云南省肺结核合并艾滋病感染患者人群特征分析

The analysis of demographic characteristics among TB/HIV patients in Yunnan Province

目的分析云南省肺结核合并艾滋病感染患者人群特征,为TB/HIV双重感染的防治工作提供科学依据.方法从结核病专报系统中收集和整理2010年1月至2013年6月云南省全球基金项目7县区肺结核合并艾滋病患者信息,分析人群特征.结果在540例TB/HIV双重感染患者男女比例约为4：1,男性明显高于女性,年龄主要集中在20-55岁之间（约占92.22%）;62.96%为农民或无业,13.7%的患者为羁押人员;85.74%的患者是从HIV/AIDS患者中进行结核病筛查时发现;主要通过转诊推荐（50.56%）和因症就诊（30.93%）方式到达结防机构;痰涂片以阴性为主（85.56%）,初治患者（56.11%）居多,总延迟时间中位数为39 d,对患者的治疗管理过程中,以全程督导为主（83.52%）.结论及早从HIV/AIDS人群中发现结核病患者并给予规范治疗是提升双感患者生命质量的有效干预措施,重点关注农村地区中青年男性以及羁押人群,同时,需要提高基层医务人员的业务能力和基本公共卫生服务的可及性.

Objective To analyze the demographic characteristics among TB/HIV patients in Yunnan province, and to provide evidence for the future TB/HIV prevention and control.Methods The data of TB/HIV patients were collected through China Information System for Disease Control TB Information System in 7 counties with Global Fund project in Yunnan province during 2010 and 2013,the different demographic characteristics were analyzed. Results There were 540 TB/HIV patients during January 2010 to June 2013,the male was 4 times as much as female in gender,the male patients were much more than the female;92.22% of them aged between 20 to55 years old,62.96% were farmer and unemployed,and 13.7% were person in custody; Among all the patients,85.74% from TB screening in positive HIV case,50.56% patients were transferred to CDC,and 30.93% visited doctor for symptom; 85.56% were negative in sputum smear,and 56.11% were new cases. The median of time of relay was 39 days;83.52% were with entire supervision in treatment and management.Conclusions Early detection of TB cases among people living with HIV and properly treatment management in time could improve the life quality of TB/HIV patients, focusing on young male in rural and person in custody. It is necessary to strength the professional capability of doctor and accessibility of public health.