江苏省艾滋病患者未接受抗病毒治疗原因调查

A survey on the causation of the AIDS patients who declared eligible for highly active antiretroviral therapy not received treatment in Jiangsu province

目的了解江苏省艾滋病患者未接受抗病毒治疗原因,并进一步扩大艾滋病免费抗病毒治疗覆盖面。方法调查江苏省截止2012年6月30日尚存活符合抗病毒治疗标准而未接受抗病毒治疗的艾滋病患者,调查日期为2012年7月1日~7月30日,建立Excel数据库并用SPSS 16.0统计软件分析。结果共调查544例患者,截止7月30日调查结束,其中188例已治疗,356例未治疗。356例患者未治疗的主要原因是药品还在申请中,其中有6例在调查时已死亡。符合治疗条件时的CD4＋T 细胞水平越高,越不容易接受抗病毒治疗。结论江苏省应继续坚持艾滋病病毒感染者的早发现,缩短抗病毒药品供应周期,加强医师的培训。

Objective To analyze why the patients declared eligible for highly active antiretroviral therapy （ HAART） did not receive treatment, and increase treatment coverage. Methods According to the data of patients who declared eligible for HAART but not received treatment in the national epidemiology database till 2012/06/30 , Excelldatabase was established and statistical analysis was performed by using SPSS 16. 0 software. Results There were 544 patients who declared eligible for HAART but not received treatment by 2012/06/30,and actually only 356 were untreated by 2012/07/30 . The main causation of the 356 patients not receiving treatment was they were waiting for the free drugs,and 6 died before our survey. The subjects with higher CD4 ＋T cell count were apt to not receive HAART. Conclusion Earlier detection of AIDS patients and more education for doctors should be strengthened. Free drugs supply time should also be shortened.