficial to the recovery of heroin addicts and is of some significance to the ultimate elimination from drugs