220例获得性免疫缺陷综合征患者的肛肠疾病筛查分析  

Anorectal diseases screening of 220 patients with acquired immunodeficiency syndrome

作　　者：卿勇[1] 张毅[2] 苏琛[2] 陈竹 喻专容 袁巧[1] 褚宏飞[1] 李薇[4] 

机构地区：[1]成都肛肠专科医院肛肠皮肤科,成都市610017 [2]四川省中医药科学院,成都市610041 [3]成都市公共卫生临床医疗中心,成都市610066 [4]四川大学华西医院皮肤科,成都市610041

出　　处：《中华实验和临床感染病杂志（电子版）》2015年第6期18-20,共3页Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition)

基　　金：国家"十二五"科技重大专项(No.2013ZX10005001001)

摘　　要：目的研究获得性免疫缺陷综合征(AIDS)患者肛肠疾病的发病情况及其影响因素。方法对2015年3月13日~3月20日于四川省汉源县中医院、西昌市皮肤病防治站、布拖县医院、昭觉县医院及攀枝花市传染病医院就诊的220例AIDS患者进行肛门视诊、指检及镜检等肛肠专科检查,总结其肛肠疾病的发病情况,并分析患者发病率与年龄、性别、民族、吸毒及CD4^+T细胞计数的关系。结果220例AIDS患者中,肛肠疾病的发病率为92.7%(204/220),分别是痔疮179例(占87.7%)、肛周湿疹15例(占7.4%)、肛乳头纤维瘤18例(占8.8%)、肛门尖锐湿疣5例(占2.5%)、肛周毛囊炎3例(占1.5%)、肛裂4例(占2.0%)和肛瘘6例(占2.9%),部分患者合并两种及以上的肛肠疾病。AIDS患者肛肠疾病的发生与性别、年龄、民族、吸毒及CD4^+T细胞计数无显著相关性(P均>0.05)。结论 AIDS患者的肛肠疾病发病率高,且病种多样。因此,AIDS患者应重视定期肛肠专科检查,以早期诊断和治疗肛肠疾病。Objective To explore the morbidity and influence factors of anorectal diseases in patients with acquired immunodeficiency syndrome（AIDS）.Methods Total of 220 cases with AIDS from March 13 rd to March 20 th in 2015 in Sichuan Province Hanyuan County Hospital of traditional Chinese Medicine,Xichang People＇s Hospital,Butuo County Hospital and Panzhihua Infectious Diseases Hospital were examined by anorectal specialist examinations,while the morbidity and its relationship between age,gender,nationality,drug abuse and CD4~＋T cell count were analyzed,respectively.Results The morbidity of anorectal diseases in our study was 92.7%（204/220）,including haemorrhoids（179 cases,87.7%）,perianal eczema（15 cases,7.4%）,anal papilla fibroma（18 caese,8.8%）,anal condyloma acuminate（5 cases,2.5%）,anal folliculitis（3 cases,1.5%）,anal fissure（4 cases,2.0%） and anal fistula（6 caese,2.9%）.Some patients suffered from multiple anorectal diseases.There was no significant relationship between the morbidity of anorectal diseases in patients with AIDS and age,gender,nationality,drug abuse and CD4^＋ T cell count（P all 〉0.05）.Conclusions The morbidity of anorectal diseases in AIDS patients is high,including multiple lesions.Thus,patients with AIDS should be paid attention on regular anorectal specialist examinations,which is important for early diagnosis and treatment of anorectal diseases.

关 键 词：获得性免疫缺陷综合征 肛肠疾病 发病率 影响因素 

分 类 号：R593.2[医药卫生—内科学] R574[医药卫生—临床医学]