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目的分析菏泽市艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人)的死亡情况。方法从“国家艾滋病综合防治信息系统”中,下载2001年1月1日至2013年12月31日现住址为菏泽市的死亡HIV/AIDS病例,回顾性分析这些病例的死亡情况。结果至2013年底,累计报告现住址为菏泽市的HIV/AIDS病人死亡病例171例,其中男性占63.74%,已婚占69.59%,血液传播占53.22%。平均死亡年龄(40.5±13.41)岁,年龄最小3岁,最大78岁。因AIDS、非AIDS其他疾病、其他原因、吸毒过量而死亡的分别占67.84%、17.54%、8.19%、0.58%;5.85%的死亡原因不详。死亡病例抗病毒治疗的比例为18.13%。2009年之前的死亡病例以血液传播为主,占74.19%;近5年(2009-2013年)的死亡病例以异性性传播为主,占48.71%。确认阳性后1年内死亡的比例为76.02%。结论艾滋病为菏泽市HIV/AIDS病人死亡的主要原因;死亡病例传播途径由血液传播为主转向性传播为主;病例发现晚,应扩大HIV检测范围。
Objective To analyze the death of Hepatitis A virus (HIV) / AIDS (Hepatitis A) patients (referred to as HIV / AIDS patients). Methods From January 1, 2001 to December 31, 2013, deaths of HIV / AIDS patients in Heze city were retrospectively analyzed from the “National Integrated HIV / AIDS Prevention and Control Information System”. The deaths of these patients were retrospectively analyzed. Results By the end of 2013, a total of 171 HIV / AIDS patients were found in Heze City, of which 63.74% were male, 69.59% married and 53.22% were blood transmitted. The average age of death (40.5 ± 13.41) years, the youngest 3 years old, maximum 78 years old. Due to AIDS, non-AIDS and other diseases, other causes, drug abuse and death accounted for 67.84%, 17.54%, 8.19%, 0.58%; 5.85% of the causes of death is unknown. The proportion of deaths treated with antiviral therapy was 18.13%. The deaths before 2009 were mainly blood-borne, accounting for 74.19%. The deaths in the recent 5 years (2009-2013) were mainly by heterosexual transmission, accounting for 48.71%. The percentage of deaths within 1 year after confirming positive was 76.02%. Conclusions AIDS is the main cause of death of HIV / AIDS patients in Heze City. The main route of transmission of deaths is blood-borne transmission. The case detection is late and the scope of HIV testing should be expanded.