阿片类物质成瘾者社区药物维持治疗门诊病人反复入组影响因素分析  

An analysis of the re-entry rate and its related factors among patients receiving methadone maintenance therapy

作　　者：米国栋[1] 殷文渊[1] 罗巍[1] 曹晓斌[1] 王常合[1] 柔克明[1] 吴尊友[1] 

机构地区：[1]中国疾病预防控制中心性病艾滋病预防控制中心健康教育与行为干预室,北京102206

出　　处：《中华疾病控制杂志》2010年第6期493-496,共4页Chinese Journal of Disease Control & Prevention

基　　金：美国国立卫生研究院(NIH)福格迪国际中心(Fogarty International Center)项目(2U2RTW006918-06)

摘　　要：目的了解全国阿片类物质成瘾者社区药物维持治疗门诊病人反复入组情况,分析病人不能坚持治疗反复入组的原因,为减少脱失,促使病人坚持治疗提供信息。方法从全国艾滋病综合防治数据信息管理系统社区美沙酮维持治疗数据库提取2009年1月1日～9月30日的治疗病人病例,从中选择基本情况、随访资料以及实验室检查记录较为齐全的病人进行分析。结果共取得有效分析样本7091例。与病人反复入组有关的因素是年龄较小、男性、最近1个月偷吸毒品、最近3个月内被公安机构抓获,以及丙肝感染。结论要提高社区药物维持门诊病人的治疗依从性,应重点针对最近1个月内偷吸过毒品,并且已感染丙肝的年轻男性开展干预活动,同时需加强与公安部门的协调合作。Objective To examine the re-entry rate of patients enrolled in methadone maintenance therapy and to identify the factors associated with it. Methods The cases for analysis were selected from the ＂National Methadone Maintenance Therapy （MMT） Information System＂, based on whether the individual’s records regarding baseline, follow-up and bio-medical examinations were accurately collected and reported. Results In total, 7 091 cases were eligible for analysis. Among them, 276 were re-entry cases into MMT in the study period from Jan. 1st to Sep. 30th of 2009. The factors associated with MMT re-entry were younger, male, heroin relapse in the past month, arrested in the pervious 3 months and living with HCV. Conclusions More interventions targeting the above factors should be carried out to reduce the re-entry rate.

关 键 词：美沙酮 维持治疗 反复入组 因素分析 统计学 

分 类 号：R917[医药卫生—药物分析学]