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method of treatment of methadone dependence

机译:美沙酮依赖治疗方法

摘要

FIELD: medicine.SUBSTANCE: invention relates to medicine, namely to narcology, anesthesiology and psychotherapy, and can be used for treating methadone addiction. To do this, premedication, anesthesia, detoxification and introduction of a drug antagonist are performed. Before the introduction of the drug antagonist the patient's body is immersed in hot water, except the head, with water temperature of 46 °C with the provision of lung saturation to 95–100 %. Temperature in the middle third of the esophagus and on the tympanic membrane is measured, BIS-monitoring is carried out. Body is heated at maximum speed of 1 °C within 5 minutes. According to BIS-monitoring, when the temperature in the middle third of the esophagus and on the tympanic membrane equals to 42.5–43.8 °C, "biological crucial point" is determined. In this case, dalargin at a dose of 1 mg/ml is injected intravenously, when the body temperature reaches 40 °C and at each degree of temperature increase, as well as at the moment of reaching "biological crucial point". Methadone antagonist is administered at the time of achieving "biological crucial point". After this, the patient is removed from the bath and the normothermia is restored.EFFECT: method provides for improved efficiency of treatment due to the relief of "chemical addiction" and creation of favorable conditions for the relief of psychological dependence when the rehabilitation period of patients undergoing treatment for drug addiction is reduced and, consequently, the cost of treatment is reduced.1 cl, 1 ex
机译:技术领域本发明涉及医学,即麻醉学,麻醉学和心理治疗学,可用于治疗美沙酮成瘾。为此,进行了药物治疗前的麻醉,麻醉,排毒和引入治疗。在引入药物拮抗剂之前,将患者的身体浸入热水中(头部除外),水温为46°C,并提供95%至100%的肺饱和度。测量食道中部和鼓膜上的温度,进行BIS监测。身体在5分钟内以1°C的最高速度加热。根据BIS监测,当食道中部三分之一和鼓膜上的温度等于42.5–43.8°C时,就确定了“生物学关键点”。在这种情况下,当体温达到40°C并在每个温度升高程度以及达到“生物关键点”时,静脉注射达拉根1 mg / ml。美沙酮拮抗剂在达到“生物学关键点”时给药。此后,将患者从浴缸中移出并恢复正常体温。效果:该方法通过减轻“化学成瘾”而提供了改善的治疗效率,并为缓解康复期间的心理依赖创造了有利条件。减少了因吸毒而接受治疗的患者,因此降低了治疗成本。1cl,1 ex

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