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目的了解东莞市2010—2014年加入国家免费艾滋病抗病毒治疗项目病例的入组特征、在治率及其影响因素,为提高抗病毒治疗效果提供依据。方法收集东莞市2010—2014年接受艾滋病抗病毒治疗病例的基本信息,分析其流行特征、在治率及其影响因素。结果 1 412例艾滋病抗病毒治疗病例平均年龄为(35.99±10.13)岁,80.17%为男性,已婚或者同居者占55.88%。经异性性传播和同性性传播分别为595例(占42.14%)和419例(29.67%)。治疗病例的基线CD4+T淋巴细胞计数的平均值是(218.93±123.35)个/μL。多因素logistic回归分析,50岁以下年龄段、同行/异性传播、CD4+T淋巴细胞计数水平在200~个/μL及治疗时间在1年内与艾滋病抗病毒治疗在治率的关系有统计学意义,是保护性因素。结论 2010—2014年东莞市艾滋病抗病毒治疗在治率维持在较高水平,应对年龄较大、CD4细胞水平低下及静脉吸毒病例加强治疗依从性教育,提高在治率,提高治疗质量。
Objective To understand the enrollment characteristics, treatment rates and influential factors of HIV / AIDS patients from 2010-2014 in Dongguan City, and to provide basis for improving the effect of antiviral therapy. Methods To collect the basic information of HIV / AIDS patients receiving treatment in 2010-2014 in Dongguan City, and to analyze the prevalence, prevalence rate and influential factors. Results The average age of 1 412 AIDS patients was (35.99 ± 10.13) years old, 80.17% were male, and 55.88% were married or living together. Heterosexual and homosexual transmission were 595 (42.14%) and 419 (29.67%), respectively. The mean baseline CD4 + T lymphocyte count for the treatment cases was (218.93 ± 123.35) cells / μL. Multivariate logistic regression analysis showed that there was a significant relationship between ARV treatment rate and HIV / AIDS treatment in patients under 50 years of age, peer / heterosexual transmission, CD4 + T lymphocyte count at 200 ~ / L and treatment time within 1 year , Is a protective factor. Conclusion 2010-2014 HIV / AIDS treatment in Dongguan City, the treatment rate was maintained at a high level, should deal with older, CD4 cell levels and intravenous drug abuse cases to strengthen treatment compliance education, improve the rate of treatment and improve the quality of treatment.