首页|2006-2023年厦门市美沙酮维持治疗门诊患者状况分析

2006-2023年厦门市美沙酮维持治疗门诊患者状况分析

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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.
Patient Status of Methadone Maintenance Treatment Clinics from 2006 to 2023 in Xiamen
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.

Methadone maintenance treatmentHIVNumber of patientsStatus

马桂林、张婉君、柯然、邓晖文

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厦门市疾病预防控制中心结艾处,福建 厦门 361021

美沙酮维持治疗 艾滋病病毒 治疗人数 状况

福建省卫生健康科技计划项目

2022GGB014

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.30(9)
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