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目的了解遵义市1995—2014年HIV/AIDS的死亡相关因素。方法下载HIV/AIDS历史卡片,分析死亡病例的人口学特征、存活时间等。结果遵义市共620例死亡病例,病死率为22.56%,其中异性传播病例占80.00%,死亡和存活者检测CD4+T淋巴细胞和接受抗病毒治疗比例存在明显差异,病死率随着CD4+T淋巴细胞水平的上升而下降(χ2=524.65,P<0.05);主要死因分析显示,艾滋病无关死亡占50.97%。结论遵义市HIV/AIDS死亡病例的感染途径以异性传播为主,CD4+T淋巴细胞检测和抗病毒治疗有助于降低HIV/AIDS的病死率,对有自杀倾向的人群,应进行心理干预,促进减少病死率。
Objective To understand the death related factors of HIV / AIDS in Zunyi from 1995 to 2014. Methods HIV / AIDS history cards were downloaded and the demographic characteristics of deaths, survival time and so on were analyzed. Results A total of 620 deaths were reported in Zunyi City. The case fatality rate was 22.56%, of which 80.00% were heterosexual transmission cases. There was a significant difference in the proportion of CD4 + T lymphocyte count between the death and survivors and the rate of receiving antiviral therapy. Lymphocyte levels increased and then decreased (χ2 = 524.65, P <0.05). The analysis of the major causes of death showed that AIDS-related deaths accounted for 50.97%. Conclusion The HIV / AIDS deaths in Zunyi City are mainly transmitted by heterosexual transmission. CD4 + T lymphocyte detection and antiviral therapy can reduce the mortality rate of HIV / AIDS. Psychological intervention should be carried out in those who are prone to suicide. Promote reduction of fatality rate.