麻醉药品和精神药品管制研究Ⅴ——国内外麻醉药品和精神药品的管制制度比较研究
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篇名: 麻醉药品和精神药品管制研究Ⅴ——国内外麻醉药品和精神药品的管制制度比较研究
TITLE:
摘要: 目的:为完善我国麻醉药品和精神药品(以下简称麻精药品)的管制工作提供建议。方法:从概念、分类、管制依据和管制机构等方面对国际组织、美国、英国和中国的麻精药品管制制度进行比较,并提出建议和参考。结果与结论:国际组织和美、英、中三国所指麻精药品均为纳入相关目录管制的品种,但美英还将兴奋剂、易制毒化学品等其他药品纳入管制目录;国际组织将麻精药品分为Ⅰ~Ⅳ 4类,美国分为Ⅰ~Ⅴ 5类,英国分为A、B、C 3类和临时类,中国分为麻醉药品和第一、二类精神药品;美、英、中三国的管制依据分别为《管制物质法案》《药品滥用法案》和《麻醉药品和精神药品管理条例》,主要管制机构分别为司法部下属的管制物质强制管理局、内政部下属的药品滥用咨询委员会、国家食品药品监督管理总局下设的特殊药品监管处,各国管制机构职能与协作单位也有所区别。基于我国麻精药品管制存在的问题,建议我国应完善法律法规体系,建立独立管制机构,延伸滥用监测网络,建立慢性非癌痛治疗原则。
ABSTRACT: OBJECTIVE: To make proposals to improve narcotics and psychotropic substances (NPS) control in China. METHODS: NPS control system of international organizations, the United States, Britain and China were compared in terms of concept, classification, regulatory basis and agency, etc. The suggestions and reference were put forward.  RESULTS & CONCLUSIONS: NPS of international organizations, the United States, Britain and China are drug types included in relevant categories, besides analeptics, precursor chemicals and other drugs are included in control catalogue by the United States and Britain. NPS are divided into Ⅰ-Ⅳ categories by international organizations, Ⅰ-Ⅴ categories by the United States, A, B, C categories and temporary category by Britain, and narcotics, first and second class psychotropic substances by China. NPS control basis of the United States, Britain and China are Controlled Substances Act, Misuse of Drugs Act and Regulations on Narcotics and Psychotropic Drugs Control, respectively; major regulation organizations are Controlled Substances Enforcement Administration, Advisory Committee on Drug Abuse subordinated to Ministry of Interior, Special Drug Section under China Food and Drug Administration, respectively; there also are differences in the functions of control organization and cooperative units. Considering about the problems of NPS control in China, it is suggested to improve laws and regulations system, establish independent system, extend abuse surveillance network and encourage chronic non-cancer pain therapy.
期刊: 2017年第28卷第1期
作者: 满春霞,邹武捷,杨淑苹,管晓东,史录文
AUTHORS: MAN Chunxia,ZOU Wujie,YANG Shuping,GUAN Xiaodong,SHI Luwen
关键字: 对比;麻精药品;管制;监测网络;主动监测
KEYWORDS: Comparison; Narcotics and psychotropic substances; Control; Surveillance network; Active surveillance
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