贵州医科大学学报

2015, v.40;No.172(01) 61-64

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铜仁市两地区HIV感染者或AIDS患者CD_4~+淋巴细胞检测及影响因素分析
Analysis of CD_4~+ Cell Detection Conditions of HIV Infections/AIDS Cases and Its Influence Factors in Two Districts in Tongren City

黄璐;常春;姚永明;申莉梅;冉启军;万兆明;王道君;徐雅松;
HUANG Lu;CHANG Chun;YAO Yongming;SHEN Limei;RAN Qijun;WAN Zhaoming;WANG Daojun;XU Yasong;School of Public Health,Peking University;Guizhou Disease Prevention and Control Center;Bijiang District Disease Prevention and Control Center;Songtao County Disease Prevention and Control Center;

摘要(Abstract):

目的:了解铜仁市两地区艾滋病病毒(HIV)感染者或艾滋病(AIDS)病人(PLWHA)CD4+T淋巴细胞检测(CD4检测)情况及其影响因素。方法:使用自制问卷调查铜仁市碧江区和松桃县2008年底存活且能随访307例PLWHA的CD4检测情况、人口学特征(年龄、性别、婚姻状况、文化程度)、CD4检测相关知识知晓情况以及首次CD4检测时间,分析CD4检测的影响因素。结果:307例PLWHA中既往曾经接受过CD4检测者为273人,占88.93%(273/307),规范接受CD4检测者为183人,占67.03%(183/273),从HIV确诊到首次CD4检测时间>2个月的占83.15%(227/273);男性、知晓CD4检测作用和通过血液进行检测者、接受过培训的患者以及服用抗病毒治疗药品者CD4既往检测率高;CD4规范检测危险因素为>30岁、未婚或离异丧偶、未服用抗病毒治疗药品、离检测点的距离走路在1 h以上或需乘车以及未及时弥补漏掉的CD4检测,不知晓符合治疗标准的CD4值是CD4规范检测的保护因素。结论:应加强30岁以上和非婚PLWHA对CD4检测相关知识的宣传,提供便利的检测条件,促使更多PLWHA接受规范的CD4检测。
Objective: To investigate CD4+T lymphocytes testing( CD4 Testing) conditions and its influencing factors of HIV / AIDS patients( PLWHA) in two districts of Tongren. Methods: Adopting self-designed questionnaires to collect alive and accessible 307 PLWHAs' CD4 test results and demographic characteristics( age,gender,marital status and education background),knowledge about CD4 test,first detection time in Bijiang district and songtao county of Tongren,and analyzing influence factors of CD4 test. Results: 273 people received CD4 test,accounting for 88. 93%( 273 /307),183 people received standard CD4 test,accounting for 67. 03%( 183 /273),and Trere was over two months gap from HIV diagnosed to first CD4 test in 83. 15%( 227 /273) subject. The CD4 test rates of males,patients who know using blood in the test and the effects of the CD4 test,patients who received training,patients who took antiviral drugs were higher. Risk factors of CD4 standard test were patients who were above 30 years old,unmarried,widowed or divorced,not taking antiviral drugs,one hour walk from the test center,failure to make up the missing CD4 test timely. Unknowing the treatment CD4 value was protective factors of CD4 standard test. Conclusions: It is suggested to strengthen the publicity of CD4 test relative knowledge among people over 30 and non-marital PLWHA. Providing convenient testing facilities and encouraging more PLWHA to receive standard CD4 test.

关键词(KeyWords): 获得性免疫缺陷综合征;CD4淋巴细胞计数;危险因素;铜仁
acquired immunodeficiency syndrome;CD4lymphocytes testing;risk factors;Tongren

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作者(Author): 黄璐;常春;姚永明;申莉梅;冉启军;万兆明;王道君;徐雅松;
HUANG Lu;CHANG Chun;YAO Yongming;SHEN Limei;RAN Qijun;WAN Zhaoming;WANG Daojun;XU Yasong;School of Public Health,Peking University;Guizhou Disease Prevention and Control Center;Bijiang District Disease Prevention and Control Center;Songtao County Disease Prevention and Control Center;

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DOI: 10.19367/j.cnki.1000-2707.2015.01.016

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