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目的了解上海市金山区新报告人类免疫缺陷病毒(感染者)和艾滋病(患者)(HIV/AIDS)流行特征及机体免疫状况。方法分析流行病学资料,应用流式细胞计数仪对新报告HIV/AIDS进行CD4+T淋巴细胞检测。结果 2014年金山区新报告HIV/AIDS 116例,男女性别比为6.25∶1;年龄以20~49岁为主,占75.00%。来源主要为检测咨询占52.59%,其次为其他就诊者检测占47.41%。感染途径性传播占99.14%,其中同性传播占65.52%,异性传播占33.62%。新报告HIV/AIDS CD4+T淋巴细胞<200个/ml的占48.67%。AIDS组CD4+T淋巴细胞低于HIV感染者组。结论 2014年金山区新报告的HIV/AIDS以男性中青年为主,感染途径以性传播为主,随着疾病的进展,CD4+T淋巴细胞持续降低。应扩大高危人群的干预和动员检测,达到早发现、早治疗、有效控制AIDS疫情的目的。
Objective To understand the epidemiological features and immune status of newly reported human immunodeficiency virus (HIV) and AIDS (patients) (HIV / AIDS) in Jinshan District of Shanghai. Methods Epidemiological data were analyzed and CD4 + T lymphocytes were detected by flow cytometry in newly reported HIV / AIDS. Results A total of 116 newly reported cases of HIV / AIDS in Jinshan District in 2014 were male and female with a sex ratio of 6.25:1. The age ranged from 20 to 49 years, accounting for 75.00%. The main source for the detection and consultation accounted for 52.59%, followed by other visits accounted for 47.41%. Transmission of sexual transmission accounted for 99.14%, of which 65.52% were same-sex transmission, heterosexual transmission accounted for 33.62%. Newly reported HIV / AIDS CD4 + T lymphocytes <200 / ml accounted for 48.67%. CD4 + T lymphocytes in AIDS group were lower than those in HIV-infected group. Conclusion In 2014, the newly reported HIV / AIDS in Jinshan district was dominated by young men and women. Sexual transmission was the main route of infection. As the disease progressed, CD4 + T lymphocytes continued to decrease. The intervention of high-risk groups should be expanded and mobilization testing should be carried out to achieve the purpose of early detection and early treatment, and effective control of AIDS epidemic.