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目的了解2006-2014年玉溪市新发现艾滋病病毒感染者/艾滋病病人(HIV/AIDS)病例首次CD4~+T淋巴细胞计数检测率和检测及时率及其影响因素。方法使用艾滋病综合防治数据信息系统中的病例报告卡数据库和随访数据库以及历年CD4~+T淋巴细胞检测原始记录,截止日期为2015年6月,对相关数据进行统计分析。结果 2006-2014年间,玉溪市共新报告3 326例HIV/AIDS,其中有69.66%的HIV/AIDS获得CD4~+T淋巴细胞计数检测,36.62%的HIV/AIDS是在2周之内获得了检测结果,历年首次CD4~+T淋巴细胞检测率和及时率分别为为51.72%,47.38%,63.50%,66.82%,74.50%,84.44%,78.46%,75.17%,69.17%(=125.46,P<0.001)和4.21%,8.31%,18.99%,41.18%,45.61%,59.08%,47.69%,37.36%,46.64%(=292.524,P<0.001),均有上升趋势。交通不便和防治艾滋病人力资源不足等多种因素影响CD4~+T淋巴细胞检测率和及时率。结论必须提高新发现HIV/AIDS病例的CD4~+T淋巴细胞计数检测率以及检测及时率,以推动符合抗病毒治疗要求的病例的及时转介接受抗病毒治疗,确保完成“艾滋病防治一站式服务”。
Objective To investigate the detection rate of first CD4 ~ + T lymphocyte count and the detection rate and its influential factors in newly discovered cases of HIV / AIDS from 2006 to 2014 in Yuxi City. Methods Using the case report card database and follow-up database in AIDS Integrated Prevention and Control Information System and the original records of CD4 ~ + T lymphocytes in the past years, the deadline was June 2015, and the data were statistically analyzed. Results A total of 32626 cases of HIV / AIDS were reported in Yuxi City from 2006 to 2014, including 69.66% of HIV / AIDS patients receiving CD4 ~ + T lymphocyte count test and 36.62% of HIV / AIDS were obtained within 2 weeks The detection rate of the first CD4 ~ + T lymphocytes in the past years were 51.72%, 47.38%, 63.50%, 66.82%, 74.50%, 84.44%, 78.46%, 75.17%, 69.17% (= 125.46, P <0.001) and 4.21%, 8.31%, 18.99%, 41.18%, 45.61%, 59.08%, 47.69%, 37.36%, 46.64% (= 292.524, P <0.001). Traffic inconvenience and lack of human resources for AIDS prevention and control and other factors affect the detection rate and timely rate of CD4 ~ + T lymphocytes. Conclusion The detection rate of CD4 ~ + T lymphocyte count in newly discovered cases of HIV / AIDS and the prompt rate of detection must be improved to prompt the timely referral of antiretroviral therapy to the cases meeting the requirements of antiviral therapy and to ensure the completion of “one stop of AIDS prevention and control Service ”.