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目的为了摸清运城市农村地区艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人的健康状况,为今后的关怀、治疗、管理工作提供科学依据。方法对477例HIV感染者/AIDS病人进行全面健康检查及相关化验检查,观察合并感染情况和治疗效果。结果477例HIV感染者/AIDS病人中,有1/5的人发生常见机会性感染症状,AIDS病人治疗后白细胞计数、血红蛋白、血小板均高于治疗前(P<0.05);男女性治疗后CD4+细胞明显高于治疗前(P<0.01),平均增长37.08%;病人均有不同程度的肝功能损害。HIV合并乙型肝炎病毒(HBV)感染的占2.9%,合并丙型肝炎病毒(HCV)53.5%,同时合并HBV和HCV感染的占1.9%;有心电图改变者占20.3%;HIV/结核菌(TB)双重感染率为2.3%。结论运城市农村地区HIV感染者/AIDS病人健康状况较好,抗病毒治疗效果良好,今后要积极开展机会性感染或合并感染的预防和治疗。
Objective To find out the health status of HIV / AIDS patients in rural areas of Yuncheng City and provide a scientific basis for future care, treatment and management. Methods A total of 477 HIV / AIDS patients underwent comprehensive health examination and related laboratory tests to observe the co-infection and treatment effect. Results One in five cases of 477 HIV / AIDS patients had common opportunistic infections. After treatment, AIDS patients had higher leukocyte counts, hemoglobin and platelets than those before treatment (P <0.05) Cells were significantly higher than before treatment (P <0.01), an average increase of 37.08%; patients have varying degrees of liver damage. HIV combined with hepatitis B virus (HBV) infection accounted for 2.9%, with hepatitis C virus (HCV) 53.5%, combined with HBV and HCV infection accounted for 1.9%; ECG changes accounted for 20.3%; HIV / TB TB) The dual infection rate was 2.3%. Conclusion The HIV / AIDS patients in rural areas of Yuncheng City are in good health and have good effect of anti-virus treatment. In the future, opportunistic or co-infection prevention and treatment should be actively carried out.