152例HIV/AIDS合并肛肠疾病的流行病学及临床特征

Epidemiological and clinical characteristics of 152 HIV/AIDS patients complicated with anorectal diseases

    摘要
  • 摘要:
    目的 目的探讨人类免疫缺陷病毒(HIV)/艾滋病(AIDS)合并肛肠疾病的流行病学特点及HIV感染阳性肛周脓肿临床特征。
    方法 选取2020年1月-2023年12月武汉市第八医院收治的152例HIV/AIDS合并肛肠疾病患者为研究对象, 其中肛周脓肿患者36例。统计HIV/AIDS合并肛肠疾病患者疾病表现形式、治疗情况及不同年份、不同临床特征发病情况, 分析HIV阳性肛周脓肿临床特征。
    结果 152例HIV/AIDS合并肛肠疾病患者中, 占比最高的为混合痔51.97%, 其次为肛周脓肿23.68%。2020-2023年HIV/AIDS合并肛肠疾病的患病人数逐渐增加, 而男性、年龄>30~40岁、已婚、小学及以下文化程度、农民患者占比较高。HIV/AIDS合并肛肠疾病患者中有139例手术患者, 23例患者没有手术治疗。36例HIV阳性肛周脓肿患者中男性、>20~30岁、已婚患者占比较高, 占比分别为97.22%、50.00%和44.44%。
    结论 2020-2023年HIV/AIDS合并肛肠疾病来本医院就诊人数逐渐增加, 男性、年龄>30~40岁、已婚、小学及以下文化程度、农民发病率较高, 肛肠疾病主要为混合痔、肛周脓肿, 对于HIV/AIDS合并肛肠疾病患者, 可考虑采用手术治疗, 而HIV阳性肛周脓肿集中于男性、>20~30岁、已婚人群, 并重视HIV阳性肛周脓肿患者, 便于临床采取合适的治疗方式以提高治疗效果。

     

    Abstract:
    OBJECTIVE To explore the epidemiological characteristics of human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) complicated with anorectal diseases and analyze the clinical characteristics of the HIV-positive patients with perianal abscess.
    METHODS Totally 152 HIV/AIDS patients who were complicated with anorectal diseases and were treated in The Eighth Hospital of Wuhan from Jan. 2020 to Dec. 2023 were recruited as the research subjects, 36 of whom had perianal abscess. The manifestations of anorectal diseases, treatment status and incidence rates of the diseases among the patients with different clinical characteristics in the different years were statistically analyzed. The clinical characteristics of the HIV-positive patients with perianal abscess were observed.
    RESULTS Of the 152 HIV/AIDS patients complicated with anorectal diseases, 51.97% had mixed hemorrhoid, and 23.68% had perianal abscess. The number of patients with HIV/AIDS complicated with anorectal diseases gradually increased from 2020 to 2023; while the incidence rate of male, aged between 30 and 40 years old, married individuals, those with primary school education or below and famers were relatively high. Among the HIV/AIDS patients complicated with anorectal diseases, 139 underwent surgical procedures, and 23 did not. Among the 36 HIV-positive patients with perianal abscess, 97.22% were male, 50.00% were aged between 20 and 30 years old, and 44.44% were married.
    CONCLUSIONS The number of HIV/AIDS patients complicated with anorectal diseases is gradually increased from 2020 to 2023; the incidence rates are relatively high among the patients who are male, aged between 30 and 40 years old, married, with primary school education or below and famers. Perianal abscess and mixed hemorrhoid are the major types of anorectal diseases. Surgical procedures are recommended for HIV/AIDS patients complicated with anorectal diseases, while the HIV-positive patients with perianal abscess are dominated by the population of male, aged between 20 and 30 years old and married. It is necessary to attach great importance to the detection of pathological characteristics of the HIV-positive patients with perianal abscess so as to take appropriate treatment measures to improve the therapeutic effect.

     

    • HTML全文
    • 参考文献(26)
    • 相关文章
    • 施引文献
  • 资源附件(0)

/

返回文章
返回
下载中心