美沙酮维持治疗病人使用甲基苯丙胺兴奋剂情况调查

目的:了解美沙酮维持治疗病人合并使用甲基苯丙胺兴奋剂情况。方法:对2006年9月-2009年3月在重庆东华医院美沙酮门诊参加美沙酮维持治疗的550例病人中随机抽取170例进行甲基苯丙胺兴奋剂滥用情况问卷调查。结果:170例中合并使用甲基苯丙胺兴奋剂者98例,占被调查总人数的57.6%,其中偶尔合并使用者64例(65.3%),经常合并使用者21例(21.4%),每天合并使用者13例(13.3%)。满足好奇、同伴影响、空虚无聊、环境暗示是合并使用的常见原因。合并使用与未使用者相比较,前者规律服用美沙酮的比例偏低。结论:美沙酮维持治疗病人合并使用甲基苯丙胺兴奋剂较普遍,需引起重视。应对美沙酮维持治疗病人实施综合干预,减少多药滥用行为的发生。

INVESTIGATION ON METHAMPHETAMINE USE IN PATIENTS ON METHADONE MAINTENANCE TREATMENT

Objective:To investigate methamphetamine use in patients on methadone maintenance treatment(MMT). Methods:A questionnaire survey on methamphetamine use was conducted among 170 patients who were randomly selected from 550 cases on MMT in Chongqing Donghua Hospital from Sept. 2006 to March 2009. Results:Among 170 cases,98 were using methamphetamine when on MMT,accounting for 57.6%,including 64 (65.3%) occasional users,21 (21.4%) regular users,and 13 (13.3%) daily users. Curiosity,peer influence,feeling bored,and environment implying were the common reasons for methamphetamine use. Methamphetamine users had poorer regularity on MMT compared with those who did not use methamphetamine. Conclusion:MMT patients use methamphetamine commonly during their treatment,which has drawed public attention. Comprehensive intervention should be done for MMT patients to reduce multiple drug abuse and drug-related harms.