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目的探索适合艾滋病患者人数较多,居住比较分散的农村地区艾滋病抗病毒治疗管理模式。方法确定以县疾病预防控制中心为中心,以乡(镇)卫生院为纽带,以村卫生室为实施主体,以县级专家组为技术指导的“四位一体”管理模式,并按照职责实行分级管理。结果现正在治疗71人,其中59人治疗时间在1年以上。从CD4细胞计数方面观察,治疗时间在1年以上的59人中,大于200/mm3的42人,占71.2%(42/59)。最高达到723/mm3,平均1年能提高100/mm3以上。病毒载量检测:其中37人病毒载量在检测限以下,未检出率达62.7%(37/59)。临床症状改善,71例中有68人(95.8%)生活自理,能从事生产性劳动。结论“四位一体”艾滋病抗病毒治疗管理模式适合我县县情,可操作性强,已取得阶段性成效,值得推广。
Objective To explore an HIV / AIDS treatment and management model in rural areas that is suitable for a large number of AIDS patients and living in relatively scattered areas. Methods The county CDC as the center, township (town) hospitals as the link, the village clinic as the implementation of the main body of the county-level expert group for the technical guidance of the “four in one” management mode, and in accordance with Responsibilities of the implementation of hierarchical management. The results are now being treated 71 people, of whom 59 were treated for more than 1 year. Of the 59 patients treated for more than 1 year, 42 (71.2%) were observed with a CD4 count of more than 200 / mm3 (42/59). Up to 723 / mm3, an average of 1 year can increase 100 / mm3 above. Virus load test: 37 of them viral load below the detection limit, the detection rate was 62.7% (37/59). Clinical symptoms improved, 68 of 71 (95.8%) were self-care workers and were able to engage in productive work. Conclusion “Four in One ” model of HIV / AIDS treatment and management is suitable for county and county situations and has strong operability. It has achieved initial success and is worthy of promotion.