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目的通过分析南阳市宛城区艾滋病死亡病例,探索减少艾滋病死亡的措施。方法对1995-2011年艾滋病死亡病例相关资料进行整理分析。结果 901例确认病例中累计死亡245例,年病死率从2004年以后呈现平稳下降趋势,但其中51.43%(126/245)的艾滋病死亡病例在确认后1年内死亡。接受抗病毒治疗病例的病死率14.76%(98/664)远低于未接受治疗病例62.03%(147/237),经检验有统计学意义。结论因社会歧视,部份艾滋病病人不愿主动及时检测,导致发现晚,治疗不及时是影响艾滋病死亡的重要原因。
Objective To analyze AIDS deaths in Wancheng District of Nanyang City and explore ways to reduce AIDS deaths. Methods The data of AIDS deaths from 1995 to 2011 were analyzed. Results Of the 901 confirmed cases, 245 cases were cumulative deaths, the annual mortality rate showed a steady decline after 2004, but 51.43% (126/245) of AIDS deaths died within 1 year after confirmation. The case fatality rate of patients receiving antiviral therapy was 14.76% (98/664), which was significantly lower than that of the untreated patients (62.03%, 147/237). The test was statistically significant. Conclusion Due to social discrimination, some AIDS patients are unwilling to take the initiative to detect in time, leading to late detection and poor treatment, which are important causes of AIDS death.