江苏省HIV感染者和艾滋病患者抗病毒治疗1年后CD4+T淋巴细胞检测结果分析
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十二五国家科技重大专项(2013ZX10004-905);江苏省卫生厅医学重点人才项目(RC2011086,RC2011087);江苏省预防医学课题(Y2012069)


Analysis on CD4+T of HIV/AIDS receiving highly active antiretroviral therapy for one year in Jiangsu province
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    摘要:

    目的:了解江苏省首次接受艾滋病免费抗病毒治疗的HIV/AIDS患者治疗1年后CD4+T变化及影响因素。方法:收集江苏省首次接受抗病毒治疗的基线和治疗随访1年时均有CD4+T细胞检测结果记录的HIV/AIDS患者资料,随访截止时间为2014年5月31日。建立Excel数据库并用SPSS16.0软件进行分析。结果:首次接受抗病毒治疗的基线和随访1年时均有CD4+T检测结果记录的HIV/AIDS共3 290例。81.4%为江苏省籍,男女比例为4.36∶1,平均年龄(39.7 ± 12.1)岁。感染途径主要为性传播。入组时基线CD4+T细胞计数均数为185.81个/μl。治疗1年后的CD4+T细胞均数为312.20个/μl。Logistic回归分析显示,年龄大-基线CD4+T高-在疾控中心治疗和临床Ⅰ期的HIV/AIDS患者,其CD4+T较基线增长值≥100个/μl的比例低。结论:江苏省HIV/AIDS抗病毒治疗对免疫功能恢复效果显著,应继续规范-早期开展抗病毒治疗工作。

    Abstract:

    Objective:To analyze the CD4+T variation and its impact factors on the HIV/AIDS,who initially had received highly active antiretroviral therapy (HAART) for 1 year in Jiangsu province. Methods:According to the baseline and follow-up data of HIV/AIDS initially receiving HAART with the CD4+T cell count tested in baseline and 1 year after treatment,the deadline of the follow-up was on May 31,2014. Excel database was established and statistical analysis was performed using SPSS 16.0 software. Results:There were 3 290 patients initially receiving HAART with the CD4+ T cell count tested in baseline and 1 year after treatment totally. Eighty-one point four percent of them were from local province; the ratio of male to female was 4.36:1; the average age was 39.7 ± 12.1 years old; 92.3% of the patients were infected with HIV through sexual transmission; the mean CD4+ T cell count of cases was 185.81 cells/μl in baseline,and it increased to 312.20 cells/μl 1 year after treatment and significant differences were found. The age,CD4+T baseline,WHO disease stage,treatment site and regimen influenced the growth value of CD4+ T. Conclusion:HIV/AIDS treatment has a remarkable effect on immunological function rehabilitate for pationts in Jiangsu province. Standardized and early treatment still should be strengthened.

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邱 涛,丁 萍,刘晓燕,郭宏雄,傅更锋,徐晓琴,还锡萍,羊海涛.江苏省HIV感染者和艾滋病患者抗病毒治疗1年后CD4+T淋巴细胞检测结果分析[J].南京医科大学学报(自然科学版),2015,(3):425-429-432

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  • 收稿日期:2014-08-11
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  • 在线发布日期: 2015-03-10
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