1516例海洛因依赖者HCV筛查结果及相关因素分析

Analysis on relevant factors of HCV Screening Result of 1516 Heroin Addicts

目的:了解海洛因成瘾者接受美沙酮药维持治疗患者丙型肝炎病毒感染现状及特点,为制定相应的干预措施提供科学的依据。方法:对兰州市七里河美沙酮维持治疗门诊(MMT)2007年1月至2009年5月入组的1516名海洛因依赖者进行筛查,经采集静脉血检测抗-HCV抗体。结果:1516名吸毒者中,抗-HCV阳性率为19.5%。静脉注射吸毒者有317人,抗-HCV阳性率为59.9%,高于非静脉注射者的8.8%;有38人曾共用过注射器具,共用注射器具的感染率为39.5%,非共用注射器具的感染率为62.7%。结论:海洛因成瘾人群HCV感染率明显高于其他人群,相关危险行为突出。

Objective： To understand hepatitis C virus infection stares and characteristics of interventions on drug heroin addicts receiving methadone maintenance treatment, provide a scientific basis for the development of appropriate interventions. Methods： Outpatient methadone maintenance treatment （MMT） from Jan,2007 to May ,2009, in Lanzhou, Qilihe, 1516 screening heroin addicts to take blood for detection of anti-HCV antibodies. Re- stilts： 1516 drug addicts, anti-HCV positive rate was 19.5%. 317 intravenous injection drug users, anti-HCV posi- tive rate was 59.9%, higher than those of 8.8% non-intravenous injection; 38 infection rate was 39.5% by sharing syringes, non-sharing syringes infection rate was 62.7%. Conclusion： Obviously HCV infection rate of heroin ad- dicts was significantly higher than other groups, and their dangerous behaviors were apparent.