凉山州2011年艾滋病病例CD_4细胞检测情况分析  

Analysis of the CD_4 testing of HIV/AIDS cases in Liangshan Prefecture in 2011

作　　者：黑发欣[1] 龚煜汉[2] 李崇行[2] 边仕超[2] 马兆瑾[2] 李洋亚[2] 王亮[1] 刘鹏[1] 刘中夫[1] 

机构地区：[1]中国疾病预防控制中心性病艾滋病预防控制中心,北京102206 [2]凉山州疾病预防控制中心,四川凉山615000

出　　处：《中国艾滋病性病》2013年第2期96-99,106,共5页Chinese Journal of Aids & STD

基　　金：中国-默沙东艾滋病合作项目(基金号640701)~~

摘　　要：目的分析2011年凉山州艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(简称HIV/AIDS病例)的CD4细胞检测情况,为提高工作质量及经费使用效益提供科学依据。方法在"艾滋病综合防治数据信息管理系统"中下载2011年凉山州的历史卡片,按照病例是否死亡及疾病状态分类,分析2011年随访病例的CD4检测情况。结果 2011年凉山州随访病例的CD4检测比例为55.9%,检测人次数比2010年增长56.5%。其中存活的HIV病例完成1次CD4检测的比例为49.2%,存活的AIDS病例完成2次CD4检测的比例为58.5%,未治疗的AIDS病例按照国家要求完成2次CD4检测的比例为31.6%,在治的AIDS病例按照国家要求完成2次CD4检测的比例为93.0%,死亡的HIV病例CD4检测的比例为8.1%,死亡的AIDS病例CD4检测的比例为44.0%。CD4重复检测的占全年检测总人次数的20.2%。CD4<350/mm3 HIV/AIDS病例的抗病毒治疗覆盖率为64.9%。结论凉山州HIV/AIDS病例CD4检测工作取得显著成效,检测人次数增长迅速,在治的AIDS病例检测完成率超过国家考评标准23.0%。但仍存在检测比例较低、重复检测及治疗覆盖率较低等方面的问题。在今后的工作中,应避免重复检测,努力提高检测的比例及治疗覆盖率。Objective To analyze CD4 testing of HIV/AIDS （human immunodeficiency virus/acquired immunodeficiency syndrome） cases in Liangshan Prefecture in 2011, and to provide scientific evidence for the improvement of the quality of work and funding efficiency. Methods Data were collected about CD4 testing of HIV / AIDS followup cases in Liangshan Prefecture in 2011 from ＂Chinese National Comprehensive HIV/AIDS Prevention and Care Information System＂, and were analyzed in accordance with the status of case survived and disease development. Resuits The proportion of CD4 testing of HIV/AIDS follow-up cases in Liangshan Prefecture in 2011 was 55.8%. The number of CD4 testing increased by 56.5% compared to that in 2010. The proportion of one CD4 test completion in the survived HIV cases was 49.2%, and that of two CD4 tests in the survived AIDS cases was 58.5%; the proportion of completing two CD4 tests in untreated AIDS cases was 31.6 % ; the proportion of completing two CD4 tests among treated AIDS cases was 93.0% the proportion of CD4 testing of deceased HIV cases was 8.1 % the proportion of CD4 testing of deceased AIDS cases was 44.0 %. Repeated CD4 testing accounted for 20.2%of the total annual testing number. The coverage of antiretroviral treatment of HIV/AIDS cases with CD4 less than 350/mm3 was 64.9%. Conclusion CD4 testing of HIV/ AIDS cases in Liangshan Prefecture achieved remarkable outcome, detection number grow rapidly, completion rate of CD4 testing of treated AIDS cases exceeds 23.0%of the national evaluation standard. However, repeated and unnecessary detection should be avoided, detection rate should be improved further and treatment coverage should be enlarged.

关 键 词：艾滋病 CD4检测 分析 

分 类 号：R512.91[医药卫生—内科学]