目的 分析流动人口接受预防艾滋病宣传教育和干预情况以及健康需要.方法 分析我国流动人口艾滋病宣传教育和控制干预情况,就艾滋病对流动人口的影响展开研究,并针对我国流动人口艾滋病宣传教育和干预提出对策.结果 我国流动人口艾滋病感染人数逐渐增加,AIDS知识贫乏,开展针对流动人口的预防艾滋病宣传教育与干预非常必要,预防干预要以健康教育为主、多种形式综合进行.结论 我国目前针对流动人口的艾滋病宣传教育与干预措施还存在一些薄弱环节,在实际的工作中要从源头出发从多种角度出发,分析薄弱环节并提出具体的改善措施.
艾滋病免费抗病毒治疗是艾滋病防治工作重要组成部分，也是国家对艾滋病患者实施的“四免一关怀”策略的重要内容之一。山西省自2004年开展国家免费艾滋病抗病毒治疗工作，取得了良好的治疗效果[1-3]。为评估艾滋病免费抗病毒治疗效果，现将山西省部分市艾滋病免费抗病毒治疗情况进行效果分析。
Objective To evaluate the effectiveness of free antiretroviral therapy(ART) in adults and the factors influence ART outcome. Methods A retrospective cohort study was conducted Shanxi province. All qualified ART recipients were enrolled in the national free ART program from June 2004 to December 2012. Statistical analysis was conducted by SPSS software (version 19.0), use the t test and chi-square test, with Cox regression model for survival analysis. Results One thousand eight hundred and eighty-seven cases were included in the study. The rates for participants, who survived, who were deceased for acquired immune deficiency syndrome (AIDS) related diseases, who withdrawal from the treatment, who transferred to other hospital and who lost for follow-up were 83.1%, 13.5%, 1.4%, 1.2% and 0.8%, respectively. The cumulative survival rates were 0.91, 0.89, 0.88, 0.86, 0.85, 0.82, 0.80, 0.79 and 0.79 at 0.5, 1.0, 2.0, 3.0, 4.0, 5.0, 6.0, 7.0 and 8.0 years after treatment initiation, respectively. The medians of CD4+T cell count were 143.5 cells/μL prior to treatment and 205.3 cells/μL post treatment. 18.2% of ART recipients had their viral loads below detection limit before therapy and this percentage increased to 89.1% after therapy. In the multivariate Cox proportional hazard model, CD4+T cell count and BMI before treatment initiation, and the age start therapy were significantly associated with survival time. The Hazard ratio was 4.05, 3.44 and 3.68, respectively. Record the count of CD4+T lymphocyte after antiretroviral treatment, the difference of CD4+T lymphocyte count between before antiretroviral treatment and after, 3 covariates had been produced by the viral load program generates after antiretroviral treatment , 15 variables had been proved to be statistically and professional significance before antiretroviral treatment. Analysis above all variables based on multi factor time-dependent Cox regression model. There were statistical differences between the count of CD4+T lymphocyte after antiretroviral treatment and the survival time (HR=30.28). Conclusion The ART treatment has been successfully implemented with the significant improvement on immune system and containment of viral replication.
目的分析大同市居民主要呼吸系统疾病流行情况,以便有效开展防治工作。方法应用ICD-10规则对大同市18所医院2001年-2005年32.9万余份病历进行统一编码、归类。结果 2001年—2005年累计住院呼吸系统疾病53 008例,占全部病例的16.11%,为大同市居民第一类疾病。其中肺炎、急性上呼吸道感染、肺气肿和其他阻塞性肺疾病、支气管炎构成呼吸系统疾病的前四种疾病。结论控制大同市呼吸系统疾病的流行,首要任务是加强环境治理,减少空气污染。
目的为了解大同市近年来乙型肝炎流行情况,探讨其流行规律,对我市1992-2002年法定传染病报告系统报告的乙肝病例进行了流行病学分析.结果11年间,我市的乙肝发病率呈波动上升趋势,病例为全年散发,男性发病率高于女性.由于93年以后乙肝疫苗的接种,年龄高峰由94年以前的1至5组和25至35组的双峰分布变为25至45年龄段为主的单峰分布,10岁以下儿童发病高峰消失.结论加强流动人口的管理,推广在儿童和一些特定人群中接种乙肝疫苗,可以有效的预防和控制乙型肝炎的发生和流行.
近年来，国内外许多学者将潜在寿命损失年数(PYLL)指标应用于死因分析，评估导致某人群“早死”(即可能的寿命损失年数)的各死因的相对重要性。为了解当前本地居民的死亡率水平和病伤死因模式，以便为有关部门制定预防和控制疾病的重点和策……
