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目的分析梧州市艾滋病病毒(HIV)感染者和艾滋病(AIDS)病人(简称HIV/AIDS)死亡情况。方法从“艾滋病综合防治信息系统”收集2013年12月31日前现住址为梧州市的HIV/AIDS死亡病例资料进行分析。结果截至2013年12月31日,梧州市累计报告1 132例HIV/AIDS死亡病例,累计病死率为29.83%(1 132/3 795);其中已参加抗病毒治疗187例(16.52%),未参加过治疗945例(83.48%);死亡病例确认阳性后1年内死亡的占47.00%(532/1 132);历年死亡病例的CD4+T淋巴细胞检测率呈逐年上升趋势(P<0.001),死亡前最近一次CD4+T淋巴细胞≤200个/μL占69.14%(392/567)。结论晚发现现象严重是导致HIV/AIDS病死率较高的主要原因,做到早发现,早治疗,进一步扩大抗病毒治疗覆盖率,才能有效降低本市的HIV/AIDS病死率。
Objective To analyze the death of HIV-infected persons and AIDS patients (referred to as HIV / AIDS) in Wuzhou city. Methods The data of deaths from HIV / AIDS in Wuzhou before December 31, 2013 were collected from the Integrated AIDS Prevention and Control Information System. Results As of December 31, 2013, a total of 1 132 HIV / AIDS deaths were reported in Wuzhou City. The cumulative fatality rate was 29.83% (1 132/3 795). Among them, 187 cases (16.52%) had been treated with antiviral therapy, 945 cases (83.48%) participated in the treatment, and 47.00% (532/1 132) died within 1 year after the death was confirmed positive. The detection rate of CD4 + T lymphocytes in the death cases increased year by year (P <0.001) The last CD4 + T lymphocyte count before death ≤ 200 / μL accounted for 69.14% (392/567). Conclusions The serious late-found phenomenon is the main reason leading to the high HIV / AIDS mortality rate. Early detection and early treatment can further reduce the HIV / AIDS mortality rate in this city by further expanding the coverage of antiviral therapy.