Land D B, Kushner R
Obstetrics and Gynecology Department, Michigan Health Center, Detroit 48208.
J Am Osteopath Assoc. 1990 May;90(5):421-6.
Because of the increase of illicit drug use within the inner city--and especially because of the increasing popularity of cocaine--Michigan Health Center (Detroit) implemented a policy of routine drug screening of all patients admitted to the hospital through the labor unit. This policy was first implemented in February 1989. Routine drug screening made it possible to perform a retrospective study of the prevalence and patterns of drug abuse in a population consisting predominantly of inner-city patients of minority origin and indigent circumstance. The data derived from drug screening on 290 patients performed over a 75-day period are evaluated. Urine samples were screened for amphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine, and opiates. Nearly 27% of the urine samples tested positive for one or more of these substances. Cannabinoids and cocaine were found most frequently. Mandatory drug screening of pregnant patients by inner-city hospitals may be warranted. No statistically significant difference was noted (P less than or equal to .05) with respect to the average age, education, and number of prenatal visits of illicit substance users compared with those of nonusers.
由于市中心区非法药物使用的增加——尤其是由于可卡因日益流行——密歇根健康中心（底特律）实施了一项政策，对所有通过产科病房入院的患者进行常规药物筛查。该政策于1989年2月首次实施。常规药物筛查使得对一个主要由市中心区少数族裔和贫困患者组成的人群中药物滥用的流行率和模式进行回顾性研究成为可能。对在75天内对290名患者进行药物筛查所得数据进行了评估。对尿液样本进行了苯丙胺、巴比妥类药物、苯二氮䓬类药物、大麻素、可卡因和阿片类药物的筛查。近27%的尿液样本对这些物质中的一种或多种检测呈阳性。大麻素和可卡因最为常见。市中心区医院对孕妇进行强制性药物筛查可能是必要的。与未使用非法物质的患者相比，非法物质使用者在平均年龄、教育程度和产前检查次数方面未发现统计学上的显著差异（P≤0.05）。
