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目的描述2008-2015年海宁市美沙酮维持治疗(MMT)工作开展情况,分析存在的问题,为进一步发挥其戒毒及艾滋病防治作用提供依据。方法从中国疾病预防控制信息系统和社区美沙酮维持治疗工作站中导出海宁市美沙酮维持治疗数据,运用SPSS20.0进行描述性分析。结果 2008-2015年海宁市共开设1所MMT门诊,拓展服药点2个。累计登记治疗269例,当地建档125例,目前坚持服药134例。服药人员以男性、中青年、初中及以下文化程度、已婚和待业/无业为主,96.3%(259/269)的人主要吸食海洛因。52.8%(142/269)的人有过静脉注射行为,54.3%(146/269)口吸或者烫吸。静脉注射中14.8%(21/142)的人有公用针具行为,最近一次性行为使用安全套比例为28.3%,美沙酮治疗剂量为(22~39)ml/d;HIV、HCV和梅毒的检测率逐年上升,2014年的下降是因为2个分点的检测数据没有及时录入导致。HIV只有一例阳性;HCV阳性率呈下降趋势,2011年最低到15.5%;梅毒的阳性率没有明显变化规律。结论进一步巩固美沙酮维持治疗成果,提高工作人员的从业水平和服务质量,更好地发挥MMT在戒毒及艾滋病防治中的作用。
Objective To describe the progress of methadone maintenance treatment (MMT) in Haining City from 2008 to 2015, and to analyze the existing problems so as to provide evidence for further detoxification and AIDS prevention and treatment. Methods The data of methadone maintenance treatment in Haining were derived from China CDC and community methadone maintenance treatment workstation. Descriptive analysis was made by SPSS 20.0. Results From 2008 to 2015, a total of 1 MMT clinics were opened in Haining City, and 2 medical service points were expanded. Total registered treatment of 269 cases, 125 cases of local filing, at present insist on taking 134 cases. Medication workers were male, young, middle and junior high school education and below, married and unemployed / unemployed, 96.3% (259/269) of the main consumption of heroin. 52.8% (142/269) had intravenous injection, 54.3% (146/269) had oral or hot suction. Intravenous injection of 14.8% (21/142) of people have common needle behavior, the recent use of condoms for a single sex ratio was 28.3%, methadone treatment dose (22 ~ 39) ml / d; HIV, HCV and syphilis detection rate The year-on-year increase is due to the fact that the data from the two points were not recorded promptly due to the decrease in 2014. Only one case of HIV positive; HCV positive rate showed a downward trend in 2011, the lowest to 15.5%; syphilis positive rate did not change significantly. Conclusions To further consolidate the results of methadone maintenance treatment, improve staff’s professional level and quality of service, and better play the role of MMT in detoxification and AIDS prevention and treatment.