2006-2023年厦门市美沙酮维持治疗门诊患者状况分析
Patient Status of Methadone Maintenance Treatment Clinics from 2006 to 2023 in Xiamen
马桂林 1张婉君 1柯然 1邓晖文1
作者信息
- 1. 厦门市疾病预防控制中心结艾处,福建 厦门 361021
- 折叠
摘要
目的:分析 2006-2023 年厦门市美沙酮维持治疗(methadone maintenance treatment,MMT)门诊患者状况,为后续更好地开展MMT工作提供参考.方法:数据来源于国家戒毒药物维持治疗数据信息系统.对 2006-2023 年厦门市MMT门诊患者一般特征、治疗人数、日均服药量、尿吗啡检测阳性率及艾滋病病毒(HIV)、丙肝病毒(HCV)感染情况等指标进行分析.结果:厦门市MMT门诊患者以男性(84.68%)、汉族(84.77%)为主,年龄集中在 30～49 岁.2006-2023 年期间在治人数从 323 人上升至 1438 人后逐年下降.较少患者能坚持长期维持治疗,坚持治疗10 年及以上的仅 134 人,坚持治疗满 17 年的只有 3 人.日均服药量从 37.7 mg上升至 59.93 mg后开始下降.尿吗啡检测阳性率则从63.32%持续下降至 0.33%.累计有 26 例HIV感染者接受了MMT.累计丙型肝炎病毒(HCV)阳性率达 70.02%.结论:厦门市MMT工作已取得一定成效,但面临着治疗人数下降、HCV阳性率较高等问题,需采取针对性的解决措施.
Abstract
Objective:To analyze the patient status of methadone maintenance treatment(MMT)clinics in Xiamen,in order to provide reference for improvement measures.Methods:Data were collected from the information system of Chinese maintenance treatment program.The related data such as general characteristics,the number of patients,average daily dose was analyzed.Results:Most patients were male and between 30-49 years old.The number of patients increased from 323 to 1438 first and then declined during 2006 and 2023.Few patients could persist in long-term maintenance treatment.The average daily dose increased from 37.7 mg to 59.93 mg first and then declined.The positive rate of urine morphine continued to decrease from 63.32%to 0.33%.Total of 26 patients infected HIV received MMT.The cumulative positive rate of hepatitis C virus(HCV)reached 70.02%.Conclusion:The MMT work in Xiamen has achieved phased result.Corresponding measures should be carried out to address issues such as declining treatment numbers and high positive rate of HCV.
关键词
美沙酮维持治疗/艾滋病病毒/治疗人数/状况Key words
Methadone maintenance treatment/HIV/Number of patients/Status引用本文复制引用
基金项目
福建省卫生健康科技计划项目(2022GGB014)
出版年
2024
NETL
NSTL
万方数据