论文部分内容阅读
目的分析艾滋病患者的发病情况以及分布,加深临床医生对艾滋病分布状态的了解。方法对2005-2009年来四川省内江市第二人民医院门诊和住院患者进行抗-HIV抗体检测,男性16 212例,占60.4%;女性10 617例,占39.6%。平均年龄34岁(15~78岁)。采用ELISA法初筛,对抗-HIV抗体初筛阳性者的血清送四川省内江市疾病预防控制中心确诊。结果对26 829例进行抗-HIV筛查,确诊阳性者93例,其中男性49例,占52.7%;女性44例,占47.3%。抗-HIV阳性的检出率在手术前艾滋病检查、输血前艾滋病检查、产前检查、普通体检中分别为0.29%、0.27%、0.28%、0.28%,均低于高危人群(1.4%)。从HIV阳性科室分布分析,普通科门诊11/1542(0.36%)低于性病门诊13/3578(0.71%),内科住院患者18/6364(0.28%)、外科住院患者37/13 330(0.28%)低于感染科住院患者14/2015(0.69%),但抗-HIV阳性检出的总人数相近。结论艾滋病的发病由高危人群向普通人群转变明显,对普通人群常规进行抗-HIV检测很有必要。
Objective To analyze the incidence and distribution of AIDS patients and to enhance their understanding of the distribution of AIDS among clinicians. Methods Anti-HIV antibody was detected in the outpatients and inpatients of Second People’s Hospital of Neijiang City, Sichuan Province during 2005-2009, with 16 212 males (60.4%) and 10 617 females (39.6%). The average age is 34 years old (15 to 78 years old). Using ELISA screening, anti-HIV antibody screening positive sera sent to Neijiang City, Sichuan Province Center for Disease Control and diagnosis. Results A total of 26 829 cases were screened for anti-HIV. 93 cases were diagnosed as positive, including 49 males (52.7%) and 44 females (47.3%). The positive detection rate of anti-HIV was 0.29%, 0.27%, 0.28% and 0.28% in pre-operative AIDS test, pre-transfusion AIDS test, prenatal examination and general examination respectively, all of which were lower than those in high-risk group (1.4%). According to the distribution analysis of HIV-positive departments, 11 out of 1542 (0.36%) general outpatient clinics were lower than 13/3578 (0.71%) in STD clinics, 18/6364 (0.28%) in medical inpatients and 37/13 330 (0.28% ) Was lower than 14/2015 (0.69%) hospitalized patients in the Infectious Diseases, but the total number of anti-HIV positives was similar. Conclusion The incidence of AIDS is changing from the high-risk group to the general population. It is necessary to conduct routine anti-HIV testing in the general population.