西宁市女子吸毒人群艾滋病、梅毒及丙肝感染状况监测分析

目的]分析西宁市女子吸毒人员艾滋病病毒(HIV)、梅毒螺旋体(TP)和丙型肝炎病毒(HCV)感染状况。方法]回顾性分析西宁市2009年1月～2011年10月监测的女性吸毒人员共322例,进行抽血检测Anti-HIV、梅毒抗体、Anti-HCV检查,对其结果进行统计分析。结果]322例女性吸毒人员,以HCV感染率最高达69.6%,其次为梅毒和HIV,感染率分别为8.7%及1.2%。吸毒人员不同年龄感染情况322例女性吸毒人员主要分布在≥40岁、30～39岁及20～29岁,HIV主要分布在20～29岁、30～39岁,梅毒主要分布在﹤20岁、20～29岁及30～39岁,HCV主要分布在30～39岁、≥40岁及20～29岁。吸毒人员民族感染情况以汉族最多,其次为回族,藏族及其他。HIV汉族及回族各占1例,分别为0.4%及1.4%,其他占2例(33.3%),梅毒以其他分布最高1例(16.7%),其次为回族及汉族,分别为11例(15.9%)及16例(6.6%)。HCV以其他分布最高6例(100%),其次为汉族、藏族及回族,分别为169例(70.1%)、4例(66.7%)及45例(65.2%)。吸毒人员婚姻状况以已婚状况居多,其次为未婚或同居、离异或丧偶状况。HIV感染均分布于未婚或同居,梅毒以未婚或同居分布最多,HCV以已婚最多。结论吸毒人群是HIV、梅毒、HCV感染的高危人群,其与年龄、民族及婚姻状况等因素均有一定的关系,长期吸毒可引起各种脏器的损害,需加强临床监测。

MONITORING ANALYSIS OF HIV/AIDS,SYPHILIS AND HCV AMONG FEMALE DRUG USERS IN XINING CITY

Objective]To analyse the infection of HIV/AIDS,syphilis and HCV among female drug users in Xining City.Methods]We retrospectively analyzed 322 female drug users in our department from January 2009 to October 2011,took their blood and conducted the detections of HIV/AIDS,syphilis antibody and anti-HCV.Results]Among 322 female drug users,infection rate of HCV was highest,up to 69.6%,the next were syphilis of 8.7% and HIV of 1.2%.The infection distributed in ≥40 years,30-39 years,20-29 years,HIV distributed 20-29 years,30-39 years,and syphilis distributed ﹤20 years,20-29 years,30-39 years,and HCV distributed in 30-39 years,≥40 years,20-29 years.The highest rate of nationality was Han Chinese nationality,next Hui nationality,Tibetan nationality and others.There were 2 cases of HIV in Han Chinese nationality(0.4%)and Hui nationality(1.4%),the others were 2 cases(33.3%).The incidence of syphilis was 1 case(16.7%)in others,Hui nationality 11 cases(15.9%),Han nationality 16 cases(6.6%).The incidence of HCV were 6 cases in others(100%),Han nationality169 cases(70.1%),Tibetan nationality 4 cases(66.7%),Hui nationality 45 cases(65.2%).Most personnel with drug abuse was married,next unmarried and cohabitant,divorce,widow.HIV and syphilis were most found in the groups of unmarried and cohabitant.HCV was most found in the group of married.Conclusion]The drug users are with high risk in infection of HIV/AIDS,syphilis and HCV,the major factors are aged,nationality,married and a long time to eat drug will damage the organs,and it should strengthen clinical monitoring.