上海美沙酮维持治疗门诊用药监测现状

发布时间：2018-06-24 03:02

本文选题：美沙酮 + 物质滥用监测　；参考：《中国新药与临床杂志》2014年06期

【摘要】：目的了解上海美沙酮维持治疗门诊的用药监测现状,为监管提供合理化建议。方法收集2005 2012年上海市14家美沙酮维持治疗门诊纳入到药物滥用监测范围内的药物滥用者的资料,比对纳入国家药物滥用监测网络信息管理系统与中国疾病预防控制信息系统中的美沙酮维持治疗门诊数据,调查上海市美沙酮维持治疗门诊的药液损耗、药桶回收等情况,并访谈相关医生、药师。结果上海美沙酮维持治疗门诊累积上报《药物滥用监测调查表》数(7 100例),少于上报中国疾病预防控制信息系统数(8 905例),未报率达到20.27%,主要原因为临时转诊服药患者未纳入药物滥用监测范围。调查中发现美沙酮用药量记录有误,药液桶回收处理存在问题,美沙酮替代疗法使用后出现的不良反应未能进行有效监测。结论美沙酮维持治疗门诊的药物滥用监管中应加强《药物滥用监测调查表》的上报,加强不良反应监测和药液监管。
[Abstract]:Objective to investigate the monitoring status of methadone maintenance outpatient in Shanghai, and to provide reasonable suggestions for supervision. Methods data of 14 methadone maintenance outpatients who were included in drug abuse surveillance in Shanghai from 2005 to 2012 were collected. To compare the data of methadone maintenance and treatment in the National Drug abuse Monitoring Network Information Management system and the China Disease Prevention and Control Information system, and to investigate the drug consumption and drug barrel recovery in the methadone maintenance clinic in Shanghai. And interview the relevant doctor, pharmacist. Results the cumulative number of drug abuse surveillance questionnaires (7,100 cases) reported in Shanghai methadone maintenance clinic was less than that reported in China disease prevention and control information system (8,905 cases). The unreported rate was 20.27%, mainly due to temporary referral. Drug patients were not included in drug abuse surveillance. It was found that the methadone dosage was recorded incorrectly, the recovery of the liquid tank was problematic, and the adverse reactions after methadone replacement therapy were not effectively monitored. Conclusion in the supervision of drug abuse in methadone maintenance clinic, the report of drug abuse monitoring questionnaire should be strengthened, the monitoring of adverse reactions and the supervision of drug solution should be strengthened.
【作者单位】：上海市药品不良反应监测中心;上海交通大学医学院附属精神卫生中心;上海市食品药品监督管理局;杨浦区精神卫生中心;
【分类号】：R749.64

【相似文献】