114例艾滋病病毒感染者与病人死亡情况分析

Death Analyse of 114 HIV/AIDS

目的掌握HIV/AIDS死亡病例特征,为下步制定防治对策提供依据。方法收集国家"艾滋病综合防治数据信息管理系统"的数据资料,采用SPSS 12.0统计软件进行数据处理。结果艾滋病病人的总死亡率为29.31%,总病死率为22.88%,死亡率在2001—2002年达高峰,后逐渐下降,2011年后有所回升,病死率呈下降趋势,近几年基本维持在5%左右;死亡病例感染途径主要以异性性传播为主,占59.65%;不同感染途径死亡率不同,其中以输血/血制品感染者最高,达40.74%;不同年龄组死亡率进行比较,差异有统计学意义(χ2=11.322,P=0.003),而病死率差异无统计学意义(χ2=2.359,P=0.307),1年、3年及5年的生存率分别为60.15%、35.22%和24.94%。结论继续做好扩大咨询检测和抗病毒药物治疗工作,及早发现病人并及时救治,是减少艾滋病死亡率的一种有效措施。

OBJECTIVE In order to understand the characteristics of death cases of HIV/AIDS, and provides the basis for next step of the work of prevention. METHODS To collect comprehensive national AIDS prevention and control information system data, process- ing data using SPSS 12.0 statistical software. RESULTS The total mortality of AIDS was 29.31%, the fatality rate was 22.88%, mor- tality in 2001, reached a peak in 2002, and then decreased gradually, in 2011 after the rebound, the mortality rate was on a down- ward trend, in recent years, basically maintained at around 5%; death cases the main infection through heterosexual transmission, accounting for 59.65%, the mortality of different infection in different ways, the transfusion blood products that had the highest, reaching 40.74%, the mortality of different age groups were compared, the difference was statistically significant（x2=11.322, P= 0.003）, but no significant differences in the mortality rates（X2=2.359, P=0.307）, the survival rate of 1 years, 3 years and 5 years were 60.15%, 35.22% and 24.94%. CONCLUSION To improve the counseling and testing and antiviral treatment of patients, early detection and timely treatment, was an effective way to reduce AIDS mortalit.