苏德华, 王大勇, 赵丽娜, 陈向阳, 叶振淼, 汪若秋, 胡郁葱, 金茜, 郑锦雷. 2005-2013年浙江省温州市艾滋病免费抗病毒治疗患者流行病学特征分析[J]. 疾病监测, 2014, 29(6): 469-472. DOI: 10.3784/j.issn.1003-9961.201.06.014
引用本文: 苏德华, 王大勇, 赵丽娜, 陈向阳, 叶振淼, 汪若秋, 胡郁葱, 金茜, 郑锦雷. 2005-2013年浙江省温州市艾滋病免费抗病毒治疗患者流行病学特征分析[J]. 疾病监测, 2014, 29(6): 469-472. DOI: 10.3784/j.issn.1003-9961.201.06.014
SU De-hua, WANG Da-yong, ZHAO Li-na, CHEN Xiang-yang, YE Zhen-miao, WANG Ruo-qiu, HU Yu-cong, JIN Qian, ZHENG Jin-lei. Epidemiological characteristics of AIDS patients receiving free antiretroviral treatment in Wenzhou, 2005-2013[J]. Disease Surveillance, 2014, 29(6): 469-472. DOI: 10.3784/j.issn.1003-9961.201.06.014
Citation: SU De-hua, WANG Da-yong, ZHAO Li-na, CHEN Xiang-yang, YE Zhen-miao, WANG Ruo-qiu, HU Yu-cong, JIN Qian, ZHENG Jin-lei. Epidemiological characteristics of AIDS patients receiving free antiretroviral treatment in Wenzhou, 2005-2013[J]. Disease Surveillance, 2014, 29(6): 469-472. DOI: 10.3784/j.issn.1003-9961.201.06.014

2005-2013年浙江省温州市艾滋病免费抗病毒治疗患者流行病学特征分析

Epidemiological characteristics of AIDS patients receiving free antiretroviral treatment in Wenzhou, 2005-2013

  • 摘要: 目的 了解2005-2013年温州市艾滋病抗病毒治疗人群治疗前的流行病学特征。 方法 利用国家艾滋病综合防治信息系统抗病毒治疗管理数据库收集2005-2013年接受抗病毒治疗患者入组时的基本情况表,建立Excel 数据库,并使用SPSS 17.0软件进行分析。 结果 974例患者中76.8%为男性,平均年龄(44.63914.63)岁,以35~岁组患者最多,占27.6%,本地户籍为77.0%,外地户籍为23.0%,2009-2013年外地户籍所占的比例呈上升趋势。传播途径以异性性传播为最多(70.3%),2005 2013年同性性传播比例呈逐年增长趋势。样本来源多来自于医疗机构,占63.2%。治疗前基线CD4+T淋巴细胞平均值为(172.16110.36)个/l,20.1%的患者CD4+T淋巴细胞50个/l,54.7%的患者CD4+T淋巴细胞200个/l。治疗前患者的临床分期,2010-2013年Ⅰ期所占的比例呈现逐年上升趋势,Ⅳ期所占的比例呈现逐年下降趋势。 结论 温州市艾滋病抗病毒治疗的时机仍较晚,但逐渐有所提高,应采取措施及早发现和治疗患者,同时应重视流动人口、男男性行为者的艾滋病防治。

     

    Abstract: Objective To understand the epidemiological characteristics of AIDS patients receiving antiretroviral therapy in Wenzhou, Zhejiang province from 2005 to 2013. Methods The epidemiological data of the AIDS patients were collected by using National Free Antiretroviral Treatment Program database and analyzed with SPSS 17.0. Results Among the 974 AIDS patients 76.8% were males with the average age between 44.63914.63 years, and the patients in age group 35 years accounted for 27.6%. Up to 77.0% of the patients were local residents, but the patients from other places increased during 2009-2013. The data also showed that the major transmission route was heterosexual contact (70.3%), but the homosexual transmission increased during 2005-2013. Clinical samples were mainly from medical institutions (63.2%). The average baseline CD4 T cell count before treatment was (172.16110.36)/l. Totally 20.1% of the patients had the CD4 T cell count less than 50/l and 54.7% had the CD4 T cell count less than 200/l. During 2010-2013,the patients in clinical phase Ⅰ increased while the patients in clinical phase Ⅳ declined year by year. Conclusion The AIDS patients in Wenzhou still receive late antiretroviral therapy, but improvement has been made. It is necessary to take measures to detect AIDS patients early and strengthen the AIDS prevention and control in floating population and men who have sex with men.

     

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