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目的对比分析惠州市艾滋病自愿咨询检测(VCT)与医务人员主动提供艾滋病检测咨询(PITC)工作中发现的艾滋病病毒感染者和艾滋病患者(HIV/AIDS)的状况,探讨优化本地艾滋病防治工作的方式。方法收集2013-01-01/2015-12-31期间本地发现、随访的HIV/AIDS资料,使用SPSS 21.0对数据进行统计学分析。结果 VCT组172例与PITC组369例HIV/AIDS对比分析发现,VCT组病例男男性行为史比例,同性传播比例、CD4+T淋巴细胞检测率、抗病毒药物治疗入组人数比例高于PITC组;PITC组病例晚发现比例、死亡人数比例高于VCT组;两组病例关于接触史、感染途径、CD4+T淋巴细胞检测率、基线CD4+T淋巴细胞检测数、抗病毒药物治疗人数比例、死亡人数比例等因素的差异均有统计学意义(P<0.05)。结论可在本地开展以VCT为切入点的男男性行为者干预工作;在医疗机构同时开展VCT与PITC,对早期发现艾滋病患者,降低晚发现比例,及时提供检测转介治疗,提高抗病毒药物治疗覆盖率,延长患者生存时间有积极意义。
Objective To compare and analyze the status of HIV / AIDS and HIV / AIDS found in HIV / AIDS voluntary counseling and testing (VCT) and medical staff in Huizhou City, and to explore ways to optimize local HIV / AIDS prevention and treatment . Methods The HIV / AIDS data collected locally from January 2013 to December 2015 were collected and analyzed by SPSS 21.0. Results A comparative analysis of HIV / AIDS among 172 patients with VCT and 369 patients with PITC found that the proportion of MSM, same-sex transmission rate, CD4 + T lymphocyte detection rate and antiviral therapy in VCT patients were higher than those in PITC patients ; The incidence of late-onset cases and the percentage of deaths in PITC group were higher than those in VCT group. The two groups of cases were related to the history of exposure, the route of infection, the detection rate of CD4 + T lymphocytes, the number of baseline CD4 + T lymphocytes, The proportion of deaths and other factors were statistically significant (P <0.05). CONCLUSIONS: Interventions by local men who have sex with men (VCTs) can be carried out locally. VCTs and PITC can be carried out simultaneously in medical institutions. In the early stage of AIDS patients, the proportion of late-onset AIDS patients is found to be lower than that of men with HIV / AIDS. Coverage, extend the survival time of patients have a positive meaning.