凭祥市HIV/AIDS死亡情况分析

Mortality of HIV-patients in Pingxiang City

目的了解凭祥市HIV/AIDS病例的病死率及死因分布等特征。方法对该市1996年至2011年的累积HIV/AIDS死亡病例进行分析。结果16年内累计确认艾滋病病毒感染者和艾滋病患者已死亡230例,病死率为35.33%,其中HIV感染者74例(32.17%),AIDS患者156例(67.83%)。死亡病例中男性多于女性。45.65%的病例在确诊后存活3年以上,64.87%艾滋病病毒感染者死于肺结核、肺部感染、口腔真菌感染、霉菌性食道炎等呼吸系统和消化系统疾病;接受抗病毒治疗者病死率远远低于未治疗者。结论加强艾滋病患者的监测管理,提高艾滋病及其并发症的诊断率,适时开始抗病毒治疗可以降低病死率。

Objective To understand the fatality status of HIV/AIDS in Pingxiang. Methods Data of cumulative death cases of HIV/AIDS during 1996 to 2011 in Pingxiang were collected and statistically analyzed. Results A total of 230 patients died during the period, and the fatality rate was 35.33% ; 32. 17% （74 cases） of them were HIV -infected cases, others （67.83%） were AIDS cases. Male death cases were more than female. A proportion of 45.65% of deaths lived more than 3 years since diagnosed, and 64. 87% of the cases died from disease of respiratory and digestive system, such as tuberculosis, pulmonary infection, oral mycosis and mycotic esophagitis. Fatality rate among patients with anti -virus treatment （ART） was lower than patients with- out ART. Conclusion Surveillance and management work on people living with HIV should be strengthened to increase the diagnosis rate; timely anti -virus treatment could lower the lethality rate.