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[2008年至2018年北京同仁医院术前检查患者HIV抗体筛查结果分析]

[Analysis of the HIV antibody screening results among the preoperative examination patients in Beijing Tongren Hospital from 2008 to 2018].

作者信息

Zhang X H, Zhou X H, He X K, Liu X Y, Du J

机构信息

Department of Clinical Laboratory, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China.

Department of Preventive and Health Care, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China.

出版信息

Zhonghua Yu Fang Yi Xue Za Zhi. 2020 Oct 6;54(10):1127-1132. doi: 10.3760/cma.j.cn112150-20200814-01121.

Abstract

To understand the HIV antibody screening results among the preoperative examination patients in Beijing Tongren Hospital from 2008 to 2018. A retrospective analysis of the HIV antibody screening data of thepreoperative examination patients from 2008 to 2018 in Beijing Tongren Hospital was performed with software SPSS19.0. Trend chi-square was used to analyze the positive rate, age, marital status, household registration and so on. Among the 750 013 clinical patients, 428 (0.057%) cases were screened anti-HIV positive and 370(0.049%) cases were confirmed anti-HIV positive when detected with western blotting.Most of the HIV-infectedindividuals were non-Beijing nationality, accounting for 60.27%.Among the 370 HIV-infected patients, there were 334 males (90.27%) and 36 females (9.73%). The age was distributed mainly between 20-40 years old (62.43%), secondly between 40-60 years old (28.65%).361 (97.57%)HIV-infected cases were transmitted by the sex and the MSM men increased from 2008 to 2018 (trend 7.307, =0.007). There were 22 cases (5.95%) with HBsAg positive, 11 cases (2.97%) with anti-HCV positive. Among the 159 HIV-positive patients (42.97%) companied with syphilis specific antibody positive, there were 64 cases (17.30%) with TRUST tests positive. Additionally, 178 (48.11%) HIV-infected patientsfirst visited doctors because of ocular disease in the hospital; secondly, 71 (19.19%) HIV-infected patientsfirst visited the dermatology. The number of HIV-infected patientsmarkedly increased from 2008 to 2018. The sexual transmission is still the main pathway for HIV infection, particularly homosexual transmission. Moreover, the results indicate that it is necessary to detect HIV antibody for the ocular disease patients.

摘要

了解2008年至2018年北京同仁医院术前检查患者的HIV抗体筛查结果。应用SPSS19.0软件对北京同仁医院2008年至2018年术前检查患者的HIV抗体筛查数据进行回顾性分析。采用趋势卡方分析阳性率、年龄、婚姻状况、户籍等情况。在750013例临床患者中,428例(0.057%)抗-HIV筛查阳性,经免疫印迹法检测确诊抗-HIV阳性370例(0.049%)。HIV感染者大多为非北京户籍,占60.27%。在370例HIV感染患者中,男性334例(90.27%),女性36例(9.73%)。年龄主要分布在20~40岁(62.43%),其次为40~60岁(28.65%)。361例(97.57%)HIV感染病例通过性传播,男男性行为者(MSM)从2008年至2018年呈上升趋势(趋势χ²=7.307,P=0.007)。HBsAg阳性22例(5.95%),抗-HCV阳性11例(2.97%)。159例HIV阳性患者(42.97%)合并梅毒特异性抗体阳性,其中TRUST试验阳性64例(17.30%)。此外,178例(48.11%)HIV感染患者因眼部疾病首次来院就诊;其次,71例(19.19%)HIV感染患者首次就诊于皮肤科。2008年至2018年HIV感染患者数量明显增加。性传播仍是HIV感染的主要途径,尤其是同性传播。此外,结果表明对眼部疾病患者进行HIV抗体检测很有必要。

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