【摘要】 目的 探讨戒酒互助会（alcoholics anonymous,AA）网络视频会对酒精依赖患者复饮的影响。方法 纳入2020年3月至2022年3月，在河北医科大学第一医院精神卫生中心住院戒酒后出院的酒精依赖患者，随机分为AA组和非AA组，AA组进行12个月的AA远程干预，每周参与1次AA网络视频会议，非AA组不做任何干预。基线时评估受试者饮酒年限、成瘾年限等一般状况以及焦虑抑郁症状的严重程度，入组后12个月时医生采用电话或微信等方式与受试者和家属进行沟通和评估，评估受试者焦虑抑郁情绪变化、复饮情况、出院后戒酒时间等。结果 纳入80例受试者，其中AA组32例，非AA组48例。AA组的戒酒持续时间中位数及四分位数为7.5(3.0, 12.0)个月，而非AA组的戒酒持续时间中位数及四分位数为1.0(0.3, 5.0)个月，差异有统计学意义（P<0.01）。多因素logistic回归分析显示，非AA组复饮的风险是AA组的14.85倍（OR=14.85,95%CI:2.33～94.57）。结论 采用AA网络视频会这种远程治疗的方式，能使酒精依赖患者保持戒酒的时间显著延长，复饮风险降低。更多还原

【Abstract】 Objective To explore the impact of alcoholics anonymous(AA) online video conferences on relapse among alcohol dependent patients. Method Alcohol dependent patients who were hospitalized and discharged from the Mental Health Center of the First Hospital of Hebei Medical University from March 2020 to March 2022 were randomly divided into the AA group and the non AA group. The AA group underwent a 12-month remote AA treatment,participating in an AA online video conference once a week. The non-AA group did not receive any intervention. At baseline, the general condition of the subjects, such as alcohol consumption and addiction duration, as well as the severity of anxiety and depression symptoms, were evaluated. At 12 months after enrollment, clinicians communicated and assessed the subjects and their families via telephone or WeChat. The assessments included changes in anxiety and depression among the subjects, relapse into drinking, duration of abstinence after discharge, and other relevant factors. Result Eighty subjects were included, including 32 in the AA group and 48 in the non AA group. After intervention, the proportion of the AA group patients who resumed drinking was lower than that of the non AA group(68.8% vs. 93.8%, P<0.01). The median duration of abstinence in the AA group was 7.5(3.0, 12.0) months, while the median duration of abstinence in the non AA group was 1.0(0.3, 5.0) months, with a significant difference(P<0.01). Multivariate logistic regression analysis showed that the risk of relapse in the non AA group was 14.85 times higher than that in the AA group(OR=14.85, 95%CI: 2.33-94.57). Conclusion Online videos for AA in quitting alcohol are convenient and easy to implement for alcohol dependent patients. This remote treatment can significantly prolong the duration of abstinence among alcohol dependent patients.更多还原