南宁市艾滋病抗病毒治疗失访病人的特征分析

发布时间：2018-03-13 00:17

本文选题：艾滋病　切入点：抗病毒治疗　出处：《中国艾滋病性病》2015年12期 　论文类型：期刊论文

【摘要】：目的了解艾滋病(AIDS)抗病毒治疗(ART)失访病人的流行病学特征,为减少ART失访提供有价值的信息。方法采用回顾性分析方法,对2005年9月至2013年12月,南宁市第四人民医院进行ART的失访AIDS病人,通过建立的失访病历档案材料,收集研究对象性别、年龄、失访的时间、感染途径、地区等资料,进行统计学分析。结果 2005年9月至2013年12月,已确诊为AIDS病人并实施国家统一免费抗病毒治疗的病人共3996例,失访165例,总失访率为4.13%。30~39岁年龄段失访率占41.81%,40~49岁占23.64%。44.85%AIDS病人失访发生在抗病毒治疗的1年内。静脉吸毒共用注射器途径感染AIDS者的失访率明显高于性及其他传播途径(χ2=5.590,P0.05);南宁市外的失访率高于南宁市市内(χ2=9.087,P0.05)。结论针对静脉吸毒人群及南宁市外病人的高失访率、失访发生的时间早等特征,采取相应的措施,加强依从性教育,建立协调机制,可降低失访率。
[Abstract]:Objective to investigate the epidemiological characteristics of the patients with ART lost in antiviral therapy, and to provide valuable information for reducing the incidence of AIDS.The retrospective analysis was carried out from September 2005 to December 2013. Nanning 4th people's Hospital conducted the lost visit to AIDS patients with ART. Through the establishment of the medical records of the missing visits, data were collected on sex, age, time of loss of visit, route of infection, region and so on. Results from September 2005 to December 2013, there were 3 996 patients who had been diagnosed as AIDS patients and who had been treated with national uniform free antiviral therapy. The total lost visit rate was 4.13.300.39 years old (41.81%). 4049 years old accounted for 23.64.44.85 AIDS patients lost visits occurred within one year of antiviral therapy. The rate of missing visits of intravenous drug users sharing syringe route infected with AIDS was significantly higher than that of sex and other transmission routes (蠂 25.590 P 0.05; Nanning City). The rate of lost visit was higher in Nanning city than in Nanning city (蠂 ~ 2 / 9.087 / P0.05). Conclusion the high rate of missing visit is aimed at intravenous drug users and patients outside Nanning city. Some measures should be taken to strengthen compliance education and establish coordination mechanism to reduce the rate of missing visits.
【作者单位】：南宁市第四人民医院广西艾滋病临床治疗中心;
【基金】：南宁市科学研究与技术开发计划项目(201109047C) 广西区卫生厅自筹经费科研课题(Z2014474)~~
【分类号】：R512.91

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