150例青壮年艾滋病住院患者临床特征分析

Clinical Characteristics of AIDS in 150 Young Inpatients

目的了解本地区青壮年艾滋病患者的流行病学及并发症,提高对本地区该年龄段艾滋病及相关并发症的认识。方法回顾性分析2016年01月—2017年06月于西南医科大学附属医院感染科住院治疗的150例18—50岁艾滋病患者临床资料,进行统计分析。结果 150例患者中,男女比例约4:1,平均(38.8±8.8岁),农民/民工、社会无业人员占77.3%,性行为传播占83.3%,就诊患者中CD4低于200/u L占88%,呼吸、消化、神经系统的机会性感染及并发症为主要就诊疾病。结论本地就诊青壮年艾滋病以低文化群体为主,传播途径主要为性传播,CD4细胞低,并发症多样,应加大艾滋病的初筛及相关知识宣传力度,预防为主,早诊断、早治疗。

Objective To investigate the epidemiology and complications of HIV/AIDS in young adu Lts so as to gain a better understanding of HIV/AIDS in this age group and the occurrence of related complications.Methods A retrospective analysis was made to the clinical data of 150 AIDS patients aged from 18 to 50,hospitalized in Department of Infectious Diseases during the period from Jan.,2016 to June,2017 and statistical analysis was performed.Results The ratio of male to female was about 4：1 and the mean age was 38.8 ± 8.8 years; 77.3% of the 150 patients were peasants/migrant workers and unemployed persons and 83.3% were infected by sexual transmission; the percentage of patients with CD4 below 200/u L was 88 %; opportunistic infections of respiratory,digestive,nervous system and complication occurrence were the main causes for patients to go to hospital.Conclusions Young and middle-aged HIV-positive local patients are mainly of low-cultural level and the sexual transmission is the main route; the level of CD4 cells is low and complications are diverse; the primary screening of HIV/AIDS and dissemination of related knowledge shou Ld be strengthened; prevention is the key while early diagnosis and early treatment need to be performed.