2316例海洛因依赖者并发躯体疾病分析

An Analysis on Somatic Diseases of Heroin Dependents: A Review of 2 316 Cases

目的:了解海洛因依赖者并发躯体疾病的患病情况及常见并发疾病的种类。方法:对我市2003年11月―2004年3月收戒的2316例海洛因依赖者躯体疾病进行调查,采取详细询问病史和体检,实验室及其它辅助检查,统一诊断标准,按ICD-9病名及分类整理。结果:调查35种躯体并发疾病,分10大类,患病者1406例,占60.71%,排前五位的是呼吸系统438例,占31.15%,消化系统疾病217例,占15.43%,循环系统疾病202例,占14.37%,损伤性疾病173例,占2.30%,性传播疾病122例,占10.21%。结论:海洛因依赖者中大部分存在多种疾病,尤其是染毒时间越长其并发疾病越多。了解海洛因依赖者并发疾病的构成比对临床预防、治疗有一定指导意义。

Objective: To study the situation of somatic diseases (SD) and thei r types in heroin dependents as their complications. Methods: 2 316 dependents were investigated about SD from November 2003 to March 2004 in Zhengzhou city, i ncluding of detailed asking history, physical examination, laboratory and other supplementary examination, diagnosis and classification of these SD were establi shed according to ICD-9. Results: 1 406 dependents (60.71%) were found to have 35 kinds of SD which could be classified into 10 types. Within these types 438 c ases (31.15%) belonged to respiratory system diseases, which occupied the majori ty. The following types were successively by decreasing number of cases: the dig estive type-217 cases (15.43%); the circuratory-202 cases (14.37%); the traumati c-173 cases (12.30%);sex spread diseases-122 cases (10.21%). Conclusion: Most o f heroin dependents have complicated SD, the longer time of abusing heroin, the more kinds of SD will be to have. The study of construction of their SD is usefu l for prevention and treatment.