|
|
|
| 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 |
|
|
|
|
Abstract Objective 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.
|
|
Received: 14 December 2018
Revised: 15 February 2019
Published: 03 June 2019
|
|
|
|
|
|
[1] 国家食品药品监督管理总局. 什么是药物滥用(drug abuse)[EB/OL].(2015-05-05)[2018-12-14]. http://samr.cfda.gov.cn/WS01/CL1991/118389.html.
[2] COMPTON W M,JONES C M,BALDWIN G T.Relationship between nonmedical prescription-opioid use and heroin use[J]. N Engl J Med,2016,374(2):154-163.
[3] FACH M,BISCHOF G,SCHMIDT C,et al.Prevalence of dependence on prescription drugs and associated mental disorders in a representative sample of general hospital patients[J]. Gen Hosp Psychiatry,2007,29(3):257-263.
[4] 杜晓月,刘蓉,李亚丽,等. 北方三省区吸毒成瘾人群主要医疗用药物滥用获得途径分析[J]. 兰州大学学报(医学版),2018,44(2):12-16.
[5] 王婉馨,邓剑雄,郭蓝,等. 广东中学生非医疗目的使用精神活性药物情况调查[J]. 中国公共卫生,2015,31(7):856-858.
[6] 喻东山. 阿普唑仑原发性滥用1例报告[J]. 四川精神卫生,2011,24(1):4.
[7] 张骏,康林,王雪,等. 可待因与艾司唑仑滥用导致依赖的一例报道[J]. 中国药物依赖性杂志,2011,20(1):77-78.
[8] World Health Organization. Abuse(drug,alcohol,chemical,substance or psychoactive substance)[EB/OL]. [2019-02-15]. http://www.who.int/substance_abuse/terminology/ abuse/en.
[9] FIRST M B,SPITZER R L,GIBBON M,et al.Structured Clinical Interview for DSM-IV Axis Disorders-Patient Edition(SCID-I/P,Version 2.0). [M]. Washington D.C.:American Psychiatric Press,1997.
[10] 成孝林,肖林. 精神病医院门诊患者镇静催眠药应用情况分析[J]. 临床合理用药杂志,2013,6(8):32-34.
[11] 周宝林,陈铁光. 精神科门诊病人使用苯二氮类药物的情况[J]. 中国药物滥用防治杂志,2013,19(3):169-171.
[12] MORPHY H,DUNN K M,LEWIS M,et al.Epidemiology of insomnia:a longitudinal study in a UK population[J]. Sleep,2007,30(3):274-280.
[13] 于树芳,罗建青,毛月. 我院2008—2011年门诊口服镇静催眠药物使用情况分析[J]. 临床合理用药杂志,2013,6(32):84-85.
[14] 刘逢安,徐涛. 精神科门诊患者使用苯二氮类药物情况调查[J]. 中国药物滥用防治杂志,2018,24(3):141-142.
[15] 范祚君. 老年住院患者睡眠障碍、药物滥用情况及相关因素分析[J]. 中国实用神经疾病杂志,2012,15(1):15-17.
[16] 任丽娜,刘梅. 精神专科医院门诊患者中苯二氮类药物应用情况调查[J]. 精神医学杂志,2008,21(5):337-340.
[17] 齐力,刘盈河,刘存基. 宁夏药物依赖人群滥用医用麻醉、精神药品流行趋势分析[J]. 宁夏医学杂志,2013,35(8):717-719.
[18] 刘志民,张开镐. 曲马多的药理学特点及其依赖性调研[J]. 药物不良反应杂志,2007,9(2):117-120.
[19] 彭丹冰,韦敬土,程蓉,等. 2015年贵州省中学生非医疗目的使用精神活性药物现况及影响因素[J]. 卫生研究,2017,46(6):941-944.
[20] 杨传青,王周然,孔志,等. 37例可待因类止咳水成瘾患者临床特征分析[J]. 中国药物滥用防治杂志,2018,24(2):70-72.
[21] 徐丽峰,徐振杰,杨艳明. APC和去痛片在某农村滥用的调查分析[J]. 中国药物滥用防治杂志,2007,13(5):284-285.
[22] 柳春兴,戴汶灼,姚太军,等. 2007—2009年门诊药房第二类精神药品处方调查与分析[J]. 中国现代药物应用,2010,16(9):165-166. |
| No related articles found! |
|
|
|
|
