【摘要】：上世紀(jì)90年代,我國(guó)部分地區(qū)出現(xiàn)地下采血和單采漿現(xiàn)象。1995年初在部分省份的有償獻(xiàn)血員中出現(xiàn)HIV感染流行。在河南、山西、安徽等省的部分縣、鄉(xiāng)、村,有償采供血人群HIV感染率為10%-20%,個(gè)別村HIV感染率最高可達(dá)60%。 為了全面掌握本市既往有償供血者底數(shù)、基本情況、感染狀況、發(fā)病死亡情況等,從而為制訂本市艾滋病控制策略和措施提供依據(jù);了解所有確診的艾滋病病毒感染者及艾滋病病人的免疫狀況及疾病進(jìn)程,為抗病毒治療提供技術(shù)指導(dǎo);對(duì)既往確認(rèn)HIV感染者和艾滋病病人進(jìn)行HIV抗體復(fù)篩,在全市范圍開(kāi)展了既往有償供血者HIV感染情況普查。 本次調(diào)查采用普查的方法。以村(居委會(huì))為單位,逐戶(hù)排查既往有償供血者。對(duì)發(fā)現(xiàn)的每一個(gè)既往有償供血者開(kāi)展現(xiàn)場(chǎng)調(diào)查并采血進(jìn)行HIV抗體檢測(cè)。對(duì)HIV抗體確證陽(yáng)性人員進(jìn)行CD4T淋巴細(xì)胞檢測(cè)。 全市普查工作自2004年7月28同至8月31日止。共調(diào)查530余萬(wàn)人,普查覆蓋率達(dá)100%。共查出既往有償供血人員4187人。HIV檢測(cè)4078人,檢測(cè)率97.4%。確認(rèn)HIV感染者92人,感染率2.26%。同時(shí)對(duì)本市以往確認(rèn)的HIV感染者進(jìn)行了復(fù)檢。經(jīng)統(tǒng)計(jì)分析,新鄉(xiāng)市自1995年6月至2004年9月1日共確認(rèn)HIV感染者186人(其中已死亡46人,現(xiàn)有140人,其中現(xiàn)癥病人21人)。 本市既往有償供血人員中HIV感染流行形勢(shì)嚴(yán)峻,應(yīng)盡快采取健康教育、行為干預(yù)和積極治療等措施,以控制艾滋病在本市的傳播與流行。
[Abstract]:In the 1990s, underground blood collection and single pulping occurred in some parts of China. In early 1995, there was an epidemic of HIV infection among paid blood donors in some provinces. In some counties, townships, villages and villages of Henan, Shanxi and Anhui provinces, the infection rate of HIV among paid blood donors is 10- 20. The highest infection rate of HIV in individual villages can reach 60. In order to grasp the number of paid blood donors, basic situation, infection status, morbidity and mortality of the city, so as to provide the basis for the formulation of AIDS control strategies and measures in this city; To understand the immune status and disease process of all the confirmed HIV and AIDS patients, to provide technical guidance for anti-viral therapy; to screen the HIV antibody for the past confirmed HIV infected persons and AIDS patients, A general survey of HIV infection among paid blood donors was carried out in the whole city. The survey adopted the method of census. Village (neighborhood committee) as the unit, house-by-house investigation of past paid blood donors. Each previous paid blood donor was investigated on the spot and HIV antibody was detected. The CD4T lymphocytes were detected in HIV antibody positive persons. The whole city census work from July 28 to August 31, 2004. A total of 5.3 million people were surveyed, the census coverage reached 100. A total of 4187 paid blood donors were found. 4078 people were tested for HIV, and the detection rate was 97.4%. 92 people were confirmed to be infected with HIV, and the infection rate was 2.26%. At the same time, the city was confirmed in the past HIV infected with the re-examination. From June 1995 to September 1, 2004, 186 people were confirmed to be infected with HIV in Xinxiang city. The epidemic situation of HIV infection among the former paid blood donors in this city is severe. Health education, behavioral intervention and active treatment should be taken as soon as possible to control the spread and prevalence of AIDS in this city.
【學(xué)位授予單位】：山東大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2005
【分類(lèi)號(hào)】：R181.3

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