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预防医学  2019, Vol. 31 Issue (6): 541-544,548    DOI: 10.19485/j.cnki.issn2096-5087.2019.06.001
  论著 本期目录 | 过刊浏览 | 高级检索 |
医院就诊患者麻醉药品、精神药品滥用或依赖特征分析
王雷振1, 星一2, 黄新洁3, 连智3, 贾忠伟3
1. 北京大学公共卫生学院,北京 100191;
2. 北京大学公共卫生学院儿童青少年卫生研究所;
3. 北京大学中国药物依赖性研究所
Abuse or dependence of narcotic drugs and psychotropic drugs inhospital patients
WANG Lei-zhen*, XING Yi, HUANG Xin-jie, LIAN Zhi, JIA Zhong-wei
* School of Public Health, Peking University, Beijing100191, China
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摘要 目的 了解医院就诊患者麻醉药品、精神药品滥用/依赖情况和特征,为加强麻醉药品和精神药品管理提供依据。方法 于2016年抽取山东省和贵州省部分医院就诊患者病历资料,选择有麻醉药品、精神药品使用史的患者进行电话或面对面访谈,调查过去12个月内麻醉药品、精神药品使用情况,对确诊为麻醉药品、精神药品滥用或依赖者的人口学特征、药物滥用情况进行描述性分析。结果 医院就诊患者中共确诊280例药物滥用/依赖者,其中山东省9家医院确诊223例,贵州省5家医院确诊57例。280例药物滥用/依赖者中,男性170例,占60.71%;≥45岁193例,占68.93%;已婚223例,占80.51%;初中及以下文化程度166例,占61.25%;农民125例,占48.64%。医院就诊患者滥用/依赖的药物主要为苯二氮类,206例占73.57%;多药滥用83例,占29.64%。45.71%的药物滥用/依赖者没有特殊感觉,41.07%停药后出现症状或感到难受。64.64%滥用/依赖药物是为了改善睡眠。结论 麻醉药品、精神药品滥用/依赖者以中老年人居多,且存在多药滥用,滥用药物主要为苯二氮类,滥用原因主要为改善睡眠。
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王雷振
星一
黄新洁
连智
贾忠伟
关键词 麻醉药品精神药品药物滥用药物依赖    
AbstractObjective To understand the current situation and characteristics of narcotic drugs and psychotropic drugs abuse or dependence among hospital patients and to provide reference for strengthening the management of narcotic drugs and psychotropic drugs. Methods We collected clinical data from hospitals in Shandong and Guizhou provinces in 2016 and selected patients with history of narcotic drugs and psychotropic drugs. We investigated them through telephone or face-to-face interview,then described the characteristics of demographic information and abuse or dependence of narcotic drugs and psychotropic drugs in diagnosed drug abusers. Results A total of 280 patients with drug abuse or dependence were recruited,of which 223 cases from nine hospitals in Shandong and 57 cases from five hospitals in Guizhou. There were 170 male patients,accounting for 60.71%; 193 patients aged 45 years and above,accounting for 68.93%; 223 married patients,accounting for 80.51%; 166 patients with a education level of junior high school and below,accounting for 61.25%; 125 patients engaged in agriculture,accounting for 48.64%. Benzodiazepine was the main drugs abused or dependenced by hospital patients,accounting for 73.57%(206 cases). There were also 83 cases of polydrug abuse,accounting for 29.64%. Among the patients with drug abuse or dependence,45.71% had no special feelings,41.07% had symptoms or felt uncomfortable after withdrawal; 64.64% was for improving their sleep quality. Conclusion Most patients with abuse or dependence of narcotic drugs and psychotropic drugs are middle- or senior-aged and have polydrug abuse. Benzodiazepine are the main abused drugs. The common reason for narcotic and psychotropic drug abuse or dependence is to have a good sleep.
Key wordsNarcotic drugs    Psychotropic drugs    Drug abuse    Drug dependence
收稿日期: 2018-12-14      修回日期: 2019-02-15      出版日期: 2019-06-03
中图分类号:  R749.61  
基金资助:国家自然科学基金重点支持项目(91546203)
通信作者: 贾忠伟,E-mail:urchinjj@163.com   
作者简介: 王雷振,硕士在读
引用本文:   
王雷振, 星一, 黄新洁, 连智, 贾忠伟. 医院就诊患者麻醉药品、精神药品滥用或依赖特征分析[J]. 预防医学, 2019, 31(6): 541-544,548.
WANG Lei-zhen, XING Yi, HUANG Xin-jie, LIAN Zhi, JIA Zhong-wei. Abuse or dependence of narcotic drugs and psychotropic drugs inhospital patients. Preventive Medicine, 2019, 31(6): 541-544,548.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2019.06.001      或      http://www.zjyfyxzz.com/CN/Y2019/V31/I6/541
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