娄底市娄星区美沙酮维持治疗患者脱失原因调查  

Survey on Patients Withdrawing from Methadone Maintenance Treatment in Luoxing District,Loudi City

作　　者：杨梅[1] 袁利和[1] 吴幂[1] 肖永根[1] 

机构地区：[1]湖南省娄底市疾病预防控制中心,湖南娄底417000

出　　处：《实用预防医学》2012年第10期1582-1584,共3页Practical Preventive Medicine

基　　金：湖南省哲学社会科学成果评审委员会2008-2009年度立项课题(0804003A)

摘　　要：目的了解娄底市娄星区美沙酮维持治疗(MMT)患者的脱失原因,为进一步推动MMT的健康发展及制定相关的政策提供依据。方法采用定量、定性相结合的调查方法,对参加MMT的脱失人员进行电话、家庭随访等方式访谈调查。结果娄底市美沙酮维持治疗门诊共访谈脱失者478例,占参加治疗总人数的75.3%(478/635)。脱失主要与自身心理依赖、复吸、美沙酮剂量不足、对美沙酮维持治疗认识不足、门诊服务不完善、社会和家庭支持、经济困难直接相关。结论减少脱失必须采取与社区康复相结合的综合措施。Objective To investigate the reasons for dropping out of methadone maintenance treatment（MMT） in Louxing District,Loudi City,and to provide scientific reference for healthy development and policy-making of MMT. Methods The quantitative and qualitative surveys were carried out in the dropped out population of MMT. Results Altogether 478 cases dropped out from MMT,accounting for 75.3% of the total number on MMT（478/635）.The main reasons for dropping out were as follows： the patients＇ psychological dependence,relapse,inadequate methadone dose,insufficient understanding of methadone maintenance treatment,imperfect out-patient services,social and family support,and economic difficulties. Conclusions To reduce the dropping out,comprehensive measures must be taken in combination with community-based rehabilitation.

关 键 词：吸毒 美沙酮 维持治疗 脱失 

分 类 号：R996[医药卫生—毒理学]