| 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 |
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| 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. |
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| 作者姓名： | 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 |
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| 作者单位： | [1]温州市疾病预防控制中心,浙江温州325000; [2]浙江省疾病预防控制中心,浙江杭州310051 |
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| 基金项目： | 温州市科技计划项目（No.Y2014044）;温州市医药卫生科技项目（No.2013B35） |
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| 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(44.639±14.63)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(172.16±110.36)个/μl,20.1%的患者CD4+T淋巴细胞50个/μl,54.7%的患者CD4+T淋巴细胞200个/μl。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。
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| 关 键 词： | 艾滋病 抗病毒治疗 流行病学特征 |
| 收稿时间： | 2014-03-03 |
Epidemiological characteristics of AIDS patients receiving free antiretroviral treatment in Wenzhou,2005- 2013 |
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| Affiliation: | SU De-hua, WANG Da-yong, ZHAO Li-na, CHEAT Xiang-yang , YE Zhen-miao, WANG Ruo-qiu,HU Yu-cong1 , JIN Qian, ZHENG Jin-lei(1. Wenzhou Center for Disease Control and Prevention, Wenzhou 325000, Zhefiang, China; 2. Zhefiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, Zhejiang, China) |
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| 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. 639 ± 14. 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 CD4T cell count before treatment was（172. 16 ± 110. 36） /μl.Totally 20. 1% of the patients had the CD4T cell count less than 50 /μl and 54. 7% had the CD4T cell count less than200 /μl. 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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| Keywords: | acquired immunodeficiency syndrome Antiretroviral therapy epidemiological characteristics |
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