CAJ | 학술논문

目的：对大理市美沙酮维持治疗门诊治疗病人的一般情况、在治人数、维持治疗率、退出原因和抗体检测等情况进行分析，为扩大美沙酮维持治疗工作提供科学依据。方法：收集2008年至2012年美沙酮维持治疗数据资料。结果：在治人数逐年增加，维持治疗率提高了36.6%，生物学检测率2009年至2012年间比较，差异具有统计学意义（P＜0.01）。退出原因主要是偷吸被抓、疾病和交通不便，分别占29.7%、28.5%、15.6%，吗啡尿检阳性率18.9%。结论：必须加强对美沙酮维持治疗工作的管理，扩大美沙酮维持治疗工作覆盖面、可及性，为戒毒人员提供心理支持和社会帮助，采取综合干预措施，进一步提高美沙酮维持治疗在治人数、维持率和生物学检测率，降低戒毒人员的伤害。
목적：대대리시미사동유지치료문진치료병인적일반정황、재치인수、유지치료솔、퇴출원인화항체검측등정황진행분석，위확대미사동유지치료공작제공과학의거。방법：수집2008년지2012년미사동유지치료수거자료。결과：재치인수축년증가，유지치료솔제고료36.6%，생물학검측솔2009년지2012년간비교，차이구유통계학의의（P＜0.01）。퇴출원인주요시투흡피조、질병화교통불편，분별점29.7%、28.5%、15.6%，마배뇨검양성솔18.9%。결론：필수가강대미사동유지치료공작적관리，확대미사동유지치료공작복개면、가급성，위계독인원제공심리지지화사회방조，채취종합간예조시，진일보제고미사동유지치료재치인수、유지솔화생물학검측솔，강저계독인원적상해。
Objective:To make an analysis of patients' status of clinical methadone continuous treatment which includes general state,patients' number in treatment,continuous treating rate,recover reason and biological detection,in order to provide scientific basis for methadone continuous treatment work. Methods: Data on methadone continuous treatment from 2008 to 2012 were collected. Results:Biological detection rate from 2009 to 2012 were compared to show that patients in treatment had increased year by year and continuous treating rate was improved by 36.6%. Results show statistical significance (P<0.01);recover reasons were being caught by stealthy using,diseases and inaccessibility,representing 29.7%,28.5% and 15.6%. Morphine urine test positive rate was 18.9%. Conclusion:Administration on methadone continuous treatment work should be improved. Accessibility and converge of methadone continuous treatment work should be enlarged. Patients are provided with psychological support and social aid together with integrated interventions methods so as to increase the patients' number,maintenance rate and biological detection which will reduce the harm of drug addicts.