广西某口腔医院37例患者抗-HIV阳性结果分析  

Analysis on 37 cases Anti-HIV positive individuals from certain hospital of stomatology in Guangxi province

作　　者：李润英[1] 陶人川[1] 陈桂英[2] 

机构地区：[1]广西医科大学附属口腔医院牙周黏膜科,广西南宁530021 [2]广西医科大学附属口腔医院医务科,广西南宁530021

出　　处：《临床口腔医学杂志》2013年第4期241-243,共3页Journal of Clinical Stomatology

基　　金：国家自然科学基金资助(03101208015)

摘　　要：目的：收集广西医科大学附属口腔医院（简称口腔医院）近年就诊患者中抗-HIV阳性检出情况，以期提高口腔临床医生对HIV感染防范意识，促进HIV感染的早期诊断。方法：收集整理2001年1月-2012年6月，口腔医院门诊及住院患者中检出抗-HIV阳性者基本信息进行统计分析。结果：检出抗-HIV阳性患者37例，2007年前每年仅有1例报道，2007年后增多，其中2009年最多，为9例，年龄分布从3个月～79岁，以31—50岁年龄段为主，门诊主由牙周黏膜科首诊，主临床表现为口腔念珠菌病，其余病例由口外病房报告，多数因外伤、肿瘤等疾病进行辅助检查时检出。结论：口腔医院就诊患者中抗-HIV阳性者有上升趋势，但是因为非普查筛选，测算只有少部分患者被检出。提示口腔医护人员应提高对HIV相关早期临床表现的认识，加强就医患者的HIV抗体检测，及早发现感染者和病人，降低职业暴露的风险。Objective：To analyze the anti-HI~ positive individuals from Hospital of Stomatology affiliated to Guangxi Medical University （COSGXMU） in recent years,in order to improve the awareness of prevention from HIV infection for oral clinician,the early diagnosis of HIV infection as well. Method：Data and informations of the anti-HIV positive individuals in out-patients and in-patients of COSGXMU from January 2001 to June 2012 were collected and analyzed. Result：During this period,37 anti-HIV positive individuals were reported in total. From 2001 to 2006,only one case was reported every year,and more positive individuals since 2007,with a maximum of 8 in 2009. The age ranges from three months to seventy-nine years old,and 31-50 year age group was the largest. The anti-HIV positive individuals in out-patients were reported by the de- partment of Periodontics and oral medicine with diagnosed of oral candidiasis,the remaining were reported through auxiliary examination due to trauma,tumor by Oral and Maxillofacial Surgery department. Conclusion：In COSGXMU,the number of the anti-HIV positive patients was an upward trend recent years,however,because of the screening of non-census,only a small part of anti-HIV positive individuals were reported. It suggested that oral health care workers should raise awareness of the early oral manifestations of HIV,strengthen the HIV-test for patients,to make sure the HIV//AIDS to be diagnosed and treated earlier,as well as to reduce the risk of occupational exposure.

关 键 词：抗-HIV抗体 口腔疾病 牙科门诊 

分 类 号：R781.5[医药卫生—口腔医学]