中华实验和临床感染病杂志(电子版)
中華實驗和臨床感染病雜誌(電子版)
중화실험화림상감염병잡지(전자판)
CHINESE JOURNAL OF EXPERIMENTAL AND CLINICAL INFECTIOUS DISEASES(ELECTRONIC VERSION)
2013年
3期
437-440
,共4页
艾滋病%流行病学%抗病毒治疗
艾滋病%流行病學%抗病毒治療
애자병%류행병학%항병독치료
HIV/AIDS%Epidemiology%Anti-viral therapy
目的了解哈尔滨市艾滋病的流行现状及趋势,分析艾滋病患者高效抗病毒治疗(HAART)的治疗效果,为艾滋病的防治提供策略和依据。方法回顾性研究在哈尔滨某综合医院接受艾滋病免费抗病毒治疗的80例患者,采用SPSS 16.0软件进行描述性统计分析。结果80例病例中有72例(90%)处于随访中,男女比例为5.15︰1,平均年龄41岁;已婚和同居者占48.75%(39/80),未婚者占32.5%(26/80),同性性传播占全部例数的56.25%(45/80),其次为异性传播,占21.25%(17/80),有2例女性系通过丈夫而感染。治疗前CD4<200个/μl高达73.75%(59/80),其中<50个/μl者24例(30%);16.25%(13/80)患者近1年曾有过结核感染史;治疗后,患者相应临床症状显著改善,CD4水平在治疗3、6、12个月均有显著提升,86.67%患者病毒载量低于检测下限,治疗有效率达81.67%(49/60)。结论哈尔滨市艾滋病目前处于低流行区,但在特殊人群中处于高流行态势;艾滋病患者抗病毒治疗效果明显;各级防控人员必须加强该人群的干预和检测;鼓励符合治疗要求的患者接受治疗。
目的瞭解哈爾濱市艾滋病的流行現狀及趨勢,分析艾滋病患者高效抗病毒治療(HAART)的治療效果,為艾滋病的防治提供策略和依據。方法迴顧性研究在哈爾濱某綜閤醫院接受艾滋病免費抗病毒治療的80例患者,採用SPSS 16.0軟件進行描述性統計分析。結果80例病例中有72例(90%)處于隨訪中,男女比例為5.15︰1,平均年齡41歲;已婚和同居者佔48.75%(39/80),未婚者佔32.5%(26/80),同性性傳播佔全部例數的56.25%(45/80),其次為異性傳播,佔21.25%(17/80),有2例女性繫通過丈伕而感染。治療前CD4<200箇/μl高達73.75%(59/80),其中<50箇/μl者24例(30%);16.25%(13/80)患者近1年曾有過結覈感染史;治療後,患者相應臨床癥狀顯著改善,CD4水平在治療3、6、12箇月均有顯著提升,86.67%患者病毒載量低于檢測下限,治療有效率達81.67%(49/60)。結論哈爾濱市艾滋病目前處于低流行區,但在特殊人群中處于高流行態勢;艾滋病患者抗病毒治療效果明顯;各級防控人員必鬚加彊該人群的榦預和檢測;鼓勵符閤治療要求的患者接受治療。
목적료해합이빈시애자병적류행현상급추세,분석애자병환자고효항병독치료(HAART)적치료효과,위애자병적방치제공책략화의거。방법회고성연구재합이빈모종합의원접수애자병면비항병독치료적80례환자,채용SPSS 16.0연건진행묘술성통계분석。결과80례병례중유72례(90%)처우수방중,남녀비례위5.15︰1,평균년령41세;이혼화동거자점48.75%(39/80),미혼자점32.5%(26/80),동성성전파점전부례수적56.25%(45/80),기차위이성전파,점21.25%(17/80),유2례녀성계통과장부이감염。치료전CD4<200개/μl고체73.75%(59/80),기중<50개/μl자24례(30%);16.25%(13/80)환자근1년증유과결핵감염사;치료후,환자상응림상증상현저개선,CD4수평재치료3、6、12개월균유현저제승,86.67%환자병독재량저우검측하한,치료유효솔체81.67%(49/60)。결론합이빈시애자병목전처우저류행구,단재특수인군중처우고류행태세;애자병환자항병독치료효과명현;각급방공인원필수가강해인군적간예화검측;고려부합치료요구적환자접수치료。
Objective To investigate the current epidemilolgy and trend of HIV/AIDS in Harbin, and analyze the anti-viral therapy of AIDS, to provide scientiifc evidence for HIV/AIDS prevention and treatment. Methods Total of 80 patients in Harbin received free antiretroviral treatment of AIDS, and SPSS was applied to analyze the data retrospectively. Results Total of 72 patients among the 80 cases were followed-up, with the ratio of male to female as 5.15︰1, average age as 41 patients married or living together accounted for 48.75%(39/80), unmarried 32.5%(26/80), homosexual transmission 56.25%(45/80), followed by heterosexual transmission 21.25%(17/80), and 2 female were infected by their husband. Before treatment, 73.75%(59/80) patients’ CD4 were less than 200/μl. Among them, 24 (30%) cases lower were than 50/μl;16.25%(13/80) patients had tuberculosis history for nearly one year. Patients had a significant improvement after treatment for three, six, twelve months;86.67%patient’s viral load testing were undetectable, with the therapy efifciency as 82.69%. Conclusions The epidemic of AIDS in Harbin was low, which was higher in special group and HAART is signiifcantly effective for HIV/AIDS. Therefore, the stuffs who worked for disease control and prevention should be strengthened for intervention and detection, patients should be given HAART when matching the standard.