柳州市艾滋病病人死亡情况分析

Analysis of AIDS mortality in Liuzhou City

目的分析柳州市艾滋病(AIDS)病人死亡情况,探索减少死亡的解决办法。方法对近几年AIDS疫情数据库、个案随访表进行整理分析。结果截至2010年12月31日,柳州市累计报告艾滋病病毒(HIV)感染者/AIDS病人10 853例,已有42.38%(4 599人)发病,累计死亡率为21.86%(2 372人),比2000年(0.28%)有所上升。其中66.16%在确认后1年内死亡,存活≥3年的仅占12.29%。病人晚发现比例逐年上升,最高达到37.59%,死亡率高于全国平均水平。结论 AIDS相关检测覆盖面不足,且不及时,导致发现晚,治疗不及时,今后应进一步扩大检测力度,提高治疗覆盖面,降低死亡率。

Objective To analyze AIDS mortality in Liuzhou City, in order to explore the method of reducing mortality rate. Method The AIDS epidemic data and case follow-up data in the recent years were collected and analyzed. Result Up to December 31, 2010 the total reported HIV/AIDS cases amounted to 10 853, of whom 4 599 （42.38%） developed symptoms and 2 372 （21.86%） died. The accumulative mortality rate was higher than in 2000 （0.28%）, and 66.16% of the cases died within one year after final diagnosis and only 12.29% of them sur- vived for more than 3 years. The proportion of the patients detected at an advanced stage were raised year by year, and the highest reached 37.95 %, and the mortality rate was also high than the average national level. Conclusion Insufficient coverage and delayed provision of AIDS-related testing and monitoring lead to the late discovery and treatment of the patients. Therefore, testing should he further expanded and its coverage be increased so as to reduce the mortality rate.