德宏州61例暗娼艾滋病病毒感染者及病人抗病毒治疗效果及影响因素分析

Antiretroviral therapy for HIV/AIDS infected unlicensed prostitutes and patients: Its curative effect and impact factors on 61 cases

  • 摘要: 目的 评价云南省德宏傣族景颇族自治州(德宏州)暗娼艾滋病病毒感染者及病人(HIV/AIDS)接受国家免费高效抗逆转录病毒治疗(HAART)的效果。方法 以2004年7月至2014年9月期间德宏州所有接受抗病毒治疗的暗娼HIV/AIDS患者为研究对象,回顾性分析治疗前后CD4+T淋巴细胞计数和HIV病毒载量的变化。采用SPSS 21.0统计软件进行描述和统计学分析,评估研究对象总体病毒学和免疫学应答情况。结果 参加抗病毒治疗者61例,平均年龄(26.2±8.7)岁,未婚者26例,占42.6%。基线CD4+T淋巴细胞计数<350个/mm3的占78.7%,平均值为(264.2±190.2)个/mm3,治疗后CD4+T淋巴细胞计数的平均值为(548.4±331.9)个/mm3,两者差值均数为(284.2±281.4)个/mm3。同基线相比,治疗1、2、3及3年以上者CD4+T淋巴细胞计数均有增加(P<0.05),且不同治疗时间组之间比较,差异有统计学意义(χ2=4.475,P=0.007)。56例HIV病毒载量得到完全抑制,抑制成功率达91.8%。不同治疗时间组病毒学应答差异有统计学意义(χ2=6.746,P=0.035),且随着治疗时间的延长,病毒学抑制成功率逐渐增加(趋势χ2=6.273,P=0.012)。对5例患者进行了耐药监测,其中1例出现耐药,对其进行药物更换后病毒载量一直保持在检测不到的水平。结论 德宏州对暗娼HIV/AIDS患者的抗病毒治疗疗效显著。

     

    Abstract: Objective To evaluate the effectiveness of free highly active anti-retroviral therapy (HAART) for HIV/AIDS infected unlicensed prostitutes and patients in Dehong Prefecture. Methods Investigation was done on HIV/AIDS infected unlicensed prostitutes and patients in Dehong Prefecture who began to receive HAART during the period from July 2004 to Sept 2014. The change of CD4+ T lymphocyte count and HIV viral load before and after treatment were retrospectively analyzed with SPSS software to examine their virological and immunological responses to HAART. Results The total of 61 unlicensed prostitutes and patients received HAART, their mean age being 26.2±8.7 and those unmarried accounting for 42.6%. At the baseline, 78.7% with CD4+ T lymphocyte count <350/mm3, 21.3% were ≥ 350/mm3 and the mean CD4+T lymphocyte count was (264.2±190.2)/mm3 at baseline, and was (548.4±331.9)/mm3 for patients after treatment. The differential mean value was (284.2±281.4)/mm3. Compared with those at the baseline, CD4+ T lymphocyte increased significantly at different stages of treating for one year, two years, three years and more (P<0.05). There was also significant difference between different treatment time group (χ2=4.475, P=0.007). The 61 patients received viral load test, of whom 56 (91.8%) had irological suppression, with viral loads under the lowest limit. There was significant difference between different treatment time (χ2=6.746, P=0.035) and with the extension of treatment time. The success rate of virologic suppression gradually increased (χ2=6.273, P=0.012). There were 5 patinets done with drug resistance surveillance, among them one was found HIV-resistant, but after changing drugs used, the level of viral loads remained undetectable. Conclusion The investigation proved that both virological and immunological responses to HAART were well achieved and fairly effective for HIV/AIDS unlicensed prostitutes and patients in Dehong Prefecture.

     

/

返回文章
返回