盐城市美沙酮维持治疗对艾滋病综合干预效果的评价  

Efficacy analysis of methadone maintenance treatment on comprehensive intervention among AIDS patients in Yancheng

作　　者：李志勇[1] 纪康[1] 胥加耕 朱凤刚 高鸣[1] 

机构地区：[1]江苏省盐城市盐都区疾病预防控制中心,盐城224002

出　　处：《江苏预防医学》2015年第2期20-21,共2页Jiangsu Journal of Preventive Medicine

基　　金：江苏省预防医学科研课题(Y201006);第二轮中央和省共建艾滋病综合防治示范区项目

摘　　要：目的评价美沙酮维持治疗在艾滋病高危行为改变方面的作用。方法采用问卷调查和实验室检测相结合的方式,对盐城市美沙酮门诊在治对象进行普查和持续2年干预后调查。结果干预后海洛因成瘾受治者,过去1个月吸毒比例由干预前的67.35%下降到21.13%,其中注射吸毒的比例由42.86%下降到8.45%;艾滋病知晓率由60.20%上升到95.77%;最近1次性行为安全套使用率由3.13%增加至37.50%。受治者中未发生新的HIV感染。结论开展美沙酮维持治疗艾滋病综合干预,能减少海洛因注射吸毒发生,提高艾滋病知晓率,促进安全套使用。Objective To evaluate efficacy of methadone maintenance treatment on high risk behavior change among AIDS patients.Methods Patients under methadone maintenance treatment in Yancheng were investigated by questionnaire and laboratory test,followed by a survey after 2-year intervention.Results Heroin addicts were investigated after intervention,the drug use rate in past month dropped from 67.35% to 21.13%,in which injection drug use rate dropped from 42.86% to 8.45%.Awareness of AIDS-related knowledge rose from 60.20% to 95.77%.The condom use rate in last sexual intercourse rose from 3.13% to 37.50%.No new HIV infection was identified among patients under treatment.Conclusion Applying comprehensive intervention of methadone maintenance treatment among AIDS patients can reduce their drug use incidence,improve the awareness of AIDS-related knowledge and promote usage of condoms.

关 键 词：艾滋病 美沙酮 维持治疗 行为干预 

分 类 号：R512.91[医药卫生—内科学]