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目的分析60例60岁以上艾滋病病毒感染者和患者(HIV/AIDS)的临床特点,评估短期抗反转录病毒治疗效果。方法回顾性分析2004—2012年广西壮族自治区疾病预防控制中心抗病毒治疗门诊收治的60例60岁以上HIV/AIDS临床资料,观察1年抗反转录病毒治疗效果。结果 60例研究对象中,38例合并1种或多种疾病,其中15例合并心脑血管疾病,15例合并泌尿系统疾病;48例治疗满1年的研究对象CD4计数呈上升趋势,22例CD4计数较入组时增加100个/μL以上;47例病毒载量检测<50拷贝/m L;44例出现过药物毒副作用。结论抗病毒治疗对HIV/AIDS老年患者疗效明显,应早期发现和诊治老年HIV/AIDS。
Objective To analyze the clinical characteristics of 60 HIV-infected and HIV-infected patients over the age of 60 and evaluate the effect of short-term antiretroviral therapy. Methods The clinical data of 60 cases of HIV / AIDS over 60 years of age treated in the Antiviral Treatment Clinic of Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention from 2004 to 2012 were retrospectively analyzed. The effect of 1 year antiretroviral therapy was observed. Results Among the 60 subjects, 38 patients had one or more diseases, of which 15 patients had cardiovascular and cerebrovascular diseases and 15 patients had urinary diseases. The CD4 count of 48 patients who were treated for one year showed an upward trend and 22 patients CD4 count increased by more than 100 / μL into the group; 47 cases of viral load detection <50 copies / m L; 44 cases had drug side effects. Conclusion Antiviral therapy is effective in elderly patients with HIV / AIDS. Early detection and diagnosis of elderly HIV / AIDS should be performed.