兰州市美沙酮维持治疗患者脱失原因分析

REASONS FoR DROP OUT OF HEROIN ADDICTS IN METHADONE MAINTENANCE TREATMENT IN LANZHOU

目的：了解美沙酮维持治疗门诊患者脱失的原因。方法：对2007年1月-2009年12月间在兰州市七里河区疾病预防控制中心美沙酮维持治疗门诊退出治疗者1024例进行随访,并统计分析。结果：在累计参加治疗的1684例中,脱失1024例,占60.8%。脱失的原因可归纳为8种因素：（1）维持治疗期间偷吸毒品被抓,286例,占27.9%;（2）发生刑事案件被逮捕,70例,占6.8%;（3）因经济困难无力支付每天10元的治疗费用,27例,占2.6%;（4）治疗期间死亡,8例,占0.8%;（5）自称自然戒断毒品,86例,占8.4%;（6）生病、药物副反应或怀孕退出,178例,占17.4%;（7）家庭变故（离婚等）,105例,占10.3%;（8）外地居住、外出工作或原因不明确,264例,占25.8%。结论：维持治疗中患者脱失的原因客观存在,但采用相应对策可以降低脱失率,提高维持治疗率。

Obective.： To explore the reasons for drop out of heroin addicts in methadone maintenance treatment （MMT） in Lanzhou. Methods： A follow -up was conducted among 1024 cases who dropped out from MMT in the Clinic of Qilihe District Center for Disease Control and Prevention in Lanzhou from January, 2007 to December, 2009. Results： During the period, 1024 cases dropped out, accounting for 60.8% among the 1684 heroin addicts receiving MMT. The reasons for dropout could be summarized as follows： （ 1 ） being arrested for relapse heroin again ,286 cases, accounting for 27.93% ; （2） being arrested for criminal offense,70 cases, accounting for 6.84% ; （3） can not afford for MMT,27 cases, accounting for 2.64% ; （4） died during MMT,8 cases, accounting for 0.78% ; （5） self - report of being drug free, 86 cases,accounting for 8.40% ; （6） having other diseases, side effects of MMT or being pregnant, 178 cases, accounting for 17.38%; （7） Family tragedies （divorce and so on） ,105 cases, accounting for 10.25% ; （8）living or work at the other place, or other unkown reasons, 264 cases, accounting for 25.78%. Conclusion： Reasons for drop out are various. Appropriate measures are needed for the MMT patients to prevent the dropout and improve the retention rate.