江苏省165例无死亡医学证明的HIV感染者/AIDS患者死亡情况分析

Analysis on death of 165 HIV/AIDS patients without death medical certificate in Jiangsu Province

目的了解2010-2011年江苏省无死亡医学证明的HIV感染者/AIDS患者死亡情况。方法采用自行设计的调查表入户调查和进入医院询问死亡患者相关情况,分析死亡患者的艾滋病相关疾病信息、临床表现、死因、存活时间等。结果调查的165例死亡患者中,已确诊为AIDS的占53.9%(89例);主要感染途径是性接触,占86.7%(143例);主要死因是AIDS相关疾病(包括机会性感染等),占67.9%(112例)。自确诊为HIV感染/AIDS起,67.1%的患者存活时间未满1年。结论 AIDS相关疾病是导致HIV感染者/AIDS患者死亡的主要原因,早发现、早治疗是延缓患者死亡的有效措施。

Objective To explore death situation of HIV/AIDS patients without death medical certificate in Jiangsu Province during 2010--2011. Methods Self-designed questionnaires were conducted by in-home survey as well as at hospital. Informa- tion on clinical manifestation, cause of death and survival time were analyzed. Results There were total 165 death cases and 53.9% （89） of them were diagnosed as AIDS. Main transmission route of HIV infection was sexual intercourse, which ac- counted for 86.7% （143） of all cases. The major cause of death was AIDS related diseases including opportunistic infections, which accounted for 67.9% （112）. Since the patients have been diagnosed as HIV/AIDS, 67.1 % cases survived less than one year. Conclusion AIDS related diseases were the major causes of death among HIV/AIDS cases. Early diagnosis and early treatment are effective measures to prolong the survival time of HIV/AIDS patients.