遵义市HIV感染者与AIDS患者的死亡相关因素

Analysis of death related factors with HIV infected patients and AIDS in Zunyi City

目的了解遵义市1995—2014年HIV/AIDS的死亡相关因素。方法下载HIV/AIDS历史卡片,分析死亡病例的人口学特征、存活时间等。结果遵义市共620例死亡病例,病死率为22.56%,其中异性传播病例占80.00%,死亡和存活者检测CD4+T淋巴细胞和接受抗病毒治疗比例存在明显差异,病死率随着CD4+T淋巴细胞水平的上升而下降(χ2=524.65,P<0.05);主要死因分析显示,艾滋病无关死亡占50.97%。结论遵义市HIV/AIDS死亡病例的感染途径以异性传播为主,CD4+T淋巴细胞检测和抗病毒治疗有助于降低HIV/AIDS的病死率,对有自杀倾向的人群,应进行心理干预,促进减少病死率。

Objective To understand the death related factors of HIV infected patients from 1995 to 2014 in Zunyi City. Methods HIV / AIDS history cards were downloaded, demographic characteristics and survival time of death cases were analyzed. Results620 death cases were reported in Zunyi,the mortality rate was 22. 56%. A total of 80. 00% deaths were of heterosexual transmission.There were significant differences in the proportion of CD4 T lymphocytes and the patients receiving antiviral therapy. The mortality rate decreased with CD4 T lymphocyte level（ χ~2= 524. 65,P 0. 05）. Death analysis showed that AIDS-independent death was the main cause,a total of 316 cases,accounting for 50. 97%. Conclusions The infection routes of HIV / AIDS deaths in Zunyi were mainly through heterosexual transmission. The CD4 T lymphocyte detection and antiviral therapy were helpful for reducing the mortality of HIV infected patients. For the suicide-intentional people,psychological intervention should be promoted to reduce the fatality rate.