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目的探讨艾滋病死亡原因,有针对性地采取措施降低病死率。方法从国家艾滋病综合防治信息系统中把广西各市县2012年1~7月报告的死亡报告个案资料进行分析。结果 1 986例死亡报告病例中,男性占83.38%,女性占16.62%;农民占69.89%;50岁以上占55.34%;初中及以下文化占85.19%;异性传播占84.94%;79.00%未接受过抗病毒治疗;41.09%未做CD4检测;接受CD4检测病例中,76.07%CD4在200个/μL以下。结论死亡病例主要集中在农村初中以下文化50岁以上男性病例,影响死亡原因或因素是病例就诊时间晚,被发现时免疫功能低下、未能及时接受抗病毒治疗等,抗病毒治疗工作应重点关注农村中老年人群,不断提高治疗覆盖率。
Objective To explore the causes of death from AIDS and take measures to reduce the case fatality rate. Methods The data of death cases reported by cities and counties from January to July in 2012 were analyzed from the national AIDS integrated prevention and control information system. Results Among the 1 986 reported cases of death, 83.38% were male, 16.62% were female, 69.89% were farmers, 55.34% were over 50, 85.19% were junior high school and below, 84.94% were heterosexual transmission, 79.00% did not receive Antiviral therapy; 41.09% did not do CD4 test; 74.07% of CD4 count in 200 cases / μL. Conclusions The death cases mainly focus on the following men and women over the age of 50 in rural junior high school. The causes or factors of death are the late treatment time of patients, the immunocompromise when found, and the failure to receive antiviral therapy in time. The work on antiviral therapy should be focused Middle-aged rural population, continue to improve treatment coverage.