Kołaciński Z, Andrzejewska M
Klinika Ostrych Zatruć, Instytutu Medycyny Pracy w Łodzi.
Przegl Lek. 2000;57(10):553-7.
Over the period of 1995-1999 a total number of 439 cases were admitted to the Clinic of Acute Poisonings, Łódź, Poland, due to poisoning with opiates, opioids, amphetamine, cannabis products, LSD and cocaine. Most of the patients were males, the male to female ratio was 1:1.5 (266 to 173). The distribution by age indicated the persons aged 21-30 yr as the highest risk group, then those aged 14-21 yr. Over the period under study the structure of poisonings changed significantly. Since 1997 the number of poisonings with amphetamine and cannabis products increased dramatically, while that of opiate poisonings declined. Approximately 84% of cases were found to be addicted to a combination of drugs and psychotropic agents, mostly benzodiazepine and ethyl alcohol. Drug addiction was reported by over 80% patients with opiate poisoning, 44.8% with tetrahydrocannabinole poisoning and only 9.5% with amphetamine poisoning. The efficacy of treatment in cases of drug addiction is very low. Repeated treatment was reported by almost 100% of patients who had attempted to quit drug abuse. Among opiate poisoning cases, only 8 out of 45 patients did not question the effectiveness of the withdrawal treatment.
1995年至1999年期间,波兰罗兹急性中毒诊所共收治了439例因阿片类药物、阿片样物质、安非他明、大麻制品、麦角酸二乙酰胺(LSD)和可卡因中毒的病例。大多数患者为男性,男女比例为1:1.5(266例男性对173例女性)。按年龄分布显示,21至30岁的人群是风险最高的群体,其次是14至21岁的人群。在研究期间,中毒结构发生了显著变化。自1997年以来,安非他明和大麻制品中毒的病例数急剧增加,而阿片类药物中毒的病例数则有所下降。大约84%的病例被发现对药物和精神药物成瘾,主要是苯二氮䓬类药物和乙醇。超过80%的阿片类药物中毒患者、44.8%的四氢大麻酚中毒患者和仅9.5%的安非他明中毒患者报告有药物成瘾。药物成瘾病例的治疗效果非常低。几乎100%试图戒毒的患者报告接受了反复治疗。在阿片类药物中毒病例中,45名患者中只有8名对戒毒治疗的有效性没有疑问。