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目的分析柳州市艾滋病(HIV/AIDS)感染者和病人的死亡情况,以规范死亡原因报告,改进防治措施,降低病死率。方法对我市2010年1月1日-2011年7月31日间的668例艾滋病死亡病例死亡原因进行回顾性调查分析。结果有1例死亡病例误报,实际为667例死亡病例,以男性、青壮年、异性性途径传播、农民/家政家务待业人员为主,72.56%死于艾滋病相关疾病,17.54%死于非艾滋病相关病例,5.40%死于意外情况,其余4.50%为不详。死亡病例中47.68%进行了CD4检测,其中CD4<50个/μl占46.23%,存活时间多在1年以内。结论晚发现、晚治疗是导致死亡的主要原因,歧视、经济条件差等多种因素导致晚发现、晚治疗及意外死亡,应制定有效措施促进检测和治疗,并进一步提高随访质量和规范死亡报告程序。
Objective To analyze the deaths of HIV / AIDS patients and patients in Liuzhou City, so as to standardize the report of the cause of death, improve the prevention and treatment measures and reduce the mortality rate. Methods A retrospective analysis was conducted on the causes of death of 668 AIDS deaths in our city from January 1, 2010 to July 31, 2011. Results A total of 667 deaths were reported as false positives, including male, young, heterosexual transmission. The majority of peasants / domestic workers were unemployed, 72.56% died of AIDS-related diseases and 17.54% died of non-AIDS Related cases, 5.40% died of unexpected conditions, the remaining 4.50% unknown. 47.68% of the deaths were detected by CD4, in which CD4 <50 cells / μl accounted for 46.23% and the survival time was more than 1 year. Conclusion Late discovery and late treatment are the main causes of death, discrimination, poor economic conditions and other factors lead to late detection, late treatment and accidental death, should develop effective measures to promote detection and treatment, and to further improve the quality of follow-up and standardize the death report program.