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目的了解天津市男男同性性行为者(简称男同)中艾滋病病毒感染者和病人(简称HIV/AIDS)的生存时间及影响因素。方法统计2004-2014年全国艾滋病防治信息系统中天津市报告的男同HIV/AIDS,运用寿命表法和Kaplan-Meier方法计算生存时间及各年生存率,运用单因素及多因素COX回归方法对生存时间的影响因素进行相关分析。结果 1 789例男同HIV/AIDS,平均生存时间为128.74个月,1、3、5、10、11年累计生存率分别为91%、88%、86%、79%和79%;多因素COX回归分析提示抗病毒治疗、首次CD4~+T淋巴细胞计数和病例来源均是影响生存时间的因素。结论早发现、早治疗能够明显提升男同HIV/AIDS的生存时间,需进一步加强医疗机构病例的早期发现,同时应尽早地开展抗病毒治疗。
Objective To understand the survival time and influencing factors of HIV-infected and patients (abbreviated as HIV / AIDS) in male and female sex workers in Tianjin. Methods Statistics on HIV / AIDS-related HIV / AIDS reported in Tianjin from 2004 to 2014 were used to calculate survival time and survival rate by life table method and Kaplan-Meier method. Single-factor and multivariate COX regression methods were used Survival time of the influencing factors were analyzed. Results The average survival time of 1 789 HIV / AIDS patients was 128.74 months. The cumulative survival rates at 1, 3, 5, 10 and 11 years were 91%, 88%, 86%, 79% and 79% COX regression analysis suggested that antiviral therapy, the first CD4 ~ + T lymphocyte count and source of cases are the factors that affect the survival time. Conclusion Early detection and early treatment can obviously improve the survival time of male HIV / AIDS patients. It is necessary to further strengthen the early detection of medical institution cases and carry out antiviral therapy as soon as possible.