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目的了解广西医疗机构2010-2014年艾滋病病毒(HIV)抗体检测及病例发现情况,为制定针对性的防控措施提供参考。方法利用中国疾病预防控制系统艾滋病综合防治信息系统相关数据,采用描述性流行病学方法进行统计分析。结果广西医疗机构开展HIV抗体检测人次数,从2010年的262万增至2014年的591万,占全区的比例约为50%;新发现报告病例占全区的比例历年都在50%以上;粗检出率从2010年的21.17/万降至2014年的9.97/万。新发现报告病例以男性为主,呈逐年上升趋势,历年所占比例均在70%以上;年龄分布2010年以30~39岁所占比例较大,占20.43%;2011-2014年60~69岁占的比例较大,约为20%;职业分布以农民为主,所占比例从2010年的67.12%增至2014年的75.76%;已婚有配偶历年约占60%;初中及以下文化水平历年约占90%。异性性传播、同性性传播呈逐年增长趋势,注射毒品传播呈下降趋势。CD4+T淋巴细胞检测比例从2010年的70.45%增至2014年的89.62%,5年来新发现报告病例CD4+T淋巴细胞检测结果<350个/μL的占76.46%。结论广西医疗机构检测发现艾滋病病例占全区较大比例,且所发现的病例大部分CD4+T淋巴细胞水平已较低。应进一步推进医疗机构重点科室艾滋病监测检测力度,并针对不同人群采取有效干预措施,以早发现、早诊断、早治疗,减少HIV的传播。
Objective To understand the HIV antibody detection and case detection in Guangxi medical institutions from 2010 to 2014 and provide a reference for the development of targeted prevention and control measures. Methods The data of AIDS prevention and control system in China were used to carry out statistical analysis using descriptive epidemiological methods. Results The number of HIV antibody testing conducted by medical institutions in Guangxi increased from 2.62 million in 2010 to 5.91 million in 2014, accounting for about 50% of the total. The proportion of newly discovered and reported cases in the whole district has been over 50% over the years ; The crude detection rate dropped from 21.17 / million in 2010 to 9.97 / million in 2014. The newly discovered cases were mostly male, showing an upward trend year by year, accounting for more than 70% of the total. Age distribution accounted for 20.43% of the population aged 30-39 in 2010, accounting for 20.43% of the total; Accounting for 20% of the total. The distribution of occupations is dominated by peasants, with the proportion increasing from 67.12% in 2010 to 75.76% in 2014; the married couples have a history of about 60% over the past years; the junior and junior high schools and below Horizontal calendar years accounted for about 90%. Heterosexual transmission, homosexual transmission showed a year-by-year upward trend, the spread of injecting drugs showed a downward trend. The proportion of CD4 + T lymphocytes increased from 70.45% in 2010 to 89.62% in 2014, and 76.46% of the newly detected CD4 + T lymphocytes in 350 cases / μL were detected in 5 years. Conclusion A large proportion of AIDS cases were found in medical institutions in Guangxi province, and the majority of CD4 + T lymphocytes were found to be lower in Guangxi. HIV / AIDS surveillance and detection in key departments of medical institutions should be further promoted and effective interventions should be taken for different populations to detect, diagnose, and treat early and reduce the spread of HIV.