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首页> 外文期刊>Journal of substance use >Outcome of patients who taper off opioid maintenance during in-patient rehabilitation treatment for opiate use disorder. A controlled multicenter study
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Outcome of patients who taper off opioid maintenance during in-patient rehabilitation treatment for opiate use disorder. A controlled multicenter study

机译：逐渐消除阿片类药物治疗患者康复治疗的患者的结果。 一个受控的多中心研究

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摘要

Background: Little is known about the outcome of patients who are accepted into rehabilitation treatment for opiate users (LRT) while receiving an opioid maintenance drug and who plan to taper off during LRT. Method: Patients from four LRT facilities were included if they entered treatment during a 3-year period while still receiving their maintenance drug (OMT group). For each OMT patient entering LRT, a non-OMT patient from the same facility who had entered treatment immediately before or afterwards was selected as control. Analysis included standardized clinical documentation of patient characteristics, treatment process, and treatment outcome. Results: The OMT group (n=227) was similar to the control group (n=156) with regard to sociodemographic and clinical characteristics. A zero dosage was achieved by 37% of OMT patients. LRT was regularly completed by 28% of OMT patients, and by 57% of those OMT patients who had reached zero dosage, compared with 49% of controls. Discussion: Controls represented a preselected group that already had successfully completed detoxification. LRT completion rate therefore appears satisfactory for the OMT group and especially for those who had successfully tapered off opiates during LRT. Opiate taper during LRT is an opportunity to treat patients who are not ready for are preceding detoxification.
机译：背景：关于接受阿片类药物（LRT）的康复治疗的患者的结果几乎是知之甚少，同时接受阿片类药物，并计划在LRT期间逐渐减少。方法：如果在3年期间进入治疗的同时仍然接受其维护药物（OMT组），则包括四种LRT设施的患者。对于进入LRT的每个OMT患者，选择来自于之前或之后进入治疗的相同设施的非OMT患者作为控制。分析包括患者特征，治疗过程和治疗结果的标准化临床文献。结果：OMT组（N = 227）类似于对照组（N = 156）关于社会碘目和临床特征。通过37％的OMT患者实现零剂量。 LRT定期完成了28％的OMT患者，其中57％的OMT患者达到零剂量，而49％的对照。讨论：控制表示已经成功完成排毒的预选组。因此，LRT完成率对于OMT组似乎令人满意，特别是对于在LRT期间成功逐渐逐渐变化的人。在LRT期间的阿片式锥形是一种治疗患者的机会，尚未准备好被解毒。

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