美沙酮维持治疗者偷吸及保持状况调查  

Epidemiological survey on drug using and treatment retention during community-based methadone maintenance treatment among heroin user

作　　者：高倩[1] 钱兴才[2] 丁蕾[1] 潘哓雯[2] 王蓓[1] 

机构地区：[1]东南大学公共卫生学院,南京210009 [2]江苏省无锡市疾病预防控制中心

出　　处：《中国公共卫生》2008年第12期1415-1416,共2页Chinese Journal of Public Health

基　　金：国家艾滋病防治社会动员项目(07-II-7)

摘　　要：目的了解吸毒者美沙酮维持治疗期间的偷吸和保持情况,为艾滋病防治策略提供依据。方法于2007年5～10月,在江苏省无锡市美沙酮维持治疗门诊选取64名参加维持治疗的吸毒者进行有关偷吸、保持状况的个人深入访谈,采用社会学定性方法进行影响因素分析。结果71.8%的治疗者存在偷吸现象,其影响因素主要是戒断症状引起的对毒品的心理依赖以及对美沙酮疗效的怀疑;84.4%的治疗者能坚持服用美沙酮,主要是自身想戒掉毒瘾,也为了家庭和睦。结论美沙酮维持治疗患者在治疗期间普遍存在偷吸现象,直接影响治疗的真实效果。提高美沙酮维持治疗者的保持率和减少偷吸现象重点应加强宣传,并辅以心理干预。Objective To identify the status of drug using and the treatment retention during a community - based methadone maintenance treatment （MMT）among heroin users. Methods In - depth interview was conducted to 64 drug users to collect information about factors that related to retention during MMT in Wuxi, Jiangsu. Results 71.8 % of the drug users had drug using experience and the main reason was psychological dependence after withdrawal of drug. 84.4 % of the drug users committed to keep MMT for family and themselves. Conclusion The phenomena of drug using exists in common among patients during MMT. It could be confused directly to the real treatment result. The key point for retention and reducing drug using should put on propaganda and psychological consult.

关 键 词：美沙酮维持治疗 吸毒 海洛因 艾滋病 

分 类 号：R969.3[医药卫生—药理学]