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目的探讨综合性医院艾滋病(AIDS)的流行特点。方法收集1997年8月-2008年12月在深圳市人民医院确诊的人类免疫缺陷病毒感染者/艾滋病患者(HIV/AIDS)病历资料进行描述性流行病学分析。结果2007年AIDS发病率为0.938/10万,比最低年份(1999年)增加11.9倍,平均增幅278.9%,经Cox-stuarrt检验,发病呈上升趋势(z=-3.532,n=5,P<0.01)。60例(83.3%)为AIDS现患者(其中2例是住院前通过接受免费抗HIV检测发现),12例(18.1%)HIV感染者中妇产科7例和外科2例HIV常规初筛(75%)及内科3例(25%)查因发现。曾在私立医院诊治有34例(62.5%),35例(64.8%)发病至住院多见于1-3月,尚有10例是第2次及以上住院确诊。2008年入院当天初筛率为88.9%,比2008年之前增加43.3%(P<0.05)。结论对高危险人群通过社区参与,确实地开展宣传教育及AIDS免费咨询及检测。继续提高诊断率。
Objective To explore the epidemiological characteristics of AIDS in general hospitals. Methods A descriptive epidemiological analysis of HIV / AIDS patient record data collected from Shenzhen People’s Hospital from August 1997 to December 2008 was collected. Results The incidence of AIDS in 2007 was 0.938 / lakh, an increase of 11.9 folds over the lowest year (1999) with an average increase of 278.9%. The incidence of Cox-stuarrt showed a rising trend (z = -3.532, n = 5, P < 0.01). Sixty patients (83.3%) were HIV-positive patients (two of them were found to have received anti-HIV test before hospitalization), 7 obstetrics and gynecology patients (12.1% 75%) and medical 3 cases (25%) Charlie found. There were 34 cases (62.5%) diagnosed and treated in private hospitals, 35 cases (64.8%) were hospitalized more frequently in January to March, and 10 cases were diagnosed as second or more inpatients. On the day of admission in 2008, the screening rate was 88.9%, an increase of 43.3% compared with that before 2008 (P <0.05). Conclusions Community-based interventions for high-risk groups have been carried out without any counseling and testing. Continue to improve the diagnostic rate.