昆明市VCT与PITC发现的HIV/AIDS病人的比较分析

Compare the difference of efficiency between Voluntary Counseling Testing and Provider-initiated Testing Counseling for identifying HIV/AIDS in Kunming

目的比较自愿咨询检测(VCT)与医务人员主动提供艾滋病检测咨询服务(PITC)发现艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人)的差异,探讨适宜的工作模式。方法利用"艾滋病综合防治信息系统"中,现住址在昆明的HIV/AIDS病人的资料,用SPSS 17.0统计学软件对数据进行统计分析。结果对昆明地区VCT和PITC发现的629例和674例HIV/AIDS病人的数据进行分析,两者发现的病人,在性别、婚姻、文化程度和职业上的差异有统计学意义(P<0.05);而且VCT发现的病人,CD+4T淋巴细胞检测率(94.6%)高于PITC(77.4%)(χ2=78.17,P<0.01),抗病毒治疗的比例(56.9%)高于PITC(41.2%)(χ2=12.32,P<0.01),同性性传播的比例(24.6%)高于PITC(2.8%)(χ2=148.12,P<0.01);PITC发现的病人,AIDS病人的比例(33.8%)高于VCT(30.2%)(χ2=13.22,P<0.05),当年报告死亡的比例(5.6%)高于VCT(2.2%)(χ2=9.61,P<0.01),差异均有统计学意义。结论 VCT仍是早期发现HIV/AIDS病人的重要手段,PITC是发现HIV/AIDS病人的重要补充,两者结合可以减少传染,提高HIV/AIDS病人的生存质量,此工作模式值得在今后工作中推广。

Objective Compared the difference between Voluntary Counseling Testing（VCT）and Provider-initiated Testing and Counseling（PITC）for identifying HIV/AIDS,and found a proper way to promote the work.Method The data of 629 VCT samples and 674 PITC samples were analyzed using SPSS 17.0.It was statistically significant between two kinds of samples（P〈0.05）.Results VCT,compared with PITC,showed significant differences（P 0.01）in terms of gender,marital status,education level,and jobs.The detection rate of CD＋4T lymphocytes by VCT（94.6%）was higher than that by PITC（77.4%）（χ^2=78.17,P〈0.01）.During the course,AIDS patients were detected in PITC（33.8%）later than that in VCT（30.2%）（χ^2= 13.22,P 0.05）.The detection rate of HIV/AIDS patients treated with antiretroviral therapy in VCT（56.9%）were higher than that in PITC（41.2%）（χ^2=12.32,P〈0.01）.During infection routes,the detection rate of homosexual HIV/AIDS patients in VCT（24.6%）was higher than in PITC（2.8%）（χ^2= 148.12,P 0.01）.First year report first year death,mortality rate reported in this year in PITC（5.6%）was higher than that in VCT（2.2%）（χ^2=9.61,P 0.01）.Conclusion All findings above showed that VCT was an important way of early detection for HIV/AIDSinfected patients.PITC is an important supplementary for HIV/AIDS infected patients.These two methods could be combined together to reduce infection and improve the life quality of infected patients.