芒市艾滋病/肺结核双重感染病例死亡的影响因素分析

Analysis on influence factors of HIV/TB double infection death cases in Mang City

目的分析芒市艾滋病/肺结核双重感染患者(简称双感患者)死亡的影响因素。方法收集2007-2011年芒市报告的双感患者的基本情况、病情及相关资料,采用SPSS 17.0软件统计分析双感患者死亡的影响因素。结果报告双感患者56例,死亡14例,其中因艾滋病及相关症状死亡12例,病死率为21.4%。死亡时间最短为11d,最长为917d,满一年、满二年和满三年的死亡概率分别为0.11、0.08、0.11;统计学检验发现双感患者的机构(P=0.186);最近一次CD4+T淋巴细胞水平≤200个/μl(P=0.000)、涂阳患者(P=0.004)的病死率较高。结论芒市双感患者监测工作滞后,病死率较高,患者的文化、机能状况、结核病变程度是导致死亡的主要影响因素。

Objective To analyze the influence factors of HIV/ TB double infection death cases in Mang City.Methods The basic information,patients＇ condition and related materials from 2007 to 2011 in Mang City were collected.The influence factors of death cases were statistically analyzed by SPSS 17.0 software.Results A total of 56 cases of HIV/ TB double infection were reported,including 14 death cases,in which 12 cases died from HIV/ AIDS and related symptoms,accounting for 21.4%.The shortest death time was 11d and the longest time was 917d.The probability of death whose death time reached 1 year,2 year and 3 year was 0.11,0.08,0.11,respectively.Statistical tests found the agency of Patients with double infection（P = 0.186）.The CD4 ＋ T lymphocyte level of the last time was lower than 200/ μl（P = 0.000）,and the fatality rate of smear-positive patients was higher（P = 0.004）.Conclusions The Monitoring work in Mang City is lag and the fatality rate is high.The culture of patients,function condition and pathological changes degree were the main factors that influence the cause of death.