云南省616例艾滋病病毒感染者死亡报告的临床表现分析  

Analysis of clinical Manifestations and Cause of Death in People Living with HIV/AIDS in Yunnan Province

作　　者：余惠芬[1] 张小波[1] 安小静[1] 程何荷[1] 张家鹏[1] 马艳玲[1] 张勇[1] 李徽[1] 张光彩[1] 杨朝军[1] 潘颂锋[1] 王文新[1] 黎明[2] 

机构地区：[1]云南省疾病预防控制中心,昆明650022 [2]昆明医学院

出　　处：《中国性病艾滋病防治》2002年第4期231-233,共3页Chinese Journal of Std & Aids Prevention and Control

摘　　要：目的 通过分析云南省艾滋病病毒(HIV)感染者死亡报告的临床表现和死因,为HIV感染者的关怀提供参考。方法 用EPI软件进行资料的输入和数据处理。结果 ①报告死亡数呈逐年上升趋势。②在616例HIV感染死亡者中.354例具有死亡报告中所列的主要症状,进行性体重下降占95.2％(337/354),持续发热占72.3％(256/354),持续腹泻占51.1％(181/354)。③在290例具有次要临床表现的HIV感染死亡者中,持续性咳嗽占79.3％(230/290),口腔白色念珠菌感染占25.2％(73/290),持续性全身淋巴结肿大占19.3％(56/290),全身多形性皮疹占12.1％(35/290)。④在106例具有特殊临床表现的HIV感染死亡者中,结核病占54.7％(58/106),神经系统病变占44.3％(47/106)。此外,报告的HIV感染死亡者,一般情况较差.具有乏力、纳差、极度消瘦乃至恶病质,占死亡者报告的占87.4％(188/215)。⑤艾滋病(AIDS)和疑似AIDS是HIV感染者的主要死因,占57.8％(356/616);吸毒过量占20.6％(127/616),艾滋病相关综合征(ARC)和非疾病因素(自杀、意外伤害和打架)分别占了6.0％(37/616)和6.3％(39/616)％;1.5％(9/616)死于疟疾、注射假毒品和引产。有63.3％(390/616)的HIV感染者在诊断为HIV感染或AIDS时已经死亡。81.1％(353/435)的HIV感染者死于家中,4.6％(20/435)Objective Providing useful information for HIV/AIDS treatment and care by analysing clinic manifestations and cause of death in people with HIV/AIDS. Method Using EPI software for data importing and statistic analysis. Results ( 1) The reported number of HIV/AIDS deaths was increasing year by year. (2)Among 616 HIV/AIDS deaths, 354 were reported to have the main clinic manifestations such as persistent weight loss, fever and diarrhea, and their consistency ratios were 95.2% (337/354), 72.3% (256/354) and 51.1 % (181/354)respectively. (3)There were 290 HIV/AIDS deaths who were reported to have the secondary clinical manifestations such as persistent cough, thrush, persistent generalized lymphadenopathy and generalized dermatosis, and their consistency ratios were 79.3%(230/290),25.2%(73/290), 19.3% (56/290)and 9.3% (17/290) respectively. (4)Among the special diseases listed on the death report form, tuberculosis and neurological diseases amounted to 54.7%(58/106)and 44.3%(47/106)respectively;in addition,generalized manifestations such as weariness, tasteless and wasting were common among HIV/AIDS deaths. (5) AIDS was the main cause of HIV/AIDS death, which amounted to 58.1 % (356/616), and the next was drug, which amounted to 20.6%, (127/616)and AIDS related syndrome(ARS)and non~ disease cause such as suicide, accidents and violence amounted to 6.0% (37/616)and 6.4% (39/616), respectively, and the rest amounted to 1.5% (9/106), which included malaria, using false drug and induced labour. Among the total reported deaths, 63.3%(390/616)of them had died when they were diagnosed as HIV infection or AIDS.81.8% (353/435)of HIV infected people died at home, and only 4.6% (20/435)of them died in hospitals; 14.3% (62/435)of the rest died at other places;and places for 181 deaths were unknown.Conclusion HIV/AIDS deaths in Yunnan province is increasing year by year, and HIV infected people need care and treatment. Therefore, implementing anti-virus and anti-opportunistic infection treatment, strengthening health education an

关 键 词：云南 艾滋病 艾滋病病毒感染 死亡 临床表现 死亡原因 AIDS 

分 类 号：R512.91[医药卫生—内科学]