门诊肺结核病人中筛查HIV感染病例的研究  

Research on screening cases of double infection of TB and HIV in clinical TB patients

作　　者：黎国形[1] 林定文[2] 陈春红[1] 汤卓[1] 李春坚[3] 

机构地区：[1]南宁市第四人民医院,南宁530023 [2]广西壮族自治区疾病预防控制中心,南宁530012 [3]广西医科大学,南宁530021

出　　处：《中国防痨杂志》2008年第5期445-448,共4页Chinese Journal of Antituberculosis

摘　　要：目的调查门诊肺结核病人HIV感染情况,了解结核病与艾滋病双重感染的相关性。方法对2003—2006年门诊确诊的2074例肺结核病人进行HIV检测,访谈吸毒史、治游史、输血献血史。HIV阳性者进行CD4和CD8淋巴细胞计数和结核菌素(PPD)试验。结果肺结核与HIV/AIDS双重感染率为4.5%,其中男性为6.8%,女性为0.3%,平均增长速度24.3%,20~40岁年龄组占95.7%。HIV感染者中97.9%来源吸毒,2.1%来源于夫妻性生活。吸毒肺结核病人中HIV阳性率49.2%,是单纯吸毒人群HIV感染率的3.4倍。CD4/CD8均小于1,平均为0.261。PPD试验阴性率为66.6%。结论广西南宁市结核病与艾滋病双重感染疫情快速蔓延,吸毒肺结核病人是筛查和防治HIV/AIDS的主要高危对象。Objective To research the HIV infection among clinical TB patients, in order to understand the relativity of TV and HIV double infection. Methods HIV test on 2074 clinically confirmed TB cases found from 2003 to 2006 were conducted, focus discussion on drug use history, frequent brothels, blood transfusion or donation history were interviewed. For the HIV positive cases, CD4 and CD8 Lymphatic Cell counts were done as well as PPD test. Results The double infection rate of TV and HIV/AIDS was 4.5%,and it was ...

关 键 词：结核 肺/并发症 HIV/AIDS 

分 类 号：R521[医药卫生—内科学]