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目的了解2006-2014年遵义市首次接受免费抗病毒治疗的HIV/AIDS患者的流行病学特征。方法在国家艾滋病综合防治信息系统中,收集2006-2014年遵义市首次接受抗病毒治疗的HIV/AIDS的基础数据,运用Excel2003和SPSS17.0对数据进行描述性流行病学分析构成比以及运用趋势χ~2分析年度变化趋势。结果 2006-2014年遵义市首次接受治疗的HIV/AIDS共1 187人,男性843例(占71.02%),女性344例(占28.98%),年龄中位数38岁(P25=29,P75=51),以已婚或同居为主,共689例(占58.19%),治疗机构以医疗机构最多,共1 161例(97.81%),感染途径主要为性传播(占89.22%),基线CD4+T淋巴细胞中位数为226.00 cell/mm~3,从确认HIV阳性到首次接受抗病毒治疗的时间中位数为2.70(P25=0.90,P75=10.67)个月。每年新增治疗HIV/AIDS人数呈逐年上升趋势,≤50 cell/mm~3的HIV/AIDS比例呈下降趋势,≥199 cell/mm~3的比例呈上升趋势。结论遵义市HIV/AIDS接受抗病毒治疗的覆盖面逐渐扩大且开始治疗的时机已有所提前,但仍存在相当部分HIV/AIDS接受治疗较晚,遵义市HIV/AIDS早治疗的能力仍需进一步加强。
Objective To understand the epidemiological characteristics of HIV / AIDS patients receiving free antiviral therapy in Zunyi City for the first time in 2006-2014. Methods The basic information of HIV / AIDS patients receiving first antiviral treatment in Zunyi from 2006 to 2014 was collected in the national integrated AIDS prevention and control information system. The data were analyzed by descriptive epidemiological analysis using Excel2003 and SPSS17.0. χ ~ 2 analysis of annual trends. Results A total of 1 187 HIV / AIDS patients were treated in Zunyi from 2006 to 2014, 843 (71.02%) were male and 344 (28.98%) were female, with a median age of 38 years (P25 = 29, P75 = 51), with 689 cases (58.19%) being married or living together. The most treatment institutions were medical institutions with a total of 1,161 cases (97.81%). The main routes of infection were sexual transmission (89.22%), baseline CD4 + Median T lymphocyte count was 226.00 cell / mm ~ 3, with a median duration of 2.70 (P25 = 0.90, P75 = 10.67) months from confirmatory HIV positive to first antiviral treatment. The number of newly-treated HIV / AIDS patients per year has been increasing year by year. The proportion of HIV / AIDS with a frequency of ≤50 cell / mm ~ 3 shows a decreasing trend, while the proportion of ≥199 cells / mm ~ 3 shows a rising trend. Conclusion The coverage of HIV / AIDS receiving anti-virus treatment in Zunyi City has been gradually expanded and the time to start treatment has been advanced. However, a considerable part of HIV / AIDS treatment is still late and the ability of early treatment of HIV / AIDS in Zunyi still needs to be further strengthened .