中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2015年
10期
1454-1457
,共4页
尹光芝%苏慧勇%杨磊%张国丽%尹世明%李加荣
尹光芝%囌慧勇%楊磊%張國麗%尹世明%李加榮
윤광지%소혜용%양뢰%장국려%윤세명%리가영
艾滋病%CD +4 细胞计数%机会性感染
艾滋病%CD +4 細胞計數%機會性感染
애자병%CD +4 세포계수%궤회성감염
HIV /AIDS%CD +4 lymphocyte count%Opportunistic infections
目的:了解云南省大理地区 HIV /AIDS 患者机会性感染总体情况及其与 CD +4细胞的关系,总结该地艾滋病患者机会性感染的发病谱,指导早期诊断及治疗。方法选择云南省大理州人民医院感染科收治的454例有明确机会性感染的 HIV /AIDS 患者,分析其机会性感染的类型,检测 CD +4细胞计数,分析不同CD +4细胞机会性感染的差异。结果454例 HIV /AIDS 患者最常见的机会性感染是 HCV 感染(48.24%),各种类型结核(38.72%),细菌性肺炎(28.41%),口腔念珠菌感染(25.77%),CD +4细胞<200个/μL 的患者,机会性感染发生率高;CD +4<50个/μL 的患者,3种以上病原体感染为53.33%,明显高于 CD +4>350个/μL患者的5.56%(χ2=34.88,P <0.01);未接受高效抗逆转录病毒治疗(HAART)的患者,机会性感染发生率高,已 HAART 治疗的患者,3种以上病原体感染18.79%,明显低于未 HAART 治疗患者的40.83%(U =9.05, P <0.01)。结论大理地区 HIV /AIDS 患者机会性感染以 HCV 感染最常见,其次是各类型结核、细菌性肺炎、口腔念珠菌感染,CD +4细胞越低,合并多种病原体感染的概率越高,已 HAART 治疗的患者,发生机会性感染的概率下降,积极 HAART 治疗,是控制机会性感染最有效的方法。
目的:瞭解雲南省大理地區 HIV /AIDS 患者機會性感染總體情況及其與 CD +4細胞的關繫,總結該地艾滋病患者機會性感染的髮病譜,指導早期診斷及治療。方法選擇雲南省大理州人民醫院感染科收治的454例有明確機會性感染的 HIV /AIDS 患者,分析其機會性感染的類型,檢測 CD +4細胞計數,分析不同CD +4細胞機會性感染的差異。結果454例 HIV /AIDS 患者最常見的機會性感染是 HCV 感染(48.24%),各種類型結覈(38.72%),細菌性肺炎(28.41%),口腔唸珠菌感染(25.77%),CD +4細胞<200箇/μL 的患者,機會性感染髮生率高;CD +4<50箇/μL 的患者,3種以上病原體感染為53.33%,明顯高于 CD +4>350箇/μL患者的5.56%(χ2=34.88,P <0.01);未接受高效抗逆轉錄病毒治療(HAART)的患者,機會性感染髮生率高,已 HAART 治療的患者,3種以上病原體感染18.79%,明顯低于未 HAART 治療患者的40.83%(U =9.05, P <0.01)。結論大理地區 HIV /AIDS 患者機會性感染以 HCV 感染最常見,其次是各類型結覈、細菌性肺炎、口腔唸珠菌感染,CD +4細胞越低,閤併多種病原體感染的概率越高,已 HAART 治療的患者,髮生機會性感染的概率下降,積極 HAART 治療,是控製機會性感染最有效的方法。
목적:료해운남성대리지구 HIV /AIDS 환자궤회성감염총체정황급기여 CD +4세포적관계,총결해지애자병환자궤회성감염적발병보,지도조기진단급치료。방법선택운남성대리주인민의원감염과수치적454례유명학궤회성감염적 HIV /AIDS 환자,분석기궤회성감염적류형,검측 CD +4세포계수,분석불동CD +4세포궤회성감염적차이。결과454례 HIV /AIDS 환자최상견적궤회성감염시 HCV 감염(48.24%),각충류형결핵(38.72%),세균성폐염(28.41%),구강념주균감염(25.77%),CD +4세포<200개/μL 적환자,궤회성감염발생솔고;CD +4<50개/μL 적환자,3충이상병원체감염위53.33%,명현고우 CD +4>350개/μL환자적5.56%(χ2=34.88,P <0.01);미접수고효항역전록병독치료(HAART)적환자,궤회성감염발생솔고,이 HAART 치료적환자,3충이상병원체감염18.79%,명현저우미 HAART 치료환자적40.83%(U =9.05, P <0.01)。결론대리지구 HIV /AIDS 환자궤회성감염이 HCV 감염최상견,기차시각류형결핵、세균성폐염、구강념주균감염,CD +4세포월저,합병다충병원체감염적개솔월고,이 HAART 치료적환자,발생궤회성감염적개솔하강,적겁 HAART 치료,시공제궤회성감염최유효적방법。
Objective To investigate the correlation between opportunistic infections in patients with HIV /AIDS in Dali of Yunnan Province and CD +4 lymphocyte count,discover the incidence trend of opportunistic infections in patients with HIV /AIDS in Dali and instruct early diagnosis and treatment.Methods Choosing 454 cases of opportunistic infections in patients with HIV /AIDS in Infectious Disease Dali Prefectural Hospital were chosen,ana-lyze various opportunistic infections,examining CD +4 lymphocyte count and analyze the differences of opportunistic infections on CD +4 lymphocyte count.Results 454 cases opportunistic infections with HIV /AIDS,48.24% were HCV infections,38.72% of various tuberculosis consumption phthisis,28.41% of bacterial pneumonia and 25.77%of oral condida monilia infections,high rate of opportunistic infections when CD +4 lymphocyte count <200 /μL;when CD +4 <50 /μL,53.33% of the patients with more than three pathogen infections,thus higher than those CD +4 >350 /μL of 5.56%(χ2 =34.88,P <0.01);The high rate of opportunistic infections found on patients without the treatment of HAART(40.83%,U =9.05,P <0.01),comparing to 18.79% of those with the treatment.Conclusion The com-mon opportunistic infections in our area are HCV,various tuberculosis consumption phthisis,bacterial pneumonia and oral condida monilia infections;high rate of opportunistic infections happens when CD +4 lymphocyte count are low and lower rate on those with the treatment of HAART,offering an effective method on controlling opportunistic infections.