大理市接受HAART的老年HIV/AIDS病人流行病学特征  

Epidemiological Characteristics of Elderly HIV/AIDS Patients Treated with HAART in Dali

作　　者：李洪柳 张建波 罗慧 周旭英 韩婷婷 申元英 Li Hongliu;Zhang Jianbo;Luo Hui;Zhou Xuying;Han Tingting;Shen Yuanying(College of Public Health,Dali University,Dali,Yunnan 671000,China;Department of Dermatology and Venereal Diseases,The Second People's Hospital of Dali City,Dali,Yunnan 671003,China;Pre-clinical College,Dali University,Dali,Yunnan 671000,China)

机构地区：[1]大理大学公共卫生学院,云南大理671000 [2]大理市第二人民医院皮肤性病科,云南大理671003 [3]大理大学基础医学院,云南大理671000

出　　处：《大理大学学报》2020年第8期74-78,共5页Journal of Dali University

基　　金：国家自然科学基金项目(81641095)。

摘　　要：目的:了解大理市初治年龄≥50岁的HIV/AIDS病人的流行特征,分析此类病人的相关特点,为制定防治措施提供科学依据。方法:通过艾滋病综合防治信息系统收集病人的病例资料,描述其流行特征,主要包括基线资料、治疗效果以及失访情况等。结果:2005-2018年病例报告中显示初治年龄≥50岁的HIV/AIDS病人中目前正在接受治疗的有136例,其中男性为92例(67.65%),女性为44例(32.35%),老年病人在全年龄段病人中的比例逐年上升,到2018年的1-6月已达到12.99%,传播途径主要以性传播为主,共有126例(92.65%),患者多为白族,有88例(64.71%),老年HIV/AIDS病人的抗病毒治疗效果低于非老年病人;老年HIV/AIDS病人死亡27例,且死于非HIV/AIDS相关疾病的比例较高为59.26%;失访老年HIV/AIDS病人17例,主要传播途径为性传播。结论:针对这一特殊人群,要扩大对于老年HIV/AIDS病人的筛查,积极开展老年HIV/AIDS病人的随访工作。Objective:To understand the epidemiological characteristics of HIV/AIDS patients who accepted initial treatment aged over 50 in Dali,and analyze the relevant characteristics of such patients,so as to provide scientific basis for the formulation of prevention and control measures.Methods:The Comprehensive AIDS Prevention and Control Information System was used to collect the case data of patients and describe the epidemic characteristics,including baseline data,treatment effec and loss of follow-up.Results:From 2005 to 2018,136 HIV/AIDS patients who accepted initial treatment aged over 50 were treated,including 92(67.65%)males and 44(32.35%)females.The proportion of elderly patients in the whole age group increased year by year,reaching 12.99%from January to June 2018.Sexual transmission was the main route of transmission with 126(92.65%)cases.Most of the patients were Bai ethnic group with 88 cases(64.71%).The antiviral effec of elderly HIV/AIDS patients was lower than that of non-elderly patients.27 elderly HIV/AIDS patients died and they had a higher proportion of deaths from non-HIV/AIDS diseases which account for 59.26%.The main transmission route of 17 elderly HIV/AIDS patients lost to follow-up was sexual transmission.Conclusion:For this special population,the screening of elderly HIV/AIDS patients should be expanded and the follow-up work of elderly HIV/AIDS patients should be carried out actively.

关 键 词：老年病人 人类免疫缺陷病毒感染者/艾滋病病人 高效抗逆转录病毒治疗 

分 类 号：R512.91[医药卫生—内科学]