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肿瘤代谢与营养电子杂志
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毒品戒断人员营养治疗专家共识
戒毒人员普遍存在营养不良,其共病情况较为严重且预后差,给个人和社会造成很大负担。毒品戒断是一个循序 渐进的过程,急性戒断期机体平衡打破,营养大量消耗会导致神经内分泌系统紊乱、机体耐受性和解毒功能受损、物质能量代 谢紊乱等各种健康问题。营养治疗作为戒毒治疗的基础,有助于降低戒断症状的严重程度,并加速改善健康状况,增强戒毒信 心。大多数循证治疗方案都表明了营养对于康复成瘾者的重要性,根据戒毒人员不同毒品吸食情况及营养状况给予针对性的 营养饮食干预,有利于提高戒毒效果,平稳度过急性戒断期,甚至对复吸的预防有积极影响。为充分地将国内外戒毒医学营养 治疗理论落实到戒断工作中,本专家共识依据国内外现有研究,总结了毒品戒断与营养膳食的关系,分析不同营养因素对毒品 戒断者的生理和精神影响,规范戒断人员营养治疗原则和步骤,方便毒品戒断防控等相关医疗保健人员应用,更好地服务毒品 戒断人员。
Expert consensus on nutrition treatment for drug addicts
Drug addicts are generally suffering from malnutrition, and their comorbidities are relatively serious and their prognosis is poor, which poses a great burden to individuals and society. Drug withdrawal is a gradual process, massive consumption of nutritional results in various health problems, disruption of endocrine system, impaired detoxification function, substance and energy dysmetabolism. Nutritional therapy, as the foundation of drug treatment, helps to reduce the severity of withdrawal symptoms and accelerate health improvement. Most evidence?base treatment protocols have demonstrated the importance of nutrition to the recovery of addicts. Providing targeted nutritional and dietary interventions according to the different drug use and nutritional status of drug addicts is conducive to improving the detoxification effect, smoothly passing through the acute withdrawal period and even having a positive impact on the prevention of relapse. In order to fully implement the nutritional treatment theory of drug addiction medicine into withdrawal work, this expert consensus summarizes the relationship between drug withdrawal and nutritional diet, analyzes the physical and mental effects of different nutritional factors on drug abusers, standardizes the principles and steps of nutritional treatment for drug abusers, facilitates the application of drug abstinence prevention and control and other related health care personnel, and provides better services for drug abusers based on existing domestic and international research.