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目的:分析新疆艾滋病患者的临床特点。方法:回顾性分析新疆地区84例艾滋病患者的流行病学特点、免疫功能及HIV相关的机会性感染特点。结果:新疆地区84例不同民族HIV阳性率不同,其中维吾尔族占73.8%;HIV感染平均年龄为32岁;感染途径主要是静脉吸毒(54.8%)及性传播(25.0%);HIV感染者中无业人员占53.6%;机会性感染中结核病占23.8%,其次为HCV/HIV和HBV/HIV的混合感染(分别为23.8%、21.4%);CD4+细胞计数<200个/mm3的HIV感染者占85.5%。结论:新疆艾滋病的主要临床特点是年轻发病多见,维吾尔族多见,大多数因静脉吸毒和性途径而感染;结核病、HCV/HIV和HBV/HIV的混合感染是较为常见的机会性感染。首次就诊时大多数患者CD4+T细胞计数已低于200个/mm3。
Objective: To analyze the clinical features of AIDS patients in Xinjiang. Methods: The epidemiological characteristics, immune function and HIV-related opportunistic infections in 84 AIDS patients in Xinjiang were retrospectively analyzed. Results: The positive rates of HIV in 84 different ethnic groups in Xinjiang were different, with Uygur accounted for 73.8%. The average age of HIV infection was 32 years. The main routes of infection were intravenous drug use (54.8%) and sexual transmission (25.0%). Among HIV infected persons 53.6% were unemployed, 23.8% were TB in opportunistic infections, followed by a mixed infection with HCV / HIV and HBV / HIV (23.8% and 21.4%, respectively) and those with CD4 + cell counts <200 / mm3 85.5%. Conclusions: The main clinical features of AIDS in Xinjiang are young onset, common Uygur and most of them due to intravenous drug use and sexual route. The mixed infection of TB / HCV / HIV and HBV / HIV is the most common opportunistic infection. The CD4 + T cell count for most patients at the first visit was below 200 / mm3.