宜昌市HIV/AIDS患者糖尿病高血压肺结核共病现况  

Multimorbidity of diabetes mellitus,hypertension,and pulmonary tuberculosis among HIV/AIDS patients in Yichang

作　　者：李芳芳 刘建华[1] 张皓[1] 田雨[1] 雷雯[1] 鲁芳芳[1] 赵鑫[1] 王蕾[1] 魏婷[1] LI Fangfang;LIU Jianhua;ZHANG Hao;TIAN Yu;LEI Wen;LU Fangfang;ZHAO Xin;WANG Lei;WEI Ting(Yichang City Center for Disease Control and Prevention,Yichang 443005,Hubei,China)

机构地区：[1]宜昌市疾病预防控制中心,湖北宜昌443005

出　　处：《中国艾滋病性病》2023年第10期1130-1134,共5页Chinese Journal of Aids & STD

基　　金：2022年度宜昌市医疗卫生研究项目(A22-2-077)。

摘　　要：目的分析宜昌市HIV/AIDS患者糖尿病、高血压、肺结核共病情况,探索优化HIV/AIDS患者共病基层防治健康管理模式。方法收集1995-2022年报告现住址为宜昌市且2015年1月1日后依然存活的HIV/AIDS患者资料,运用宜昌市全民健康信息平台查询HIV/AIDS患者在门急诊或住院期间诊断为糖尿病、高血压、肺结核的信息进行分析。结果1740例HIV/AIDS患者中有215例被诊断为高血压、糖尿病、肺结核其中1种或2种,共病占比为12.36%。共病其中1种疾病者182人(10.46%);共病其中2种疾病者33人(1.90%)。不同年龄、最近一次CD4细胞计数的HIV/AIDS患者中,共病占比、存在1种、2种共病的占比差异均有统计学意义(P<0.05)。其中45岁及以上,最近一次CD4细胞计数为200~499个/μL的HIV/AIDS患者存在共病情况的占比较多。存在1种共病情况的HIV/AIDS患者中,不同年龄、文化程度共患高血压的占比差异有统计学意义(P<0.05);存在2种共病情况的HIV/AIDS患者中,不同年龄共患高血压+糖尿病的占比差异有统计学意义(P<0.05);不同文化程度共患高血压+肺结核的占比差异有统计学意义(P<0.05)。结论宜昌市HIV/AIDS患者糖尿病、高血压、肺结核共病率较高,可能受到年龄、文化程度、CD4细胞计数影响,提示需深入开展共病的影响因素研究分析,以便开展随访、干预、健康管理提高患者生存质量。Objective This study aimed to analyze the prevalence of diabetes mellitus,hypertension,and pulmonary tuberculosis among HIV/AIDS patients in Yichang City and to explore and optimize a health management model for preventing and treating multimorbidity of HIV/AIDS patients at the grassroots level.Methods Data were collected from HIV/AIDS patients reported between 1995 and 2022 who had remained alive after January 1,2015 and were currently residing in Yichang City.The diagnoses of diabetes mellitus,hypertension,or tuberculosis for HIV/AIDS patients in outpatient clinic,emergency department,or during hospitalization were analyzed using the Yichang National Health Information Platform.Results Among 1740 HIV/AIDS patients,215 were diagnosed with one or two conditions of hypertension,diabetes mellitus,and pulmonary tuberculosis,and the proportion of multimorbidity was 12.36%.There were 182 patients(10.46%)with one condition,and 33(1.90%)with two conditions.Among HIV/AIDS patients with different age levels and the latest CD4 counts,there were statistically significant differences in the proportion of patients with multimorbidity,the proportion of patients with one condition,and the proportion of patients with two conditions(P<0.05).Among them,HIV/AIDS patients aged 45 and above whose latest CD4 count was 200-499 cells/μL had a relatively high incidence of multimorbidity.Among HIV/AIDS patients with one multimorbid condition,there were significant differences in the proportion of hypertension among different age groups and educational levels(P<0.05).Among HIV/AIDS patients with two multimorbid conditions,there were significant differences in the proportion of hypertension+diabetes mellitus among different age groups(P<0.05).Moreover,there were also significant differences in the proportion of hypertension+pulmonary tuberculosis among different educational levels(P<0.05).Conclusions The multimorbidity rate of diabetes mellitus,hypertension,and pulmonary tuberculosis among HIV/AIDS patients in Yichang City was high,which m

关 键 词：艾滋病病毒感染者/艾滋病患者 糖尿病 高血压 肺结核 共病 

分 类 号：R512.91[医药卫生—内科学] R373.9[医药卫生—临床医学]