首页|2004-2022年河南省平顶山市HIV/AIDS患者抗病毒治疗效果分析

2004-2022年河南省平顶山市HIV/AIDS患者抗病毒治疗效果分析

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目的 通过分析平顶山市2004-2022年人类免疫缺陷病毒(HIV)/艾滋病(AIDS)患者抗病毒治疗情况,评估抗病毒治疗效果,为本区域的艾滋病防治工作提供科学依据.方法 使用"中国疾病预防控制信息系统",下载2004-2022年现地址在平顶山市,抗病毒治疗满6个月及以上的HIV/AIDS病例数据资料,检测CD4+T淋巴细胞和病毒载量,分别作为抗病毒治疗效果的免疫学和病毒学评价指标.对数据统计分析采用SPSS 22.0.结果 共纳入2186例患者,治疗前基线CD4+T细胞计数均值为(286.32±189.81)个/μl,抗病毒治疗后最近一次随访检测CD4+T细胞计数均值为(446.45±221.96)个/μl,抗病毒治疗前后CD4+T细胞结果分布差异有统计学意义(x2=641.53,P<0.001).患者最近一次随访检测VL<20 copies/ml有1 875例(85.77%),构成比呈逐渐上升趋势(x2=16.970,P<0.001).Spearman检验抗病毒治疗后CD4+T细胞与VL结果呈负相关(r=-0.143,P<0.001).结论 平顶山市在治的抗病毒治疗HIV/AIDS患者,免疫重建和病毒抑制情况较好,应继续扩大检测、早发现、早治疗,加强患者服药依从性教育,坚持长期规范治疗,进一步提高抗病毒治疗质量.
Analysis on the Effect of Antiretroviral Therapy on HIV/AIDS Patients in Pingdingshan City of Henan Province from 2004 to 2022
Objective To provide scientific basis for HIV/AIDS prevention and treatment in Pingdingshan by ana-lyzing the status of antiretroviral therapy among HIV/AIDS patients from 2004 to 2022 and evaluating the effect of antiretroviral therapy.Methods To download data on HIV/AIDS patients who have been receiving antiviral treat-ment for more than 6 months current address in Pingdingshan City from 2004 to 2022,through the"China Disease Prevention and Control Information System".CD4+T lymphocytes and viral load were detected as immunological and virological evaluation indicators of antiviral treatment effect respectively.SPSS 22.0 was applied for statistical analysis of the data.Results A total of 2 186 patients were enrolled which the baseline CD4+T lymphocyte count was(286.32±189.81)/μl before treatment.The mean CD4+T lymphocyte count was(446.45±221.96)/μl during the last follow-up after antiviral therapy.There was significant difference in the distribution of CD4+T lymphocyte be-fore and after antiviral treatment(x2=641.53,P<0.001).There were 1 875(85.77%)patients with VL<20 copies/ml at the last follow-up,and the constituent ratio was gradually increasing(x2=16.970,P<0.001).Spearman test showed a negative correlation between CD4+T lymphocyte and VL(r=-0.143,P<0.001).Conclusion The antivi-ral treatment HIV/AIDS patients under treatment in Pingdingshan have good immune reconstitution and virus sup-pression.We should continue to expand detection,early detection and early treatment,strengthen patient compli-ance education,adhere to long-term standardized treatment,and further improve the quality of antiviral treatment.

HIV/AIDS patientsAntiviral therapyCD4+T lymphocyteViral load

杨艳华、王文江、石朝辉

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河南省平顶山市疾病预防控制中心,河南平顶山 467000

河南省许昌市疾病预防控制中心,河南许昌 461000

HIV/AIDS患者 抗病毒治疗 CD4+T淋巴细胞 病毒载量

河南省2022年医学科技攻关计划项目

LHGJ20220148

2024

口岸卫生控制
天津国际旅行卫生保健协会

口岸卫生控制

影响因子:0.266
ISSN:1008-5777
年,卷(期):2024.29(1)
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