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对甘肃省艾滋病(AIDS)网络直报信息系统中1993年1月至2013年4月报告的甘肃省308例死亡病例的生存时间、CD4+T淋巴细胞数、样本来源及死因等信息进行分析,从而为制定AIDS扩大检测以及其他防治策略提供参考依据。结果显示:308例艾滋病病毒(HIV)感染者/艾滋病(AIDS)患者确诊距死亡时间在半月内的97例(31.49%),在1年内的233例(75.65%);确诊后首次随访,接收CD4+T淋巴细胞检测的患者占35.06%(108例),其均值为125.64个/μl;治疗持续时间中位数为37d(1d~3.4年),治疗时CD4+T细胞的平均值为58.12个/μl;有CD4+T细胞检测结果者(108例)中直接判定为艾滋病者87例(80.56%);主要死因为艾滋病者140例(45.45%),其他死因中因呼吸系统疾病死亡者30例(9.74%),居首位。甘肃省晚期HIV/AIDS患者病死率很高,医务人员应主动对就诊者进行HIV检测咨询,提高对AIDS的诊疗水平。做到早期诊断是提高患者生存率的一项重要策略。
To analyze the survival time, the number of CD4 + T lymphocytes, the source of the samples and the cause of death of 308 deaths in Gansu Province reported from January 1993 to April 2013 in Gansu AIDS Network Information System. Which will provide a reference for the development of AIDS detection and other prevention and control strategies. The results showed that there were 97 cases (31.49%) of 308 HIV / AIDS patients diagnosed within half a month and 233 cases (75.65%) within one year after diagnosis. The patients were followed up for the first time after receiving the diagnosis CD4 + T lymphocyte test accounted for 35.06% (108 cases), the average was 125.64 / μl; the median duration of treatment was 37d (1d ~ 3.4 years), the average CD4 + T cell count was 58.12 / Μl; 87 (80.56%) were directly identified as AIDS patients (108 cases) with CD4 + T cell test results (108.56%); the main cause of death was 140 cases (45.45%) of AIDS deaths among other causes of death due to respiratory diseases 30 cases (9.74%), ranking the first place. In Gansu Province, there is a high case fatality rate among HIV / AIDS patients in the late period. Medical staff should take the initiative to conduct HIV testing and counseling for the patients and improve the diagnosis and treatment of AIDS. To achieve early diagnosis is an important strategy to improve patient survival.