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目的分析四川省绵阳市开展HIV/AIDS患者抗病毒治疗工作现状及治疗效果,为进一步提高其医疗质量和管理水平提供科学依据。方法收集绵阳市2005-2014年所有入选艾滋病免费抗病毒治疗HIV/AIDS患者的信息,利用EXCEL进行整理,采用描述流行病学方法进行统计分析。结果截至2014年底,绵阳市累计抗病毒治疗人数达到1253例,死亡121例,抗病毒治疗覆盖率(CD4<350个/μl〉)由2010年的62.5%增加到2014年的93.02%。患者平均CD4淋巴细胞由治疗前的285个/μl,治疗5年后上升到389个/μl,抗病毒治疗抑制率达到82.6%,但是病死率略微上升,由2011年的2.31%上升到2014的5.21%。结论 2005-2014年绵阳市艾滋病抗病毒治疗工作发展迅速,初见成效,但医疗质量还有待提高,治疗管理模式需要进一步优化。
Objective To analyze the current status and treatment effect of antiviral treatment for HIV / AIDS patients in Mianyang City, Sichuan Province, and provide scientific basis for further improving its medical quality and management level. Methods The data of all HIV / AIDS-free HIV / AIDS patients who were selected for HIV / AIDS from 2005 to 2014 in Mianyang were collected and sorted out by EXCEL. Statistical analysis was conducted using descriptive epidemiological methods. Results As of the end of 2014, the number of cumulative antiviral treatment in Mianyang City reached 1253 and 121 deaths. The coverage rate of anti-virus treatment (CD4 <350 / μl>) increased from 62.5% in 2010 to 93.02% in 2014. The average CD4 lymphocyte count increased from 285 cells / μl before treatment to 389 cells / μl after 5 years of treatment, and the anti-virus treatment achieved a rate of 82.6%. However, the case fatality rate slightly increased from 2.31% in 2011 to 2014 5.21%. Conclusion From 2005 to 2014, the work of HIV / AIDS treatment in Mianyang City has witnessed rapid development and achieved initial success. However, the quality of medical care needs to be improved and the treatment management model needs to be further optimized.