CAJ | 학술논문

目的了解湖南省美沙酮维持治疗患者维持治疗时间的现状以及影响因素.方法收集湖南省前两批开诊的7个美沙酮门诊接受治疗的海洛因成瘾者的一般情况以及日常治疗信息,分析患者治疗时间、治疗维持率,探索影响维持治疗时间的因素.结果湖南省7个美沙酮门诊维持治疗患者6个月的维持治疗率为72.06%,1年的维持治疗率为49.65%.高、低剂量组的患者6个月的维持治疗率分别为85.03%、68.03%;1年的维持治疗率分别为60.48%、46.28%;差异均有统计学意义.在随访观察1年中,HIV阳性和HIV阴性患者的平均美沙酮维持治疗时间分别为9.46个月和8.62个月,差异有统计学意义.高剂量组患者、非注射吸毒方式患者、高年龄患者、HIV阳性患者更易于坚持美沙酮维持治疗.结论湖南省美沙酮维持治疗门诊6个月和1年的维持治疗率与全国水平相似.维持治疗时间的长短与剂量、吸毒方式、年龄及HIV感染状况有关.
목적 료해호남성미사동유지치료환자유지치료시간적현상이급영향인소.방법 수집호남성전량비개진적7개미사동문진접수치료적해락인성은자적일반정황이급일상치료신식,분석환자치료시간、치료유지솔,탐색영향유지치료시간적인소.결과 호남성7개미사동문진유지치료환자6개월적유지치료솔위72.06%,1년적유지치료솔위49.65%.고、저제량조적환자6개월적유지치료솔분별위85.03%、68.03%;1년적유지치료솔분별위60.48%、46.28%;차이균유통계학의의.재수방관찰1년중,HIV양성화HIV음성환자적평균미사동유지치료시간분별위9.46개월화8.62개월,차이유통계학의의.고제량조환자、비주사흡독방식환자、고년령환자、HIV양성환자경역우견지미사동유지치료.결론 호남성미사동유지치료문진6개월화1년적유지치료솔여전국수평상사.유지치료시간적장단여제량、흡독방식、년령급HIV감염상황유관.
Objective to explore the current situation and related influencing factors on the retention time of patients receiving methadone maintenance treatment (MMT). Methods Information on basic situation and daily treatment of the patients were collected from the 7 MMT clinics opened in the pro-two batch in Hunan province. Retention rate and influencing factors were analyzed. Results (1) The retention rates after 6 and 12 months of MMT became 72.06% and 49.65% respectively. (2) The retention rates of high-dosage group and low-dosage group were 85.03% and 68.03% after 6 months on MMT program while became 60.48% and 46.28% after 12 months of MMT respectively. (3) The mean retention time of HIV+ patients and HIV- patients were 9.46 months and 8.62 months respectively during the 12 months follow-up observation, showing a significant difference. (4) Patients who took large dose methadone, did not share needles, at older age or HIV+ , were prone to keep MMT at a long period. Conclusion The retention rates for 6 months and 12 months in the MMT program in Hunan province were similar to the national data. Dose, type of drug abuse, age and HIV status were related to the period of retention.