摘要
大量证据显示,美沙酮维持治疗(MMT)是控制吸毒人群毒品滥用和HIV传播的有效措施。病人在治疗中保持时间的长短是评价MMT效果的主要预测指标;但不同国家和地区开展的MMT项目病人治疗保持时间和保持率各不相同,提示治疗保持时间受多种因素影响。本文概述了世界各地开展的MMT项目病人治疗保持时间和保持率情况,重点介绍了美沙酮的剂量、门诊治疗的定位、治疗费用、社会支持服务、药物/酒精滥用等治疗过程中的因素对保持治疗的影响。
Ample evidences suggest that methadone maintenance treatment (MMT) is effective to reduce and/or eliminate the use of heroin as well as to reduce the transmission of HIV among heroin users. Longer retention in MMT is the best single predictor of positive post-treatment outcomes. But patient retention varies in different countries and different areas, which indicates that patient retention is affected by varies factors. This paper reviews MMT programs in the world, focusing on retention and associated factors such as methadone dosage, clinic orientation, treatment charge, social/family supports, drug/alcohol abuse during treatment.
出处
《疾病控制杂志》
2005年第3期250-253,共4页
Chinese Journal of Disease Control and Prevention
