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无症状期人类免疫缺陷病毒感染者外周血淋巴细胞计数与总淋巴细胞计数的相关性分析

2013-04-20金艳涛郭会军蒋自强

中国全科医学 2013年26期
关键词:感染者预测值灵敏度

金艳涛,郭会军,蒋自强

1 对象与方法

2 结果

2.1人口学资料共纳入98例病例资料,其中男69例(占70.4%),女29例(占29.6%);年龄19~63岁,平均(42±11)岁。感染原因:有偿献血56例(占57.1%),输血4例(占4.1%),性传播25例(占25.5%),不详13例(占13.2%)。职业以农民为主56例(占57.1%),中学及以下文化程度78例(占79.6%)。

图淋巴细胞计数与TLC的相关性

TLC(×106个/L)灵敏度特异度阳性预测值阴性预测值一致率<110034.7897.3380.0082.9582.65<120039.1396.0075.0083.7282.65<130043.4896.0076.9284.7183.67<140056.5292.0068.4287.3483.67<150060.8786.6758.3387.8480.61<160060.8782.6751.8587.3277.55<170069.5774.6745.7188.8973.47<180078.2670.6745.0091.3872.45

TLC(×106个/L)灵敏度特异度阳性预测值阴性预测值一致率<150032.2087.1879.1745.9554.08<160035.5984.6277.7846.4855.10<170044.0776.9274.2947.6257.14<180050.8574.3675.0050.0060.20<190062.7169.2375.5155.1065.31<200066.1066.6775.0056.5266.33<210074.5853.8570.9758.3366.33<220076.2746.1568.1856.2564.29

TLC(×106个/L)灵敏度特异度阳性预测值阴性预测值一致率<190054.0281.8295.9218.3757.14<200054.4781.8296.1519.5760.20<210067.8272.7395.1622.2268.37<220070.1154.5592.4218.7568.37<230077.0154.5593.0623.0874.49<240081.6136.3691.0320.0076.53<250087.3627.2790.4821.4380.61

3 讨论

1Wang H,Nishanian P,Fahey JL.Characterization of immune suppression by a synthetic HIV gp41 peptide[J].Cell Immunol,1995,161(2):236-243.

3中华医学会感染病学分会艾滋病学组.艾滋病诊疗指南(2011版)[J].中华传染病杂志,2011,29(10):629-640.

4金艳涛,蒋自强,郭会军,等.无症状期HIV感染者生存质量评价[J].中国全科医学,2012,15(12):4040.

5范思远,弓孟春,杨莹韵,等.早期抗逆转录病毒治疗改善无症状HIV-1感染者预后[J].中华内科杂志,2011,50(6):526-528.

6World Health Organization.Antiretroviral therapy for HIV infection in adults and adolescents:recommendations for a public health approach (2010 version).2010:1-145.[2010-09-22].http://whqlibdoc.who.int/publications/2010/9789241599764-eng.pdf.

7张福杰,王健,王福生,等.国家免费艾滋病抗病毒药物治疗手册[M].北京:人民卫生出版社,2012.

8Joint United Nations Programme on HIV/AIDS (UNAIDS).UNAIDS report on global AIDS epidemic[R].WHO Library Cataloguing-in-Publication Data,2010.

9Obirikorang C,Quaye L,Acheampong I.Total lymphocyte count as a surrogate marker for CD4count in resource-limited settings[J].BMC Infectious Diseases,2012,12:128.

10Stebbing J,Sawleshwarkar S,Michailidis C,et al.Assessment of the efficacy of total lymphocytecounts as predictors of AIDS defining infections in HIV-1 infected people[J].Postgrad Med J,2005,81(959):586-588.

11Daka D,Loha E.Relationship between total lymphocyte count (TLC) and CD4count among peoples living with HIV,Southern Ethiopia:a retrospective evaluation[J].AIDS Res Ther,2008(5):26.

14Wang Y,Liang S,Yu E,et al.Correlation analysis on total lymphocyte count and CD4count in HIV-infected patients:a retrospective evaluation[J].J Huazhong Univ Sci Technol Med Sci[J].2011,31(5):712-716.

15de Jong MA,Rudi Wisaksana,Hinta Meijerink,et al.Total lymphocyte count is a reliable surrogate marker for CD4cell counts after the first year of antiretroviral therapy:data from an indonesian cohort study[J].Tropical Medicine and International Health,2012,17(5):581-583.

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