梧州市2010~2016年新发现HIV/AIDS基线免疫状况分析

Baseline CD_(4)^(+)T counts of reported HIV/AIDS new cases between 2010 and 2016 in Wuzhou

目的:分析梧州市2010~2016年新发现艾滋病病毒感染者/艾滋病患者(HIV/AIDS)基线CD_(4)^(+)T淋巴细胞计数和及时检测情况。方法:利用"艾滋病综合防治数据信息系统"中的病例报告历史卡片,对2010~2016年新发现HIV/AIDS的基线CD_(4)^(+)T淋巴细胞检测情况进行统计分析。结果:2696例病例中,2203例(占81.71%)当年接受了基线CD_(4)^(+)T淋巴细胞检测;历年计数<200个/μl所占比例从2010年的36.40%上升至2016年的48.59%,呈现上升趋势(χ_(趋势性)^(2)=5.189,P=0.023);不同特征人群的检测率、计数<200个/μl所占比例及检测及时性的差异有统计学意义(P﹤0.05)。结论:梧州市新发现HIV/AIDS基线免疫水平较低,晚发现现象严重,需采取有效措施扩大筛查,做到早发现,早治疗。

Objective:To analyze the proportion of newly reported HIV/AIDS cases receiving timely baseline CD_(4)^(+)T counts testing,and evaluate the CD_(4)^(+)T counts among these cases between 2010 and 2016 in Wuzhou.Methods:Data were collected from Case Reporting Cards through the National HIV/AIDS Comprehensive Control and Prevention data system,and the status of baseline CD_(4)^(+)T counts testing among newly reported HIV/AIDS cases between 2010 and 2016 were analyzed by SPSS 18.0 software.Results:Of 2696 HIV/AIDS cases,2203(81.71%)cases received baseline CD_(4)^(+)T counts testing in the year that they were reported.The proportion of cases with CD_(4)^(+)T counts<200 cells/μl increased year by year(χ^(2)=5.189,P=0.023),from 36.40% in 2010 to 48.59% in 2016.There were significant differences in detection rate,proportion of cases with CD_(4)^(+)T counts<200 cells/μl and timeliness of testing between HIV/AIDS cases with different characteristics.Conclusion:Baseline CD_(4)^(+)T counts of newly reported HIV/AIDS cases were low and the problem of delayed diagnosis of HIV/AIDS is serious in Wuzhou.Effective measures should be carried out for HIV screening to achieve early detection and early HAART.