老年艾滋病住院患者的临床分析  

Clinical analysis of elderly AIDS inpatients

作　　者：沈扬林 李孟英[1] 谭可平[1] 

机构地区：[1]中国人民解放军第303医院感染科,南宁530021

出　　处：《中国社区医师》2018年第4期65-65,67,共2页Chinese Community Doctors

摘　　要：目的:探讨老年艾滋病住院患者的临床情况。方法:收治老年艾滋病住院患者54例作为研究组,收治年轻艾滋病住院患者54例作为参照组,比较两组临床资料、病史、住院原因、机会感染。结果:两组传播途径、住院天数、死亡例数及病情好转例数差异无统计学意义(P>0.05);入院CD4细胞平均数,研究组少于参照组(P<0.05)。导致患者住院的主要因素是机会性感染;药物导致肝、肾及骨髓受损,肿瘤、机会性感染、糖尿病、心脑血管疾病因素对比,两组差异有统计学意义(P<0.05)。结论:老年艾滋病患者以性途径感染的较多,导致住院的主要因素是机会性感染,实施抗病毒治疗的老年艾滋病患者的药物所致肝、肾功能损伤多于年轻艾滋病患者。Objective:To explore the clinical analysis of elderly AIDS inpatients.Methods:54 elderly AIDS patients were selected as the study group,and 54 young AIDS patients were selected as the reference group.We compared the clinical data,medical history,hospitalization reasons and opportunistic infections between groups.Results:There was no significant difference between groups in the transmission routes,length of stay,death and the number of patients with improvement(P>0.05).The average number of CD4 cells in the study group was lower than that in the reference group(P<0.05).Opportunistic infection was the main factor leading to hospitalization.In the drug induced liver,kidney and bone marrow damage,tumor,opportunistic infection,diabetes,cardiovascular and cerebrovascular diseases,and the differences between groups were statistically significant(P<0.05).Conclusion:Elderly patients with AIDS were mainly infected by sexual tract.The main cause of hospitalization was opportunistic infection.The drug induced liver and kidney function impairment in elderly patients with AIDS was higher than that of young AIDS patients.

关 键 词：艾滋病 老年 住院患者 

分 类 号：R512.91[医药卫生—内科学]