酒精 禁斷과 마그네슘 注射

• 영문명: Alcohol Withdrawal and Magnesium Injection
• 발행기관: 대한신경정신의학회
• 저자명: 박인순 김종길 오민웅
• 간행물 정보: 『신경정신의학』제25권 제1호, 75~80쪽, 전체 6쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1986.02.28

영문 초록

The subjects were forty - two alcoholics, who were admitted in the D ept of Neuropsychiatry of Maryknoll General Hospital from Sept. -1 -1977 to Dec. -31-1984. Since 1981, the authors of this abstract have treated the alcoholics with the intramuscular magnesium injections ( 50% MgS04 with 2% Lidocaine 0.2cc) every 8hrs. for the first day during the acute withdrawal days. We were interested in how much the magnesium injections were effective for the alcoholics ; therefore we studied the good effects of the magnesium injection and the correlation of it’s serum level. The alcoholics were divided into two groups：18 patients in the magnesium non - injected group, 24 patients in the magnesium injected group and the alcohol free group for the control. The serum magnesium levels were checked before the injection in all cases and compared among the following classified groups ： alcoholics with Delirium Tremens ( DT ), alcoholics without Delirium Treraens ( non - DT ) and the alcohol free control group. The serum magnesium mean levels were 2.045±0.366mg / dl ( DT )，2.371 ±0.404mg / dl (non -DT) and 2.118±0.042mg/dl(control). These mean levels were all within normal limits. Especially, the level of DT was the lowest, which suggested that most of the alcoholics were admitted a few days after withdrawal. Meanwhile, until admission, the immediately dropped serum mageesium recovered spontaneously hour by hour but not sufficiently up to the level of the control group on admission. There were no significant different features of symptoms on admission between the injected and non - injected group. But the injected group recovered more rapidly from hallucination (P <.02) and profound confusion, disorientation and delusion ( P < .05). And also the severity of Delirium Tremens of the injected group was much less than the non - injected group { P < .02). Through these experiences and the results, the authors stress the importance of magnesium injections for the treatment of alcoholics

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