广西某市2015年HIV/AIDS死亡病例特征分析  

Characteristics of HIV/AIDS death cases in a city of Guangxi Province,2015

作　　者：农丽萍[1] 农全兴[1] 姚敏[1] 李斯斯[1] 孙恒[1] 徐红[1] 邓小芳[1] 覃威翱 林倩[1] NONG Li-ping NONG Quan-xing YAO Min LI Si-si SUN Heng XU Hong DENG Xiao-fang QIN Wei-ao LIN Qian(Nanning Municipal Center for Disease Control and Prevention, Nanning, Guangxi 530023, Chin)

机构地区：[1]广西南宁市疾病预防控制中心,广西南宁530023

出　　处：《实用预防医学》2017年第5期614-616,共3页Practical Preventive Medicine

摘　　要：目的探讨广西某市艾滋病病毒(HIV)感染者和艾滋病(AIDS)病人的死亡原因,以便有针对性地采取措施降低病死率。方法对国家艾滋病综合防治信息系统中广西某市2015年报告的HIV/AIDS病人死亡报告个案资料进行分析。结果 2015年广西某市共报告死亡病例586例,其中,HX、BYX、LAX居于前3位,占55.97%;男性占83.96%,女性占16.04%;50岁及以上年龄段占69.97%;初中及以下文化程度占90.96%;农民占71.16%;异性传播占83.28%;病死率为5.29%;死因属于与艾滋病疾病相关症状死亡占18.60%,其他疾病死亡占72.53%,意外伤害占8.53%,无法判断死因占0.34%;62.63%未接受过抗病毒治疗;89.93%做了CD4检测,接受CD4检测病例中,60.72%的病例CD4<200个/μl;48.64%在确证后1年内死亡,存活>2年的仅占36.5%。结论死亡病例主要集中在农村初中以下文化50岁以上男性病例,晚发现、较晚接受抗病毒治疗甚至不接受抗病毒治疗是HIV/AIDS病人死亡的主要原因。要进一步建立健全监测检测和治疗体系,提高覆盖面和可及性,争取HIV/AIDS病人,特别是死亡病例数居于前3位县的中老年病人,早发现和及时治疗,是降低病死率的最重要手段。Objective To explore the causes of death of HIV-infected persons and AIDS patients in a city of Guangxi Province so as to take targeted measures for reducing the mortality rate. Methods We analyzed the data of HIV/AIDS death cases selected from the National AIDS Comprehensive Prevention and Control Information System and reported by a city of Guangxi Prov- ince in 2015. Results A total of 586 death cases were reported in this city of Guangxi Province in 2015, of which the top 3 counties with the death cases were HX, BYX and LAX, accounting for 55.97%. Male and female cases accounted for 83.96% and 16.04% respectively. The death cases aged 50 years and above, with junior middle school educational background or below, from rural areas and with heterosexual transmission accounted for 69.97%, 90.96%, 71.16% and 83.28% respectively. The mortality rate was 5.29%. The death cases caused by AIDS-related symptoms, other diseases and accidental injuries accounted for 18.60%, 72. 53% and 8.53% respectively, and the ones without clear death causes for 0.34%. 62.63% of the death cases did not receive antiviral therapy. 89.93% of the death cases received the CD4 count test, of which 60.72% cases＇ CD4 count was less than 200 eells/Ixl. 48.64% of the death cases died within 1 year after the confirmation, and the cases with survival time over 2 years only accounted for 36.5%. Conclusions Most of the death cases are the rural males aged above 50 years and with junior middle school educational background or below. The late discovery, later initiation of antiviral therapy and even no antiviral treatment are the main reasons for the death of HIV/AIDS patients. It is necessary to further establish and refine the monitoring, detection and treatment system, increase its coverage and accessibility and improve HIV/AIDS patients＇ active and constant treatment, especially the middle-aged and elderly patients from the top 3 counties with death cases. Early detection and timely treatment are the most important means of decreasing the mort

关 键 词：艾滋病 死亡原因 分析 

分 类 号：R512.91[医药卫生—内科学]