某院首诊艾滋病患者流行病学特征及疾病谱分析

Analysis on Epidemiological Characteristics and Disease Spectrum Among AIDS Patients in a Hospital

目的了解本院首诊艾滋病患者的流行病学特征及并发症,提高对艾滋病及相关并发症的认识,提高诊疗水平。方法回顾性分析2016年01月—2017年06月期间就诊于西南医科大学附属医院232例艾滋病患者临床资料,进行统计分析。结果232例患者中,男女比例约4:1,高效抗逆转录病毒治疗(HAART)治疗率11.2%,职业分布广,农民/民工、社会无业人员占52.6%,商业性行为及同性传播占85.3%,就诊患者中CD4<200/μL占87.9%,涉及多个系统疾病及机会性感染。结论本院收治艾滋病患者中男性多见,CD4细胞计数低,抗病毒治疗率低,低文化群体为主,疾病谱分布广泛。应加大艾滋病初筛及相关知识宣传力度,提高对艾滋病及相关并发症的认识,做到早诊断、早治疗。

Objective To investigate epidemiology and disease spectrum among patients with acquired immunodeficiency syndrome who visitfirstly in a tertiary hospital. So as to raise awarenss of AIDS and related complications, and improve the level of diagnosis and treatment. Methods In this study, the data of 232 AIDS patients who firstly visit the first affiliated hospital of Southwest Medical University between January 2016 to June 2017 were analysised retrospectively. Results The ratio of male to female was about 4 to 1 in 232 patients. About 11.2% patients got treatment of highly active antiretroviral therapy（HAART）. 52.6% patients were unemployed and farmer. 85.3% patients ever had commercial or homosexual sex. The CD4＋ count was less than 200/pL in 87.9% patients. Most patients suffered from Multiple system diseases and opportunistic infection. Conclusions The male AIDS patients were more than female in this hospital. With low CD4 cell count, low antiviral treatment rate, low- cultural population, and widespread disease spectrum. The knowledge of AIDS andcomplications shoulded be enlarged to make sure diagnosis and treat earlier.