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目的了解老年群体艾滋病临床特征,为老年群体艾滋病防治提供科学依据。方法对商丘市一艾滋病定点医院2006～2010年间诊治的62例老年艾滋病病例进行回顾性分析。结果 62例病例占该院接诊艾滋病病人的15.6%,经血液传播途径感染43例,经性接触传播感染9例;91.94%的病例出现一种以上的症状,具有两种以上的症状者占80.65%;合并卡氏肺孢子原虫、白色念珠菌和结核分枝杆菌感染分别占40.32%、62.90%和9.68%。结论老年艾滋病感染主要以血液途径为主,临床表现多样,常伴有机会性感染发生;加强宣传教育和社会关怀能有效预防老年艾滋病的发生。
Objective To understand the clinical features of AIDS in the elderly and to provide a scientific basis for the prevention and treatment of AIDS in the elderly. Methods A retrospective analysis of 62 elderly AIDS cases diagnosed and treated between 2006 and 2010 in a designated AIDS hospital in Shangqiu City was conducted. Results 62 cases accounted for 15.6% of patients receiving AIDS in the hospital, 43 cases were infected by blood transmission, 9 cases were spread by sexual contact, 91.94% cases showed more than one symptom, more than two symptoms 80.65% respectively. The infection rates of Pneumocystis carinii, Candida albicans and Mycobacterium tuberculosis were 40.32%, 62.90% and 9.68% respectively. Conclusion The elderly mainly have blood-based HIV infection. Their clinical manifestations are diverse and often accompanied by opportunistic infections. Strengthening publicity, education and social care can effectively prevent the occurrence of AIDS in the elderly.