Lai K K
Division of Infectious Diseases, University of Massachusetts Medical Center, Worcester 01655.
Cleve Clin J Med. 1992 Jan-Feb;59(1):45-7. doi: 10.3949/ccjm.59.1.45.
Zidovudine delays the progression of disease in asymptomatic or mildly symptomatic patients infected with human immunodeficiency virus (HIV), but it can cause serious adverse reactions, a fact which makes zidovudine treatment undesirable to some patients. In this study, zidovudine was offered to HIV-infected patients with CD4 leukocyte counts between 200 and 500 cells/microL, and the acceptance or refusal of therapy was recorded over a 4-month period. Of 73 patients approached, 49 (67%) consented to the therapy (23 asymptomatic and 26 with AIDS-related complex). The high acceptance rate of zidovudine among both asymptomatic and mildly symptomatic HIV patients raises the question of finding additional financial resources and health care providers for close monitoring of side effects.
齐多夫定可延缓无症状或症状轻微的人类免疫缺陷病毒(HIV)感染者病情的发展,但它会引起严重的不良反应,这一事实使得一些患者不愿接受齐多夫定治疗。在本研究中,向CD4白细胞计数在200至500个/微升之间的HIV感染者提供齐多夫定,并记录他们在4个月内对治疗的接受或拒绝情况。在73名被邀请的患者中,49名(67%)同意接受治疗(23名无症状,26名患有艾滋病相关综合征)。无症状和症状轻微的HIV患者对齐多夫定的高接受率引发了一个问题,即需要寻找更多的资金来源和医疗服务提供者来密切监测副作用。