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目的了解伊宁市2010-2014年新报告的艾滋病病毒(HIV)感染者/艾滋病(AIDS)病例(简称HIV/AIDS病例)的首次CD4+T淋巴细胞(简称CD4细胞)的检测情况。方法使用艾滋病综合防治数据信息系统中的病例报告卡片数据库和随访数据库,整理数据后进行统计分析。结果伊宁市2010-2014年新报告的HIV/AIDS病例2730例,其中有90.18%(2462例)接受了CD4细胞计数检测。CD4细胞计数≤200个/μL者566例(20.73%),201~350个/μL者669例(24.51%),351~500个/μL者559例(20.48%),>500个/μL的668例(24.47%)。文化程度低、报告地区和感染途径,是HIV/AIDS病例是否接受首次CD4细胞检测的主要影响因素。结论应针对高文化水平、流动人口和吸毒人员等加大宣传,鼓励高危行为人员尽早到相关部门进行咨询检测,同时尽量将CD4细胞检测工作端口前移,提高CD4细胞检测的可及性,将新发现的HIV/AIDS病例及时转介并接受抗病毒治疗。
Objective To investigate the detection of the first CD4 + T lymphocytes (CD4 cells) in newly reported HIV-infected / AIDS (AIDS) cases in Yining in 2010-2014. Methods Using the case report card database and follow-up database in the integrated AIDS prevention and control information system, the data were analyzed and statistically analyzed. Results 2730 newly reported cases of HIV / AIDS in Yining City in 2010-2014, of which 90.18% (2462 cases) underwent CD4 cell count test. There were 566 cases (20.73%) with CD4 counts ≤200 / μL, 669 cases (24.51%) with 201-350 cases / μL, 559 cases (20.48%) with 351-500 cases / μL and> 500 cases / μL 668 cases (24.47%). Low educational attainment, reporting areas and routes of infection are the major determinants of whether HIV / AIDS patients receive the first CD4 cell test. Conclusion High-level education, floating population and drug addicts should be stepped up to encourage high-risk behavior personnel to consult with relevant departments as soon as possible. At the same time, CD4 cell testing port should be advanced to improve the accessibility of CD4 cell detection. Newly discovered cases of HIV / AIDS were promptly referred and antiviral treated.