武汉市美沙酮维持治疗门诊调查

Investigation of the operating overview methadone maintenance treatment clinics in wuhan

目的了解武汉地区美沙酮维持治疗门诊开展概况及运行现状。方法采用从主管部门收集相关信息和现场抽样检测的方式,2010年11月对20家美沙酮维持治疗门诊及其受治者传染性疾病的感染率,服药剂量,维持率及毒品滥用情况进行调查。结果美沙酮维持治疗受治者人日均服药剂量69ml,保持率73.8%;艾滋病检测累计阳性率为0.4%,丙肝阳性率为75.1%,梅毒粗筛阳性率为2.8%;海洛因尿检阳性率为18.68%,苯丙胺阳性率为10.9%,氯胺酮阳性率为6.6%。结论武汉市美沙酮维持治疗工作已经全面展开,要继续提高海洛因依赖患者服药保持率、降低感染性疾病的感染率和减少非法物质滥用。

Objective To describe the operating overview and running status of methadone maintenance treatment clinics in Wuhan.Methods Data were taken from a citywide survey of field sampling from 20 MMT clinics and authorities.We preliminarily investigate the out-patients to get the information including the prevalence of infectious diseases,medication doses,main-taining rate and drugs abuse,and then give descriptive statistics for general.Results The average daily methadone dose was 6 9 ml and the average maintaining rate reached 73.8%.HIV cumulatively positive rate was 0.4%,and HCV positive rate was 75.1%,and syphilis initial screening positive rate was 2.8%.By urine tests,the positive rate of heroin,amphetamine and ketamine was 18.68%,10.90%,and 6.60%,respectively.Conclusion Methadone maintenance treatment in Wuhan has been in full swing,and it works well,and also,the patients in MMT have still abused kinds of illegal substance.