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老年HIV/AIDS患者贫血及其影响因素分析 被引量:15

Prevalence and Influencing Factors of Anemia in Elderly Patients with HIV/AIDS
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摘要 目的探讨老年HIV/AIDS患者贫血状况及其影响因素。方法以"艾滋病综合防治数据信息系统"和"中医药治疗艾滋病数据库"为数据来源,收集河南中医项目地区2014年老年HIV/AIDS患者贫血数据及其相关信息,采用logistic回归分析老年HIV/AIDS患者贫血的影响因素。结果本研究共纳入4 132例老年HIV/AIDS患者,1 143例老年HIV/AIDS患者合并贫血(27.66%),其中男586例,女557例(P<0.01);HIV阳性>9年的患者贫血危险度低于HIV阳性<6年的患者;中医治疗可以降低老年HIV/AIDS患者贫血患病率,服用HAART治疗时间8年以上患者的贫血患病率是服用HAART治疗时间小于4年患者的1.68倍(P<0.05);CD4细胞计数对老年HIV/AIDS患者贫血也有明显影响,CD4细胞计数越低,其贫血患病率越高。结论老年HIV/AIDS患者性别、确认HIV阳性时期,服用HAART时期、CD4细胞计数和中医药是否干预均对贫血患病率有影响。 Objective To investigate the prevalence of anemia and the influencing factors among elderly patients with HIV/AIDS.Methods The information of elderly HIV/AIDS patients in 2014 were collected from AIDS prevention and control of data information system and the Traditional Chinese medicine(TCM)treat for AIDS patients database. Logistic regression analysis was used to analyze the influence factors of anemia. Results 4 132 elderly HIV/AIDS patients were enrollment in this study, of which 1 143 cases with anemia, anemia prevalence was 27.66%, 586 were male and 557 female among them(P〈0.01). The risk of anemia in patients with HIV positive time 〉9 years was lower than that of HIV positive time 〈6 years; TCM can reduce the prevalence of anemia in elderly patients with HIV/AIDS. The risk of anemia among patients receiving HAART for eight years was 1.68 times of them within four years(P〈0.05); Patients with lower CD4 cell count, was higher risk of anemia. Conclusion The prevalence of anemia in elderly patients with HIV/AIDS was influenced by gender, and confirmed the positive period of HIV, taking the HAART period, CD4 cell count and the use of TCM treatment.
出处 《中国皮肤性病学杂志》 CAS CSCD 北大核心 2017年第4期442-444,共3页 The Chinese Journal of Dermatovenereology
基金 国家中医药管理局国家中医临床研究基地业务建设科研专项(JDZX2012035) 河南省高校科技创新人才支持计划(16HASTIT031) 河南省中医药科学研究专项课题(2015ZY01004 2016ZY2052) 河南中医学院省属科研业务专项(2014KYYWF-YQ009) 河南中医学院科技创新人才支持计划(2015XCXRC06)
关键词 艾滋病 老年 贫血 AIDS Elderly patients Anemia
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