中國大陸藥物濫用新趨勢

Curr Opin Psychiatry. 2014 Jul;27(4):251-5. doi: 10.1097/YCO.0000000000000073.

The new pattern of drug abuse in China.

Sun HQ1, Bao YP, Zhou SJ, Meng SQ, Lu L.

Abstract

PURPOSE OF REVIEW:

Drug abuse has resulted in a huge burden on public health and the economy in China. Since the reemergence of drug abuse in China in the 1980s, the number of drug addicts has increased dramatically, especially the proportion of users of synthetic drugs, such as amphetamine-type stimulant (ATS). Further, the proportion of opiate addicts has decreased among the new initiates. This review describes the new pattern of drug abuse and the resultant intervention strategy in China.

RECENT FINDINGS:

The demographics regarding drug abuse in China point to a trend of younger users, and indicate that Internet and telephone are facilitating drug trafficking. Furthermore, polydrug use is common. Many heroin addicts have used ATS and other synthetic drugs, and some synthetic drug abusers have used opiate drugs too. HIV infection and psychosis comorbidity are primarily associated with drug abuse in China.

SUMMARY:

Although opiate drug use and its associated harm have been controlled effectively in some areas, the synthetic drugs and new designer drugs have complicated the drug abuse scene. A national system of management and intervention for synthetic drugs and associated diseases urgently needs to be established in China.

**我們是不是也可以來寫篇review探討台灣藥物濫用的最新現況呢？ :)

針灸作為美沙冬病人的有效輔助療法

Am J Chin Med. 2014;42(3):569-86. doi: 10.1142/S0192415X14500372.

Clinical efficacy of acupuncture as an adjunct to methadone treatment services for heroinaddicts: a randomized controlled trial.

Chan YY1, Lo WY, Li TC, Shen LJ, Yang SN, Chen YH, Lin JG.

Abstract

Scant scientific evidence supports the efficacy of acupuncture in the treatment of opiate dependence. The purpose of this study was to examine the effectiveness of acupuncture for heroin addicts on methadone maintenance by measuring the daily consumption of methadone, variations in the 36-item Short Form Health Survey-36 (SF-36) and Pittsburgh Sleep Quality Index (PSQI) scores, and heroin craving. Sixty heroin addicts were randomly assigned to true acupuncture (electroacupuncture at the Hegu [LI4] and Zusanli [ST36] acupoints, as well as acupuncture at the Ear Shenmen) or sham acupuncture (minimal acupuncture at the Hegu and Zusanli acupoints without electrical stimulation and superficial acupuncture at the Ear Shenmen), twice weekly for 4 weeks. From week 2 onwards, the daily dose of methadone was reduced by a significantly greater amount with true acupuncture compared with sham acupuncture. True acupuncture was also associated with a greater improvement in sleep latency at follow-up. All adverse events were mild in severity. Acupuncture appears to be a useful adjunct to methadone maintenance therapy (MMT) in heroin addiction.

http://140.128.69.71/Webpac2/store.dll/?S=ASC&ty=ie&ID=00240410&T=0

書刊名	針刺合併美沙冬替代療法對海洛因成癮者之臨床效益:Clinical efficacy of acupuncture as an adjunct to methadone treatment services for heroin addicts
作者	陳淵渝(Yuan-Yu Chan)著
出版地/出版者/出版年	臺中市/中國醫藥大學/2012