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[住院戒毒的阿片类药物依赖患者。住院患者中躯体疾病的患病率]

[Opiate dependent patients in inpatient detoxification. Prevalence of somatic diseases in hospital admissions].

作者信息

Behrendt K, Degkwitz P, Haasen C, Krausz M

机构信息

Allgemeines Krankenhaus Ochsenzoll, Hamburg.

出版信息

Fortschr Med. 1997 Jul 10;115(19):41-5.

PMID:9333582
Abstract

AIM

To investigate whether the impression that prevalence rates of diseases in drug addicts undergoing detoxification could be verified empirically. In addition, to make an attempt to identify possible relationships responsible for this development.

METHOD

Between 1989 and 1993, within the framework of a detoxification program, 1041 opiate addicts were investigated for the presence of somatic diseases. For this purpose, the overall sample was divided up into 3 groups corresponding to the following time periods: 1989/1990, 1991/1992, 1993. The baseline data comprised the standardised history at the time of admission, the results of the initial clinical examination, and the serological and clinico-chemical findings during the further course.

RESULTS AND INTERPRETATION

A deterioration in the general state of health associated with more risky drug consumption patterns and social isolation was established. Apparently, low-threshold treatment programs and prophylactic strategies made available to almost two-thirds of the addicts in Hamburg have proved unable to prevent the deterioration of the situation of a subpopulation of addicts.

摘要

目的

调查戒毒成瘾者疾病患病率的印象是否可以通过实证得到验证。此外,尝试确定导致这种情况的可能关系。

方法

1989年至1993年期间,在戒毒项目框架内,对1041名阿片类成瘾者进行了躯体疾病检查。为此,将整个样本分为与以下时间段相对应的3组:1989/1990年、1991/1992年、1993年。基线数据包括入院时的标准化病史、初次临床检查结果以及后续过程中的血清学和临床化学检查结果。

结果与解读

确定了与更危险的吸毒模式和社会隔离相关的健康总体状况恶化。显然,汉堡近三分之二的成瘾者可获得的低门槛治疗项目和预防策略已证明无法防止一部分成瘾者情况的恶化。

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