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Seishin Igaku Volume 43, Issue 8 （August 2001）

精神医学 43巻8号（2001年8月発行）

Japanese English

研究と報告

ライター用ブタンガス乱用者の臨床的特徴 A Clinical Features of Cigarette Lighter Fluid (Butane Gas) Abusers 松本俊彦 ^1,2 , 宮川朋大 ^2,3 , 上條敦史 ² , 遠藤桂子 ² , 矢花辰夫 ² , 奥平謙一 ⁴ , 岸本英爾 ² , 小阪憲司 ¹ Toshihiko MATSUMOTO ^1,2 , Tomohiro MIYAKAWA ^2,3 , Atsushi KAMIJO ² , Keiko ENDO ² , Tatsuo YABANA ² , Kenichi OKUDAIRA ⁴ , Hideji KISHIMOTO ² , Kenji KOSAKA ¹ ¹横浜市立大学医学部精神医学教室 ²神奈川県立精神医療センターせりがや病院 ³現，国立療養所久里浜病院精神科 ⁴神奈川県立精神医療センター芹香病院 ¹Department of Psychiatry, Yokohama City University School of Medicine ²Kanagawa Psychiatric Center, Serigaya Hospital ³Department of Psychiatry, National Institute of Alcohol Center, Kurihama Hospital ⁴Kanagawa Psychiatric Center, Kinko Hospital キーワード： Volatile solvents , Butane , Lighter fluid , Toluene , Substance abuse Keyword: Volatile solvents , Butane , Lighter fluid , Toluene , Substance abuse pp.875-883

発行日 2001年8月15日 Published Date 2001/8/15

DOI https://doi.org/10.11477/mf.1405902476

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Abstract 文献概要
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【抄録】　中高生を中心に「ガスパン遊び」と通称されるライター用ブタンガスの乱用が話題となっているが，乱川の実態やその精神症状の詳細には不明な点も多い。我々は，1997年4月から2000年3月に神奈川県立精神医療センターせりがや病院に初診したライター用ブタンガス乱用者全15例の臨床的特徴を，後方視的な方法によって，同時期に初診したトルエン乱用者23例と比較した。その結果，ブタンガス乱用者では，公的相談機関を介しての受診が多く，単独使用による乱用者が有意に多かった。また，ブタンガス乱用者では吸引時の病的体験の経験が有意に多かったが，病的体験の内容は幻視が最多で，次いで幻聴であり，トルエン乱用者との差はなかった。

　Recently, cigarette lighter fluid (butane gas) misuse among junior and senior highschool students has sometimes been reported as a topic in newspapers in Japan. However, the details about this misuse among young people and the mental disorders caused by butane gas are not fully understood.

　The authors studied retrospectively the clinical features of young Japanese butane gas abusers compared with those of toluene-based adhesives abusers. Fifteen butane abusers (butane group) and 23 toluene abusers (toluene group), which included all the butane abusers and some of the toluene abusers (all cases which the first author had treated), who had had their first consultation at the Kanagawa Psychiatric Center, Serigaya Hospital from April, 1997 to March, 2000, were selected to participate in the study. Their living backgrounds and the clinical characteristics of the butane group were compared with those of the toluene group.

　The results were as follows:

　1. The butane group tended to have their first consultation after an introduction by a public youth guidance clinic, while the toluene abusers tended to have their first consultation after an introduction by their school or by the police.

　2. The butane group tended to sniff in a solitary setting, while the toluene group tended to sniff in a group setting.

　3. The butane group was more likely to have pathological experiences caused by acute intoxication, and had abused the substance for a shorter term till first consultation than the toluene group.

　4. In both groups, visual hallucinations were most frequently experienced in the acute stage of intoxication, followed by auditory hallucinations.

　Based on these results, the authors pointed out that the abuse of butane might be overlooked because of its odorlessness and the legitimacy of obtaining butane gas. Young people should be enlightened about the danger of abusing butane gas.