美沙酮维持治疗病人使用甲基苯丙胺兴奋剂情况调查

INVESTIGATION ON METHAMPHETAMINE USE IN PATIENTS ON METHADONE MAINTENANCE TREATMENT

目的:了解美沙酮维持治疗病人合并使用甲基苯丙胺兴奋剂情况。方法:对2006年9月-2009年3月在重庆东华医院美沙酮门诊参加美沙酮维持治疗的550例病人中随机抽取170例进行甲基苯丙胺兴奋剂滥用情况问卷调查。结果:170例中合并使用甲基苯丙胺兴奋剂者98例,占被调查总人数的57.6%,其中偶尔合并使用者64例(65.3%),经常合并使用者21例(21.4%),每天合并使用者13例(13.3%)。满足好奇、同伴影响、空虚无聊、环境暗示是合并使用的常见原因。合并使用与未使用者相比较,前者规律服用美沙酮的比例偏低。结论:美沙酮维持治疗病人合并使用甲基苯丙胺兴奋剂较普遍,需引起重视。应对美沙酮维持治疗病人实施综合干预,减少多药滥用行为的发生。

Objective：To investigate methamphetamine use in patients on methadone maintenance treatment（MMT）. Methods：A questionnaire survey on methamphetamine use was conducted among 170 patients who were randomly selected from 550 cases on MMT in Chongqing Donghua Hospital from Sept. 2006 to March 2009. Results：Among 170 cases,98 were using methamphetamine when on MMT,accounting for 57.6%,including 64 （65.3%） occasional users,21 （21.4%） regular users,and 13 （13.3%） daily users. Curiosity, peer influence, feeling bored, and for methamphetamine use. Methamphetamine users had environment implying were the common reasons poorer regularity on MMT compared with those who did not use methamphetamine. Conclusion： MMT patients use methamphetamine commonly during their treatment, which has drawed public attention. Comprehensive intervention should be done for MMT patients to reduce multiple drug abuse and drug -related harms.