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[美沙酮替代疗法的临床方面及评估]

[Clinical aspects and evaluation of methadone substitution therapy].

作者信息

Déglon J J

机构信息

Fondation Phénix, Genève, Suisse.

出版信息

Therapie. 1995 Nov-Dec;50(6):537-42.

PMID:8745953
Abstract

For a long time, regrettable prejudices have slowed down the expansion of methadone treatment. The arrival of AIDS and the need to find new therapies for addicts have facilitated a reduction in the misunderstanding concerning methadone. Methadone does not induce a narcotic, analgesic, or tranquilizing state for dependant addicts, is medically very safe and is not necessarily a life-long cure. Methadone treatments have become the most efficient means of treating addicts who are not able or willing to start short term abstinence programmes or go to specialized institutions. An evaluation of methadone treatments at the Phoenix Foundation in Geneva has confirmed that these programmes were able to reduce heroin use, delinquency, prostitution, risk of AIDS, overdoses or suicides and to maintain a good medical and psychosocial stability for the majority of the patients.

摘要

长期以来,令人遗憾的偏见减缓了美沙酮治疗的推广。艾滋病的出现以及为吸毒者寻找新疗法的需求,减少了对美沙酮的误解。美沙酮不会使成瘾者进入麻醉、止痛或镇静状态,在医学上非常安全,也不一定是终身治疗方法。美沙酮治疗已成为治疗那些无法或不愿意开始短期戒毒计划或前往专门机构的吸毒者的最有效手段。对日内瓦凤凰基金会美沙酮治疗的评估证实,这些计划能够减少海洛因使用、犯罪、卖淫、感染艾滋病的风险、过量用药或自杀行为,并为大多数患者维持良好的医疗和心理社会稳定性。

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