临床HIVAIDS病例流行病学及皮肤性病特征回顾性分析.docVIP

临床HIVAIDS病例流行病学及皮肤性病特征的回顾性分析 　　[摘要] 目的 回顾性分析艾滋病（acquired immunodeficiency syndrome，AIDS）病例的临床流行病学特征和皮肤性病特征，为疾病的诊断和治疗提供可靠依据。 方法 对我院2010年1月～2015年12月收治的85例AIDS资料进行分析，并对患者进行CD4+、CD8+ T淋巴细胞计数和乙型肝炎病毒（hepatitis B virus，HBV）五项以及丙型肝炎病毒（hepatitis C virus，HCV）检测。对检测结果进行统计学分析，判定流行病学、皮肤性病学特征。 结果 通过对85例病例进行回顾分析得知，以腹泻、高烧等为主要特征；其中，男60例，占70.6%；女25例，占29.4%；患者年龄20～50岁；从感染途径上来看，以性传播为主，占71.8%（61/85），其中，异性间性传播51例，占60.0%；同性间性传播10例，占11.8%。检测患者感染类型有四种：单项HIV感染、合并HBV感染、合并HCV感染、合并HBV和HCV感染。四种感染类型中，男女患者差异有统计学意义（P0.05）。 结论 对于HIV感染者来说，合并HCV、HBV感染情况较多，应对这类型患者采取相对应措施，提高患者预防治疗效果。且男性病发率高于女性，大多为青壮年，该病症主要传播途径为性传播，需要加强艾滋病筛查、知识宣传，便于尽早发现、尽早处理，预防病情蔓延，延长生存期限。 　　[关键词] HIV感染；血液学检测；AIDS；流行病学特征；皮肤性病特征 　　[中图分类号] R512.91 [文献标识码] B [文章编号] 1673-9701（2016）14-0124-03 　　[Abstract] Objective To retrospectively analyze clinical epidemiological and dermatovenerological characteristics of acquired immunodeficiency syndrome（AIDS） cases， so as to provide reliable basis for the diagnosis and treatment of diseases. Methods Data of 85 cases of AIDS who were admitted to our hospital from January 2010 to December 2015 were analyzed， CD4+， CD8+T lymphocytes were counted， and five items of HBV and HCV were tested. The test results were statistically analyzed， aiming at determining the epidemiological and dermatovenerological characteristics. Results According to the retrospective analysis of 85 patients， the main characteristics were diarrhea and high fever； among the patients， 60 were male patients， accounting for 70.6%； 25 were female patients， accounting for 29.4%； patients age was in the range of 20-50 years old. From the aspect of route of infection， the main route was sexual transmission， accounting for 71.8% （61/85）， wherein heterosexual transmission were in 51 patients， accounting for 60.0%； homosexual transmission were in 10 patients， accounting for 11.8%. The types of injection tested in the patients were four： single HIV infection， concomitant HCV infection， and combined HBV and HCV infection. In the four types of