新疆伊犁州直1996-2015年艾滋病病例死亡情况分析

Analysis of HIV/AIDS death cases inYili prefecture of Xinjiang during 1996-2015

目的为全面掌握伊犁州艾滋病病毒（HIV）感染者/艾滋病（AIDS）病例（简称HIV/AIDS病例）的死亡情况,以制定有针对性的防治策略。方法从中国疾病预防控制信息系统的艾滋病综合防治信息系统中,下载1996-2015年现住址为伊犁州直的HIV/AIDS死亡病例,对死亡情况进行分析。结果 1996-2015年,伊犁州直报告HIV/AIDS病例13 303例,死亡3727例,死亡比例28.02%。男女比例4.19∶1,20~49岁占90.45%,男性占80.74%;维吾尔族占84.44%,注射吸毒占64.21%。3727例死亡病例中,存活时间最长的为18.55年,中位数为2.45年。前十年报告的病例累计死亡63.97%。44.30%的死亡病例有CD4＋T淋巴细胞检测结果,29.38%接受过抗病毒治疗。主要死因为艾滋病的597例,其他死因中因为艾滋病相关疾病及机会性感染死亡的1709例。结论伊犁州HIV/AIDS死亡病例以维吾尔族青壮年男性为主,主要传播途径为静脉吸毒,主要死因为艾滋病。病例报告后存活时间不长,应加强抗病毒治疗工作,延长病人存活时间。

Objective To understand the features of HIV/AIDS death cases in Yili prefecture of Xinjiang,and develop the strategies for HIV/AIDS prevention and control.Methods The data of HIV/AIDS death cases with local residence of Yili prefecture from 1996 to 2015were collected from the National Information System of Comprehensive AIDS Prevention and Control and the characteristics of the death cases were analyzed.Results Of 13 303HIV/AIDS cases detected from 1996 to 2015in Yili,the total number of HIV/AIDS death cases was 3727,and the accumulative mortality was 28.02%（3727/13 303）,with the sex ratio of 4.19：1.Among them,84.44% was Uighurs（3147/3727）and injecting drug users accounted for 64.21%（2393/3727）.The survival time was positively skewed distribution and the median was 2.45 years with the longest survival time of 18.55 years.63.97% death cases were reported in the past ten years.44.30% had CD4＋T lymphocyte detection results,and 29.38% received antiretroviral treatment.The main cause of death was AIDS（597cases）,and other causes were AIDS related diseases and opportunistic infection（1709cases）.Conclusion The death cases of HIV/AIDS patients are mainly at the age of 20-49 years old,male Uyghurs,and intravenous drug users.The main cause of death is AIDS.The expansion of early detection and anti-retroviral treatment coverage can prolong the survival time and reduce the mortality of HIV/AIDS patients.