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目的了解甘肃省庆阳市艾滋病患者在当地定点医院接受抗病毒治疗前后CD4+T淋巴细胞及病毒载量检测情况,评估本地病例抗病毒治疗的有效性,为扩大治疗和早治疗提供科学依据。方法收集2013年1月─2015年1月庆阳市治疗时间1年以上患者54例,采用描述流行病学方法分析资料。结果男性43例、女性11例,男女性别比3.9∶1;患者年龄最大70岁、最小20岁,中位数36.5岁;同性传播16例、占29.6%,异性传播38例、占70.4%;使用一线治疗方案49例、占90.7%,二线治疗方案5例、占9.3%;治疗后CD4+T淋巴细胞计数较治疗前基线值升高(t=-7.00,P<0.05);病毒载量检测34例低于检测下限值,为完全抑制,13例小于400 cp/ml,5例在400~5 000 cp/ml,2例病毒载量大于5 000 cp/ml。结论甘肃省庆阳市艾滋病患者整体治疗效果较好,治疗后CD4+T淋巴细胞计数均较治疗前升高,应在患者依从性较好的前提下,积极扩大抗病毒治疗,改善其生活质量,降低病毒传播的风险。
Objective To understand the detection of CD4 + T lymphocytes and viral load of AIDS patients in Qingyang City, Gansu Province before and after receiving antiretroviral therapy at local designated hospitals to evaluate the effectiveness of antiretroviral therapy in local cases and provide a scientific basis for expanding treatment and early treatment. Methods From January 2013 to January 2015, 54 patients with more than one year of treatment in Qingyang City were collected, and the descriptive epidemiological method was used to analyze the data. Results There were 43 males and 11 females with a sex ratio of 3.9: 1. The patients were 70 years old at the age of 20 years and the median was 36.5 years old. Sixteen cases were homosexual transmission, accounting for 29.6% and heterosexual transmission was 38.4%. There were 49 cases (90.7%) with first-line treatment and 5 cases with second-line treatment (9.3%). The CD4 + T lymphocyte count increased (t = -7.00, P <0.05) Thirty-four cases were below the detection limit for complete suppression, 13 cases were less than 400 cp / ml, 5 cases were 400-5000 cp / ml and 2 cases were more than 5000 cp / ml. Conclusion The overall treatment effect of AIDS patients in Qingyang City of Gansu Province is good. After treatment, the CD4 + T lymphocyte count is higher than that before treatment. Under the precondition of better compliance, the anti-virus treatment should be actively expanded to improve the quality of life , Reduce the risk of transmission of the virus.