koko体育app

欢迎来到《koko体育app 学报（医学版）》
唐卓芸, 张可依, 李冬冬, 等. 2001～2017年某大型综合医院新发HIV/AIDS患者的临床流行病学分析[J]. koko体育app 学报（医学版）, 2019, 50(3): 367-372.
引用本文: 唐卓芸, 张可依, 李冬冬, 等. 2001～2018年某巨型综和青岛博士整形医院医院新发HIV/AIDS糖尿病患者的临床研究留行病学进行分析[J]. 云南院校学报（医学研究版）, 2019, 50(3): 367-372.
TANG Zhuo-yun, ZHANG Ke-yi, LI Dong-dong, et al. Clinical Epidemiological Characteristics of Newly Reported HIV/AIDS in a Certain General Hospital from 2001 to 2017[J]. Journal of Sichuan University (Medical Sciences), 2019, 50(3): 367-372.
Citation: TANG Zhuo-yun, ZHANG Ke-yi, LI Dong-dong, et al. Clinical Epidemiological Characteristics of Newly Reported HIV/AIDS in a Certain General Hospital from 2001 to 2017[J]. Journal of Sichuan University (Medical Sciences), 2019, 50(3): 367-372.

2001～2017年某大型综合医院新发HIV/AIDS患者的临床流行病学分析

Clinical Epidemiological Characteristics of Newly Reported HIV/AIDS in a Certain General Hospital from 2001 to 2017

  • 摘要:
      目的  分析2001～2017年新发现人类免疫缺陷病毒（HIV）/获得性免疫缺陷综合征（AIDS）患者在中国西南地区的临床流行病学特征和趋势，为综合医院的HIV/AIDS防治工作提供科学依据。
      方法  回顾性纳入koko体育app 华西医院2001～2017年新发HIV/AIDS病例的临床流行病学资料，分析确证阳性率及新发HIV/AIDS患者的分层分布，并分析及其传播途径的分布特征。
      结果  2001～2017年于koko体育app 华西医院接受HIV筛查的患者共1 520 228例，其中门急诊患者285 983例，住院患者1 234 245例。共确证新发HIV/AIDS患者4 037例，总确证阳性率为0.27%，门急诊患者和住院患者2001～2013年确证阳性率增加，2014～2017年略有下降。2001～2017年男性、女性新发HIV/AIDS患者分布总体体比例为3.49:1，历年比例在1.65:1和5.08:1之间波动；以汉族（88.23%）、低学历（58.66%）、已婚者（54.75%）、农民/牧民（26.33%）为主要人群；青少年（15～29岁）、中老年群体（≥50岁），高学历群体（高中以上），未婚群体分布均呈增长趋势。传播途径分析显示，17年间，异性传播比例稳定在60%左右，同性传播途径增长明显（χ趋势2=14.436，P＜0.005），从2008年开始增长后稳定在15%左右。注射毒品（χ趋势2=71.633，P＜0.005）和血液传播（χ趋势2=16.672，P＜0.005）途径均明显下降。899例女性新发HIV/AIDS患者中77.20%为异性传播，无同性传播；3138例男性中61.41%为异性传播，18.10%为同性传播。同性传播随年龄的增大而下降，异性传播随着年龄的增大而上升。母婴传播则集中在0～15岁（100%）。
      结论  17年来，西南地区单中心新发HIV/AIDS经历长期增长后渐入平缓期，青少年、中老年，高中以上学历，未婚群体增长明显。注射毒品和血液传播HIV/AIDS的途径得到控制，异性传播仍为主要传播途径。
     
    Abstract:
      Objective  To determine the clinical epidemiological characteristics of newly reported human immunodeficiency virus/acquired immunodeficiency syndrome （HIV/AIDS）in southwestern China from 2001 to 2017.
      Methods  Clinical data of newly diagnosed HIV/AIDS from 2001 to 2017 in the West China Hospital of Sichuan University were reviewed and analyze.
      Results  A total of 1 520 228 patients were screened for HIV, including 285 983 outpatient and emergency patients and 1 234 245 inpatients. About4 037 (0.27%) patients were confirmed with HIV/AIDS. The confirmation rate increased from 2001 to 2013, followed by a slight decline from 2014 to 2017. The male to female sex ratio of confirmed HIV/AIDS was 3.49:1 from 2001 to 2017, ranging from 1.65:1 to 5.08:1. The majority of patients were identified as Han (88.23%), had low education (58.66%), and married (54.75%). Peasants/herdsman comprised 26.33% of the patients. The proportion of young (15-29 years old), and middle-aged (≥50 years old) patients and those who were unmarried and had high education (senior high school and above) increased over time. Heterosexual transmission remained stable at about 60% while homosexual transmission increased by about 15% (χ2=14.436, P＜0.005) since 2008. Transmissions through drug abuse(χ2=71.633, P＜0.005) and blood(χ2=16.672, P＜0.005) decreased. Of the 899 female newly reported HIV/ADIS patients, 77.20% were infected through heterosexual relationship. In comparison, of the 3 138 male patients, 61.41% were infected through heterosexual and 18.10% through homosexual relationships. Homosexual transmissions decreased with age, but heterosexual transmissions increased with age. Mother-to-child transmissions were concentrated in those between 0 and 15 years old (100%).
      Conclusion  Newly diagnosed HIV/AIDS cases increased over the years in the West China Hospital of Sichuan University, in particular in those of young and middle-aged, highly educated and unmarried. Heterosexual transmissions remain the main route.
     
    • HTML全文
© 2019 《koko体育app 学报（医学版）》编辑部　版权所有 cc

开放获取🐲 本文遵循知识共享署名—非商业性使用4.0国际许可协议（CC BY-NC 4.0），允许第三方对本刊发表的论文自由共享（即在任何媒介以任何形式复制、发行原文）、演绎（即修改、转换或以原文为基础进行创作），必须给出适当的署名，提供指向本文许可协议的链接，同时标明是否对原文作了修改；不得将本文用于商业目的。CC BY-NC 4.0许可协议详情请访问

/

返回文章
返回
var _hmt = _hmt || []; (function() { var hm = document.createElement("script"); hm.src = "https://hm.baidu.com/hm.js?90c4d9819bca8c9bf01e7898dd269864"; var s = document.getElementsByTagName("script")[0]; s.parentNode.insertBefore(hm, s); })(); !function(p){"use strict";!function(t){var s=window,e=document,i=p,c="".concat("https:"===e.location.protocol?"https://":"http://","sdk.51.la/js-sdk-pro.min.js"),n=e.createElement("script"),r=e.getElementsByTagName("script")[0];n.type="text/javascript",n.setAttribute("charset","UTF-8"),n.async=!0,n.src=c,n.id="LA_COLLECT",i.d=n;var o=function(){s.LA.ids.push(i)};s.LA?s.LA.ids&&o():(s.LA=p,s.LA.ids=[],o()),r.parentNode.insertBefore(n,r)}()}({id:"K9y7iMpaU8NS42Fm",ck:"K9y7iMpaU8NS42Fm"}); koko体育-koko体育app koko体育-koko体育网页版koko体育app koko体育-全站app下载(官网) m6米乐app|下载 m6米乐app|主頁欢迎您!!