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目的了解岳阳市美沙酮门诊维持治疗者HIV、HBV、HCV、梅毒感染状况。方法对美沙酮维持治疗者采取统一调查表进行问卷调查,并采血检测HIV抗体、HBsAg、HCV抗体、梅毒抗体。结果459名参加美沙酮维持治疗的吸毒人员中,306例承认静脉注射吸毒者中HIV、HBV、HCV、梅毒感染率分别为13.73%、23.52%、82.35%、5.88%;否认静脉注射吸毒者153例未检出HIV、梅毒感染者,HBV、HCV感染率分别为17.65%、13.73%;HBV在两种不同吸毒方式之间差异无统计学意义,而HCV在两种不同吸毒方式之间差异有统计学意义(χ2=66.44,P<0.01)。结论应在吸毒人群中开展艾滋病、丙型肝炎、梅毒知识的宣传与教育,采取有效的干预措施。
Objective To understand the prevalence of HIV, HBV, HCV and syphilis among methadone maintenance treatment workers in Yueyang City. Methods Methadone maintenance treatment by questionnaire survey conducted a unified, and blood tests for detection of HIV antibodies, HBsAg, HCV antibodies, syphilis antibodies. Results Of the 459 drug addicts who participated in the methadone maintenance treatment, 306 admitted that the infection rates of HIV, HBV, HCV and syphilis in intravenous drug users were 13.73%, 23.52%, 82.35% and 5.88% respectively; HIV and syphilis were not detected, the infection rates of HBV and HCV were 17.65% and 13.73%, respectively. There was no significant difference in HBV between the two different ways of taking drugs, while there was statistical difference between the two methods Significance (χ2 = 66.44, P <0.01). Conclusion Publicity and education on AIDS, hepatitis C and syphilis should be carried out among drug users and effective intervention measures should be taken.