HIV/AIDS合并腹股沟疝患者病毒载量对手术效果、手术治疗时间的影响  

Effect of Viral Load on Surgical Outcomes and Treatment Time of HIV/AIDS Patients with Inguinal Hernia

作　　者：秦杰[1] 陶红光[1] 宗华[1] QIN Jie;TAO Hongguang;ZONG Hua(Shenzhen City the Third People's Hospital,Shenzhen,Guangdong 518112)

机构地区：[1]深圳市第三人民医院,广东深圳518112

出　　处：《智慧健康》2024年第35期60-62,共3页Smart Healthcare

摘　　要：目的分析人类免疫缺陷病毒(HIV)感染和获得性免疫缺陷综合征(AIDS)合并腹股沟疝患者病毒载量对手术效果、手术治疗时间的影响。方法选取2015年1月—2024年6月本院收治的HIV/AIDS合并腹股沟疝患者60例,根据患者病毒载量分为高病毒载量组(病毒载量≥500 copies/mL,35例)和低病毒载量组(病毒载量<500 copies/mL,25例)。观察患者术后疝复发情况、手术切口愈合情况及术后疼痛程度,记录患者手术时间、术后住院时间,观察患者术后并发症发生率。结果两组疝复发率比较,差异无统计学意义(P>0.05);低病毒载量组手术切口愈合率明显高于高病毒载量组,术后24 h VAS评分明显低于高病毒载量组(P<0.05)。高病毒载量组患者手术时间、术后住院时间均长于低病毒载量组(P<0.05)。低病毒载量组患者术后并发症发生率低于高病毒载量组,但两组差异无统计学意义(P>0.05)。结论HIV/AIDS合并腹股沟疝患者的病毒载量对手术效果及手术治疗时间有一定影响,临床应根据患者病毒载量制定个体化的治疗方案。Objective To analyze the effect of viral load on surgical outcomes and treatment time of patients with human immunodeficiency virus(HIV)infection and acquired immunodeficiency syndrome(AIDS)complicated with inguinal hernia.Methods The paper chose 60 HIV/AIDS patients with inguinal hernia in our hospital from January 2015 to June 2024,and divided them into the high viral load group(viral load≥500 copies/ml)of 35 cases and the low viral load group(viral load<500 copies/ml)of 25 cases based on viral load.Postoperative hernia recurrence,surgical incision healing and postoperative pain level was observed,surgical time and length of stay was recorded,incidence of postoperative complications was observed.Results There was no statistically significant difference in recurrence rate of hernias between two groups(P>0.05).Surgical incision healing rate in the low viral load group was significantly higher than the high viral load group,VAS scores at 24 hours after surgery were significantly lower than the high viral load group(P<0.05).Surgery time and postoperative length of stay of the high viral load group was longer than the low viral load group(P<0.05).Incidence of postoperative complications of the high viral load group was 16.00%,while that of the low viral load group was 5.71%.There was no significant difference in incidence of postoperative complications between two groups(P>0.05).Conclusion Viral load of HIV/AIDS patients with inguinal hernia can achieve some certain effect on surgical outcomes and treatment time.Clinically,individualized treatment plans should be developed based on viral load of patients.

关 键 词：HIV/AIDS 腹股沟疝 病毒载量 手术效果 手术时间 

分 类 号：R47[医药卫生—护理学]