本文選題：艾滋病治療患者 + 死亡現(xiàn)狀　； 參考：《現(xiàn)代預防醫(yī)學》2015年02期

【摘要】：目的掌握江西省接受抗病毒治療的成年艾滋病患者的死亡現(xiàn)狀及影響因素,提出適合的防艾措施,為提高江西省艾滋病抗病毒治療工作的效果提供參考依據(jù)。方法對江西省所有2004-2012年接受抗病毒治療的成年艾滋病患者的基本情況及治療信息進行調(diào)查與隨訪。采用Logistic回歸模型分析影響死亡的因素。結果 2 103例江西省艾滋病治療患者中,男性為主占71.28%。年齡集中在30~49歲。已婚或同居者占61.01%。感染途徑以性傳播為主79.89%。臨床Ⅰ~Ⅳ期的患者分別占35.76%、22.82%、21.73%、19.69%。前5位的機會性感染疾病分別為:持續(xù)或間斷發(fā)熱16.98%、肺結核7.85%、皮膚損害5.80%、持續(xù)腹瀉5.56%、帶狀瘡疹5.09%。CD4+細胞異常率為99.34%。多因素Logistic回歸分析發(fā)現(xiàn):年齡越大(OR=1.03)、臨床分期越接近Ⅳ期(OR=1.44)、持續(xù)腹瀉(OR=1.97)、持續(xù)或間斷發(fā)熱(OR=1.68)、患肺結核(OR=1.86)、患鵝口瘡(OR=2.65)、患播散性真菌病(OR=4.68)、CD4+細胞個數(shù)越少(OR=0.99)、血源傳播9個因素是江西省艾滋病成年治療患者死亡的危險因素。結論江西省艾滋病治療患者以男性青壯年,性活躍人群為主。應加強對當?shù)氐幕橥庑孕袨榈目刂坪屯茝V安全套使用。提倡早期發(fā)現(xiàn)、早期診斷與早期治療,幫助AIDS患者早期發(fā)現(xiàn)機會性感染,教會正確處理各種常見疾病癥狀的方法,減輕不適癥狀帶來的困擾,提高患者的生存率。
[Abstract]:Objective to understand the death status and influencing factors of adult AIDS patients receiving antiviral therapy in Jiangxi Province, and to provide reference for improving the effect of HIV / AIDS treatment in Jiangxi province.Methods the basic situation and treatment information of all adult AIDS patients receiving antiviral therapy in Jiangxi Province from 2004 to 2012 were investigated and followed up.The factors influencing death were analyzed by Logistic regression model.Results among 2 103 AIDS patients in Jiangxi Province, male accounted for 71.28%.The age is concentrated at 30 to 49 years old.The proportion of married or cohabiting persons was 61. 01%.The main route of infection was sexual transmission 79.89%.The proportion of patients in clinical stage 鈪，

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