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瑞士针对慢性海洛因成瘾者的海洛因医疗处方——一项综述

Medical prescription of heroin to chronic heroin addicts in Switzerland - a review.

作者信息

Brehmer C, Iten P X

机构信息

Institute of Legal Medicine, University of Zurich, Winterthurerstr. 190, CH 8057 Zurich, Switzerland.

出版信息

Forensic Sci Int. 2001 Sep 15;121(1-2):23-6. doi: 10.1016/s0379-0738(01)00448-0.

DOI:10.1016/s0379-0738(01)00448-0
PMID:11516883
Abstract

In 1994, a new project dealing with the treatment of heroin dependency was introduced in Switzerland. A group of heavy opiate addicts, who had failed in previous medical therapies, received heroin by prescription, supported by health and social services. The admission criteria to this treatment are summarized as the main results of this project: physical and mental health of the addicts improved on average during treatment, an improvement also took place in their social reintegration, a significant decrease in consumption of illegal drugs took place and illegal activities declined massively. The proportion of patients who continued the treatment in a time period of 12 months was held at 76%. Comparison of the treatment costs with the economic benefits shows that there is a total benefit per patient and per day of 26 US dollars. Further drug related political decisions in Switzerland as well as the assessments of the International Narcotics Control Board (INCB) of the United Nations to this project will be reported and discussed.

摘要

1994年,瑞士推出了一项针对海洛因依赖治疗的新项目。一群在先前医学治疗中失败的重度阿片类药物成瘾者,在健康和社会服务的支持下,通过处方获得海洛因。该治疗的入院标准总结为该项目的主要成果:成瘾者在治疗期间的身心健康平均得到改善,社会重新融入也有所改善,非法药物消费量大幅下降,非法活动也大量减少。在12个月的时间段内继续接受治疗的患者比例保持在76%。将治疗成本与经济效益进行比较表明,每位患者每天的总收益为26美元。将报告并讨论瑞士进一步的与毒品相关的政治决策以及联合国国际麻醉品管制局(INCB)对该项目的评估。

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引用本文的文献

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The pharmacological treatment of opioid addiction--a clinical perspective.阿片类药物成瘾的药理学治疗——临床视角。
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Cost utility analysis of co-prescribed heroin compared with methadone maintenance treatment in heroin addicts in two randomised trials.两项随机试验中,海洛因成瘾者联合处方海洛因与美沙酮维持治疗的成本效用分析。
BMJ. 2005 Jun 4;330(7503):1297. doi: 10.1136/bmj.330.7503.1297.