2018年吉林省新确证HIV感染者中男男同性性行为人群CD4^+T淋巴细胞基线水平分析

Analysis of CD4^+T lymphocyte basis of newly confirmed HIV cases in Jilin,2018

目的通过分析2018年吉林省新确证HIV感染者中MSM人群首次CD4T淋巴细胞(简称CD4细胞)检测结果及其影响因素,探讨吉林省艾滋病高危人群科学有效的防治措施。方法利用艾滋病网络直报系统下载病例报告卡和.随访数据库,采用Excel软件和SPSS软件进行相关数据统计分析。结果2018年新确认HIV感染者中MSM人群首次CD4细胞检测率为84.6%(583/689),CD4细胞绝对值≤350个/μl的比例为35.2%(205/583),CD4细胞绝对值>350个/μl占64.8%(378/583);不同年龄组间差异有统计学意义(P<0.05),<30岁年龄组CD4细胞检测率为55.7%(384/689);新确认HIV感染者中MSM人群首次CD4细胞检测及时率为95.2%(555/583)。结论应进一步加强本省新确证HIV感染者中MSM人群的随访管理,加大艾滋病防治知识的宣传力度,制定针对重点人群的防治策略,做到早检测,早发现,早治疗,从而提高HIV感染者的生存质量。

Objective To analyze the results and influence factors of the first CD4+T lymphocytes detection in men who have sex with men( MSM) from the population of newly confirmed HIV in 2018,and discuss the scientific and effective prevention and control measures for AIDS high-risk groups in Jilin Province. Methods HIV/AIDS network reporting system was used to download the cases-reporting card and follow-up database,Excel and SPSS application were adopted to analyze the data statistics. Results The detection rate of the first CD4+T lymphocytes in MSM of newly confirmed HIV patients was 84. 6%( 583/689),of which CD4≤350 cells/μl was 35. 2%( 205/583) and CD4 > 350 cells/μl was 64. 8%( 378/583);there was statistical significance on the difference between different genders( P < 0. 05);the detection rate of CD4 at age group < 30 was55. 7%( 384/689);the timing rate of the results was 95. 2%( 555/583). Conclusion The following-up management of men who have sex with men in newly confirmed HIV patients should be further strengthened,dissemination power for knowledge of AIDS prevention and control should be enlarged,the related strategies for target population should be formulated,and early detection,early found,early treatment should be adopted in order to enhance the survival quality of HIV patients.