摘要
目的了解武汉市物质滥用的人群分布和疾病分布,为预防物质滥用提供依据。方法采用回顾性调查的方法,以武汉市精神卫生中心2013年3月—2015年11月物质滥用住院患者为研究对象。结果 (1)人群分布特征:共调查物质滥用住院患者956例,其中男女比例为5.91,平均年龄33.88岁。(2)疾病类型分布:80.0%的患者滥用甲基苯丙胺,25.5%的患者滥用氯胺酮;51.5%的患者被诊断为精神活性物质所致精神障碍,兴奋剂所致精神障碍(36.5%),酒精所致精神障碍(12.0%);不同性别的疾病分布,差异有统计学意义(P<0.001)。(3)住院情况分布:平均住院次数为1.66次,平均住院费用为12 677.2元,3种物质滥用疾病患者的住院费用,差异有统计学意义(P<0.001)。结论武汉地区的物质滥用人群主要是中青年男性,物质滥用的种类以新型化学合成毒品为主;2013—2015年间,精神活性物质所致精神障碍疾病逐年增加,兴奋剂所致精神障碍疾病逐年减少。
Objectvies To provide the evidence for prevention of substance abuse by analyzing population distribution and the disease distribution in Wuhan.Methods A retrospectvie survey was conducted among the patients of substance abuse in Wuhan mental health center from March 2013 to November 2015.Results 1.Population distribution:Totally,956 substance abuse patients were involved and the male-female proportion was 5.9:1.The average age was 33.88 years old.2.The distribution of disease type:80.0% of patients used methylamphetamine and 25.5% of patients used ketamine.There were 51.5% of patients who were diagnosed with mental disorder by psychoactvie substances,mental disorder by doping(36.5%),and mental disorder by alcohol(12.0%).There were statistical significance in the difference of disease distribution in different gender(P〈0.001).3.The distribution of hospitalization situation:The average time of hospitalization was 1.66,and the average hospitalization expense was 12 677.2 yuan.There was statistical significance in the difference of hospitalization expenses among three diseases(P〈0.001).Conclusions The substance abusers in Wuhan area were mainly young and middle-aged men and the synthesis drugs occupied a major position in substance abuse.From 2013 to 2015,the mental disorder by psychoactvie substances increased quickly.
出处
《中国社会医学杂志》
2017年第4期347-349,共3页
Chinese Journal of Social Medicine
基金
湖北省自然科学基金项目(2014CFB398)
关键词
物质滥用
甲基苯丙胺
氯胺酮
疾病分布
Substance abuse
Methylamphetamine
Ketamine
Disease distribution