首页|艾博韦泰抗反转录病毒治疗方案与传统抗反转录病毒治疗方案治疗初治重症艾滋病患者的效果比较

艾博韦泰抗反转录病毒治疗方案与传统抗反转录病毒治疗方案治疗初治重症艾滋病患者的效果比较

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目的 探讨艾博韦泰抗反转录病毒治疗(ART)方案与传统ART方案治疗初治重症艾滋病(AIDS)患者的效果比较。方法 选取2020年7月至2022年8月的赣州市第五人民医院感染科收治的初次接受治疗60例重症AIDS患者作为研究对象,根据治疗方式分为对照组和观察组,各30例。对照组患者采取传统ART方案,观察组患者采取艾博韦泰ART方案。比较两组的临床疗效、免疫功能[T淋巴细胞(CD3+、CD4+、CD8+,CD4+/CD8+)]、生存质量[世界卫生组织艾滋病生存质量简表中文版(WHOQOL-HIVBREF)]以及不良反应发生率。结果 治疗前两组患者HIV RNA载量比较,差异无统计学意义(P>0。05),治疗后两组患者HIV RNA载量均低于治疗前且观察组低于对照组,差异有统计学意义(P<0。05)。治疗前两组患者CD3+、CD4+、CD8+,CD4+/CD8+水平比较,差异无统计学意义(P>0。05),治疗后两组患者CD3+、CD4+、CD4+/CD8+水平均高于治疗前且观察组高于对照组,CD8+水平低于治疗前,且观察组低于对照组,差异有统计学意义(P<0。05)。治疗前,两组患者WHOQOL-HIVBREF评分比较,差异无统计学意义(P>0。05),治疗后,两组患者WHOQOL-HIVBREF评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0。05)。两组不良反应发生率比较,差异无统计学意义(P>0。05)。结论 针对初治重症AIDS患者采用艾博韦泰ART方案与传统ART方案治疗,前者安全性良好,对病毒的抑制作用更好,更有助于增强患者免疫功能,改善生存质量,建立临床推广使用。
Comparison of the efficacy of Albuvirtide antiretroviral therapy regimen and traditional antiretroviral therapy regimen in the treatment of newly treated severe AIDS patients
Objective To compare the efficacy of Albuvirtide antiretroviral therapy(ART)regimen and traditional ART regimen in the treatment of newly treated severe AIDS patients.Methods Sixty patients with severe AIDS who received initial treatment at the Infection Department of Ganzhou Fifth People's Hospital from July 2020 to August 2022 were selected as the research subjects.They were divided into a control group and an observation group based on treatment methods,with 30 patients in each group.The control group patients were treated with the traditional ART regimen,while the observation group patients were treated with the Albuvirtide ART regimen.The clinical efficacy,immune function(T lymphocytes[CD3+,CD4+,CD8+,CD4+/CD8+]),quality of life(World Health Organization quality of life questionnaire for HIV brief version[WHOQOL-HIVBREF])and the incidence of adverse reactions were compared between the two groups.Results Before treatment,there was no statistically significant difference in HIV RNA load between the two groups of patients(P>0.05).After treatment,the HIV RNA load of both groups of patients was lower than before treatment,and the observation group was lower than the control group,with a statistically significant difference(P<0.05).Before treatment,there were no statistically significant differences in the levels of CD3+,CD4+,CD8+,and CD4+/CD8+between the two groups of patients(P>0.05).After treatment,the levels of CD3+,CD4+,CD4+/CD8+in both groups were higher than before treatment and the observation group was higher than the control group.The levels of CD8+were lower than before treatment and the observation group was lower than the control group,with a statistically significant difference(P<0.05).Before treatment,there was no statistically significant difference in the WHOQOL-HIVBREF scores between the two groups of patients(P>0.05).After treatment,the WHOQOL-HIVBREF scores of both groups of patients were higher than before treatment and the observation group was higher than the control group,with statistically significant difference(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion For newly diagnosed severe AIDS patients,using the Albuvirtide ART regimen and traditional ART regimen has good safety,better virus inhibition,and is more conducive to enhancing patient immune function,improving quality of life,and establishing clinical promotion and use.

Initial treatment of severe AIDSAlbuvirtideAntiretroviral treatment planimmunityQuality of Life

胡典贵

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江西省赣州市第五人民医院感染科赣州市呼吸疾病重点实验室赣州市呼吸病防治研究所,江西赣州 341000

初治重症艾滋病 艾博韦泰 抗反转录病毒治疗方案 免疫功能 生存质量

江西省卫生健康委科技计划项目

202140685

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(5)
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