酒精戒断综合征缓解中神经障碍的药理学矫正

B. S. Litvintsev, D. P. Konstantinov, V. L. Reinuk, M. V. Ardashev, A. V. Belskaya
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摘要

在现有的成瘾问题中,最大的医疗和社会问题是与使用酒精、麻醉药品和精神药物有关的化学依赖。酒精中毒引起的神经紊乱的特点是其发病的多因素性质。对酒精使用者潜在神经障碍的药理学纠正应从处方具有多模效应的药物的角度考虑,这证明了寻找最有希望和最有效的方法来药理学纠正酒精中毒的精神和躯体神经后果。本研究的目的是分析在毒性肝损害实验室指标控制下神经系统症状的动态变化,以评估酒精戒断综合征综合药物治疗的有效性。对40例正在接受酒精戒断综合征治疗的患者(平均年龄43.2±7.2岁)进行调查。进行了神经学检查和血液生化参数研究,以评估肝脏的功能状态。在所有观察到的患者中都检测到神经系统器质性症状复合物,并且是与大脑和多神经性疾病相关的弥漫性局灶性症状。口服吗啡啉甲基三唑硫乙酸酯患者肝脏功能状态实验室指标治疗前后差异有统计学意义,绝大多数患者血流动力学阳性,神经系统症状消退。morpholium -methyl- triazyl - thiioacetate具有多模态效应,不仅可用于酒精性肝炎,还可用于纠正与酒精性肝损伤相关的心脏病和神经系统疾病。建议考虑将硫代三唑啉®作为门诊酒精性肝损伤综合治疗的一种选择。
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Pharmacological correction of neurological disorders in the relief of alcohol withdrawal syndrome
Among the existing addictions, the greatest medical and social problems are created by chemical dependencies associated with the use of alcohol, narcotic drugs and psychotropic substances. Neurological disorders in alcoholism are distinguished by the multifactorial nature of their genesis. Pharmacological correction of potential neurological disorders in alcohol users should be considered from the perspective of prescribing drugs with polymodal effects, which justifies the search for the most promising and effective means of pharmacological correction of mental and somatoneurological consequences of alcoholism. The aim of the study was to analyze the dynamics of neurological symptoms under the control of laboratory indicators of toxic liver damage to assess the effectiveness of complex pharmacotherapy of alcohol withdrawal syndrome. 40 patients (average age 43.2±7.2 years) who are being treated for alcohol withdrawal syndrome were examined. A neurological examination and a study of blood biochemical parameters were carried out to assess the functional state of the liver. Neurological organic symptom complex was detected in all observed patients and was a diffuse focal symptomatology associated with cerebral and polyneuritic disorders. Laboratory indicators of the functional state of the liver in patients taking morpholinium- methyl-triazolyl-thioacetate orally showed a statistically significant difference before and after therapy, in the absolute majority of cases positive hemodynamic dynamics and regression of neurological symptoms were observed. Morpholinium-methyl-triazolyl-thioacetate has polymodal effects and can be used not only for alcoholic hepatitis, but also for the correction of cardiological and neurological disorders associated with alcoholic liver damage. It is advisable to consider Thiotriazoline® as a means of choice in the complex therapy of alcoholic liver damage in the outpatient unit.
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