陈卫永, 马瞧勤, 周欣, 姜婷婷, 陈婉君, 陈琳, 王憓, 郑锦雷. 2008-2018年浙江省戒毒药物维持治疗情况分析[J]. 疾病监测, 2020, 35(10): 899-903. DOI: 10.3784/j.issn.1003-9961.2020.10.008
引用本文: 陈卫永, 马瞧勤, 周欣, 姜婷婷, 陈婉君, 陈琳, 王憓, 郑锦雷. 2008-2018年浙江省戒毒药物维持治疗情况分析[J]. 疾病监测, 2020, 35(10): 899-903. DOI: 10.3784/j.issn.1003-9961.2020.10.008
Weiyong Chen, Qiaoqin Ma, Xin Zhou, Tingting Jiang, Wanjun Chen, Lin Chen, Hui Wang, Jinlei Zheng. Performance of methadone maintenance treatment in Zhejiang, 2008–2018[J]. Disease Surveillance, 2020, 35(10): 899-903. DOI: 10.3784/j.issn.1003-9961.2020.10.008
Citation: Weiyong Chen, Qiaoqin Ma, Xin Zhou, Tingting Jiang, Wanjun Chen, Lin Chen, Hui Wang, Jinlei Zheng. Performance of methadone maintenance treatment in Zhejiang, 2008–2018[J]. Disease Surveillance, 2020, 35(10): 899-903. DOI: 10.3784/j.issn.1003-9961.2020.10.008

2008-2018年浙江省戒毒药物维持治疗情况分析

Performance of methadone maintenance treatment in Zhejiang, 2008–2018

  • 摘要:
    目的描述2008 — 2018年浙江省戒毒药物维持治疗工作情况,分析存在的问题,提出科学建议,为促进全省戒毒药物维持治疗工作、发挥禁毒与预防艾滋病作用提供科学依据。
    方法从“中国疾病预防控制中心美沙酮维持治疗(MMT)管理信息系统”和各戒毒药物维持治疗门诊数据报表中,采集2008 — 2018年全省戒毒药物维持治疗工作数据,采用SPSS 21.0软件进行描述性分析。
    结果2008 — 2018年全省已建成MMT机构105家,累计治疗人数超过1.8万;年度治疗人数最高为2010年8 060人,最低为2018年3 635人;MMT剂量为39.91~43.83 mg/d,HIV阳转率为0.07%~0.08%;年保持率为60.17%~84.37%,呈缓慢上升趋势,治疗退出人员自2011年起超过新入组人员。 人类免疫缺陷病毒(HIV)、丙型肝炎病毒(HCV)、梅毒检测率逐年增长,HIV、HCV和梅毒阳性率分别为0.19%~0.98%、38.36%~62.24%和4.36%~6.96%。
    结论浙江省MMT存在治疗人数下滑明显、服药剂量偏低等问题,需加大MMT服务可及性,提高工作人员服务能力和服务质量,降低治疗脱失,更好地发挥MMT在禁毒与预防艾滋病中的作用。

     

    Abstract:
    ObjectiveTo analyze the performance of methadone maintenance treatment (MMT) in Zhejiang province from 2008 to 2018, found existing problems and provide evidence for the improvement of MMT in drug use control and HIV infection prevention.
    MethodsMMT data in Zhejiang from 2008 to 2018 were collected from national MMT information management system and MMT clinic reports for a descriptive analysis with SPSS 21.0.
    ResultsA total of 105 MMT clinics were built from 2008 to 2018 which have provided treatment services for over 18000 persons. The highest number of treatment was 8060 in 2010. The lowest number of treatment was 3635 in 2018. The treatment dosage of MMT was between 39.91 mg/d and 43.83 mg/d. The positive conversion rate was between 0.07% and 0.08%. The annual treatment retention rate was between 60.17% and 84.37%, showing a gradual increasing trend. The number of persons who quitted the treatment began to exceed the number of new participants in 2011. The testing rates of HIV, HCV and syphilis were 0.19%–0.98%, 38.36%–62.24% and 4.36%–6.96% respectively, showing an increase trend with year.
    ConclusionMMT in Zhejiang had an obvious decrease in number of treatments, and the treatment dosage was low. It is necessary to improve the accessibility, quality of MMT service and clinic staff capability and reduce treatment dropping out for the better drug use control and HIV infection prevention.

     

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