中国药物警戒 ›› 2020, Vol. 17 ›› Issue (2): 98-105.
DOI: 10.19803/j.1672-8629.2020.02.07

• 安全与合理用药 • 上一篇    下一篇

药物滥用人群曲马多复方制剂滥用/使用现状

王佳域1, 于丹丹1, 李明1, 王玲2, 柳鹏程3, 孙骏1*   

  1. 1江苏省药品不良反应监测中心,江苏 南京 210002;
    2国家药品不良反应监测中心,北京 100022;
    3中国药科大学,江苏 南京 211198
  • 收稿日期:2019-04-25 修回日期:2020-06-22 出版日期:2020-02-15 发布日期:2020-02-26
  • 通讯作者: *孙骏,女,博士,主任药师,上市药品安全性研究。E-mail:574278909@qq.com
  • 作者简介:王佳域,女,硕士,药品不良反应监测与药物滥用监测。
  • 基金资助:
    国家药品不良反应监测中心资助项目(20178X006):曲马多复方制剂在吸毒人群中使用现状及影响因素分析

Current Abuse/Use of Compound Tramadol in Drug Abusers

WANG Jiayu1, YU Dandan1, LI Ming1, WANG Ling2, LIU Pengcheng3, SUN Jun1*   

  1. 1Center for ADR Monitoring of Jiangsu, Nanjing Jiangsu 210002, China;
    2National Center for ADR Monitoring, Beijing 100022, China;
    3China Pharmaceutical University, Nanjing Jiangsu 211198, China
  • Received:2019-04-25 Revised:2020-06-22 Online:2020-02-15 Published:2020-02-26

摘要: 目的 了解全国强制隔离戒毒所内药物滥用人群中曲马多复方制剂滥用/使用现状,为曲马多复方制剂的管理提供科学依据与建议。方法 采用自制调查问卷调查强制隔离戒毒所内曲马多复方制剂滥用/使用人群并进行描述性统计分析。结果 曲马多复方制剂滥用/使用人群以30岁以上、男性、初中及以下文化、无业为主。过半曲马多复方制剂滥用/使用人群认为交易方便、完全不担心交易。因“易获得”滥用/使用的占25.56%。主要获取途径为零售药店。结论 非列管、易获得增加曲马多复方制剂被滥用/使用可能性。建议将曲马多复方制剂列入国家二类精神药品目录,加强对其销售、使用环节的监查力度,建立药品追溯体系,完善监测评价体系。

关键词: 曲马多复方制剂, 药物滥用, 问卷调查, 描述性分析, 流行病学调查

Abstract: Objective To find out about the behavioral characteristics of abusers/users of compound tramadol in compulsory isolated treatment centers in China in order to provide data for effective management of compound tramadol. Methods A descriptive statistical analysis was conducted on the basis of a self-designed questionnaire distributed among abusers/users of compound tramadol in compulsory isolated treatment centers. Results The abusers/users of compound tramadol were mostly over 30 years old, male, poorly-educated below the level of junior high school or unemployed. More than half of the abusers/users of compound tramadol believed that compound tramadol was easily available. Those who abused/used compound tramadol solely due to easy availability accounted for 25.56% of the total with retail pharmacies as the main source. Conclusion The lack of regulation and easy availability are largely responsible for abuse/use of compound tramadol. It is suggested that compound tramadol should be enlisted in the national catalogue of class II psychotropic drugs. Meanwhile, we should strengthen the supervision of its sales and use, establish a drug traceability system, and improve the monitoring and evaluation system.

Key words: compound tramadol, drug abuse, questionnaire survey, descriptive analysis, epidemiological investigation

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