2010-2014年东莞市接受艾滋病抗病毒治疗病例的 流行病学特征

摘要:目的　了解东莞市2010-2014年接受艾滋病抗病毒治疗病例入组时的流行特征，为提高抗病毒治疗工作提供依据。方法　利用东莞市2010-2014年接受艾滋病抗病毒治疗病例入组时的数据资料，分析其流行特征和变化趋势。结果　1412例治疗病例的平均年龄为（35.99±10.13）岁，80.17%为男性，已婚或者同居者占55.88%。经异性传播和同性传播比例分别为占42.14%和29.67%。入组时CD4+ T淋巴细胞计数的平均值是（218.93±123.35）个/μl，接受治疗时间与HIV确证阳性时间的间隔天数的中位数为74.5 d（P25＝32，P75＝321）。入组治疗治时，采用D4T/AZT/TDF+3TC+NVP方案的比例为70.11%。治疗病例的在访率为87.89%。结论　东莞市艾滋病抗病毒治疗时机的选择较之以前有所提前，应继续采取措施尽早发现和治疗艾滋病感染者/病人，同时加强MSM病例的治疗工作。

Epidemiological characteristics of HIV/AIDS cases in the national free antiretroviral treatment program from 2010 to 2014 in Dongguan City

Abstract: Objective This work aimed to understand the epidemiological characteristics of HIV/AIDS cases in the national free antiretroviral treatment program (NFATP) from 2010 to 2014 in Dongguan city. Methods The epidemiological characteristics and trends were analyzed by utilizing the data of HIV/AIDS patients who joined the NFATP program in 2010-2014 in Dongguan city. Results A total of 1412 HIV/AIDS patients were surveyed, the average age was (35.99±10.13) years old. 80.17% of them were males and 55.88% were married. 42.14% were infected through heterosexual transmission while 29.67% were transmitted by homosexual behavior. The average value of CD4+ T lymphocyte count was (218.93±123.35) cells/μl. The median of time interval between starting antiretroviral trretment and HIV confirmation was 74.5 days (P25=32, P75=321). D4T/AZT/TDF+3TC+NVP therapeutic regimen were taken by 70.11% of patients. Conclusion In Dongguan city, the time of receiving antiretroviral therapy by HIV/AIDS patients was a bit earlier than before. Further measures should be taken for early detection and treatment of HIV/AIDS, and the treatment should be improved among the men who have sex with men (MSM).