CAJ | 학술논문

目的：了解武汉地区美沙酮维持治疗门诊开展概况及运行现状。方法采用从主管部门收集相关信息和现场抽样检测的方式,2010年11月对20家美沙酮维持治疗门诊及其受治者传染性疾病的感染率,服药剂量,维持率及毒品滥用情况进行调查。结果美沙酮维持治疗受治者人日均服药剂量69ml,保持率73.8%；艾滋病检测累计阳性率为0.4%,丙肝阳性率为75.1%,梅毒粗筛阳性率为2.8%；海洛因尿检阳性率为18.68%,苯丙胺阳性率为10.9%,氯胺酮阳性率为6.6%。结论武汉市美沙酮维持治疗工作已经全面展开,要继续提高海洛因依赖患者服药保持率、降低感染性疾病的感染率和减少非法物质滥用。
목적：료해무한지구미사동유지치료문진개전개황급운행현상。방법채용종주관부문수집상관신식화현장추양검측적방식,2010년11월대20가미사동유지치료문진급기수치자전염성질병적감염솔,복약제량,유지솔급독품람용정황진행조사。결과미사동유지치료수치자인일균복약제량69ml,보지솔73.8%；애자병검측루계양성솔위0.4%,병간양성솔위75.1%,매독조사양성솔위2.8%；해락인뇨검양성솔위18.68%,분병알양성솔위10.9%,록알동양성솔위6.6%。결론무한시미사동유지치료공작이경전면전개,요계속제고해락인의뢰환자복약보지솔、강저감염성질병적감염솔화감소비법물질람용。
Objective To describe the operating overview and running status of methadone maintenance treatment clinics in Wuhan.Methods Data were taken from a citywide survey of field sampling from 20 MMT clinics and authorities.We prelimina-rily investigate the out-patients to get the information including the prevalence of infectious diseases,medication doses,main-taining rate and drugs abuse,and then give descriptive statistics for general.Results The average daily methadone dose was 6 9 ml and the average maintaining rate reached 73.8%.HIV cumulatively positive rate was 0.4%,and HCV positive rate was 75.1%,and syphilis initial screening positive rate was 2.8%.By urine tests,the positive rate of heroin,amphetamine and ket-amine was 18.68%,10.90%,and 6.60%,respectively.Conclusion Methadone maintenance treatment in Wuhan has been in full swing,and it works well,and also,the patients in MMT have still abused kinds of illegal substance.