美沙酮维持治疗门诊病人滥用“冰毒”行为调查

目的：了解接受美沙酮维持治疗（methadone maintenance treatment．MMT）的阿片类药物成瘾者接受MMT期间是否存在滥用“冰毒”的行为及发生率，为有关部门及时掌握可能存在的隐匿药物滥用风险，为进一步完善MMT措施提供客观数据与科学建议。方法：采用自编的《美沙酮维持治疗病人基本信息调查表》对某地4所美沙酮维持治疗门诊收治的462名患者进行问卷调查，并对调查对象进行苯丙胺类尿检（胶体金法快速检测）。结果：462例被调查对象中苯丙胺类尿检阳性86例，阳性检出率达18．61％，其中，男性阳性率占18．52％，女性阳性率占19．05％。检验结果显示，男女性别、年龄、婚姻状况、职业、受教育程度尿检阳性率的差异均无统计学意义（P〉0．05）。结论：接受美沙酮维持治疗的阿片类药物成瘾者有滥用冰毒的现象。

INVESTIGATION ON METHAMPHETAMINE ABUSE AMONG OPIATE ADDICTS UNDER METHADONE MAINTENANCE TREATMENT

Obecti： To understand the situation of methamphetamine abuse among opiate addicts during methadone maintenance treatment（MMT）,found possible risk of drug abuse among them and provide scientific data for the improvement of MMT. Methods：A survey was conducted on 462 patients in 4 MMT clinics with a self- designed questionnaire ,the main contents of which were general conditions,drug abuse and physical status of the patients. Urine tests were also made for amphetamine use （ colloidal gold rapid detection ）. Results ：Among 462 cases,86 cases were amphetamine urine test positive,the positive rate was 18. 61% ,with male＇ s positive rate 18.52% and female＇ s positive rate 19.05%. the chi - square test showed that there was no significant difference at variables of gender ,age, marital status ,occupation classification ,level of education, between subjects with amphetamine urine test positive and those with negative urine test. Concwn：There exists amphetamine abuse phenomenon among opiate addicts on MMT.