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目的通过了解贵港市2010—2013年新发现人类免疫缺陷病毒感染者和艾滋病患者(HIV/AIDS)病例的首次CD4检测结果,为下一步及早发现和有效管理AIDS提供针对性的防治措施。方法使用从“艾滋病综合防治信息系统”下载的历史卡片数据库,运用Excel和SPSS软件进行数据整理分析。结果 2010—2013年贵港市新发现HIV/AIDS病例4 426例,各年份病例数依次为1 022、1 336、1 054、1 014例,首次CD4检测比例逐年增高,依次为75.5%、78.7%、85.0%、95.2%,总体检测率为83.2%。CD4细胞平均水平为213个/μl,其中小于350个/μl的占78.0%,350个/μl及以上的占22.0%。结论该市应加大主动咨询检测覆盖面,及早发现患者,及时进行CD4检测,把符合抗病毒治疗标准的病例尽早纳入治疗。
Objective To understand the first CD4 test results of newly discovered cases of human immunodeficiency virus (HIV) and AIDS (HIV / AIDS) in Guigang in 2010-2013 so as to provide targeted prevention and treatment measures for early detection and effective management of AIDS. Methods Using the historical card database downloaded from “Integrated AIDS Prevention Information System”, the data was analyzed by Excel and SPSS software. Results A total of 4 426 new cases of HIV / AIDS were found in Guigang City during 2010-2013. The number of cases in each year were 1 022,1 336,1 054 and 1 014 cases, respectively. The proportion of first CD4 test increased year by year, which was 75.5% and 78.7% , 85.0%, 95.2%, the overall detection rate was 83.2%. The average level of CD4 cells was 213 / μl, with less than 350 cells / μl accounting for 78.0% and 350 cells / μl or more accounting for 22.0%. Conclusion The city should increase the coverage of active counseling and testing, early detection of patients, timely detection of CD4, in line with antiviral treatment standards included cases as soon as possible.