摘要
目的分析湖南省美沙酮维持治疗(MMT)门诊患者偷吸海洛因比例、地区、时间分布及影响因素。方法对湖南省7个MMT门诊吸毒患者进行问卷调查,并进行吗啡尿检和HIV检测。结果湖南省MMT门诊515名吸毒患者中有163人偷吸海洛因,偷吸率为31.65%,平均偷吸时刻为参加治疗后第30d,偷吸时刻中位数为第20d,中位生存时间为第22d,偷吸相关因素主要与美沙酮口服液剂量、家庭关系、毒友关系及心理状况有关。结论吸毒患者存在一定比例的偷吸海洛因现象,参加MMT后的第20～30d是其"心理危险期";对吸毒人员在开展美沙酮维持治疗的同时,还需要开展心理辅导,实施社会帮教。
Objective To study the incidence, distribution, time period trend and relative factors of heroin lapse in MMT outpatients in Hunan Province. Method Questionnaire investigation, morphine urine test and HIV antibody test were conducted among the outpatients of 7 MMT clinics in Hunan Province. Results Of the 515 MMT outpatients, 163 （31. 65% ） continued to use heroin （Lapse）, the average day was the 30th day and the median was the 20th day, while the median survival day was the 22^th day. The relative factors were dosage of methadone, relationship with family and other drug users, and psychological status. Conclusions There exists heroin use （Lapse） among outpatients during MMT, and the 20^th -30^th days after entering MMT are the psychological risk period for the continued heroin users （Lapse）. Therefore, it is necessary to emphasize psychosocial support to drug users in addition to methadone maintenance treatment.
出处
《实用预防医学》
CAS
2007年第6期1923-1925,共3页
Practical Preventive Medicine
关键词
美沙酮维持治疗
海洛因
吸毒
偷吸
生存分析
心理支持
Methadone maintenance treatment （MMT）
Heroin
Drug use
Continued heroin use （Lapse）
Survival analysis
Psychosocial support
