厦门市新发现HIV\|1感染者病毒载量及外周血T淋巴细胞检测分析
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厦门市疾病预防控制中心,厦门 361021

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R373.9; R392.11; R446.11; R512.91; R63

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收稿日期: 2019-05-09基金项目: 福建省科技计划引导性项目(2017D0019)作者简介: 李 莉,女,副主任技师. Email:33216670@qq.com


Analysis of Viral Load and Peripheral Blood T-lymphocyte inNewly Detected HIV-1 Infected Individuals in Xiamen
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Xiamen Center for Disease Control and Prevention, Xiamen 361021, China

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    摘要:

    目的 了解厦门市新发现人类免疫缺陷病毒-1(HIV-1)感染者的血浆HIV病毒载量及外周血T淋巴细胞基线情况,探讨病毒载量与外周血T淋巴细胞数量的相关性。 方法 采用罗氏COBAS TaqMan 48病毒载量仪和贝克曼FC500流式细胞仪检测269例新确证HIV-1感染者的血浆HIV病毒载量和外周血T淋巴细胞,应用SPSS 20软件对检测数据进行分析。 结果 93.69%(252/269)样本的病毒载量≥103 拷贝/mL,病毒载量检测结果为23~1.76×106 拷贝/mL,对数平均值为(4.43±0.79)log/mL; 不同性别、年龄、婚姻状况、文化程度、传播途径的新发现HIV-1感染者的病毒载量水平构成情况比较,差别无统计学意义(P>0.05); 血浆病毒载量对数值与CD3+T淋巴细胞总数、CD8+细胞计数无显著相关性,但与CD4+细胞数量和CD4+/CD8+比值总体呈负相关[r分别为-0.276(P<0.01)和-0.355(P<0.01)]。 结论 厦门市大部分新发现的HIV-1感染者体内HIV病毒复制活跃,应考虑联合应用病毒载量和外周血T淋巴细胞基线检测结果指导抗病毒治疗和观测抗病毒治疗效果。

    Abstract:

    Objective To investigate the base data of plasma HIV viral load and peripheral blood T-lymphocytes in newly detected HIV-1 infected individuals in Xiamen, and discuss the correlation between viral load(VL)and the number of peripheral blood T-lymphocytes. Methods The plasma HIV viral load and peripheral blood T-lymphocytes of 269 newly confirmed HIV-1 infected patients were detected by Roche COBAS TaqMan 48 and Beckman FC500 flow cytometer. The test data were analyzed by using SPSS 20. Results Patients with HIV viral load ≥103 copies/mL accounted for 93.69%(252/269). The minimum VL was 23 copies/mL, and the maximum VL was 1.76×106 copies/mL, with a logarithmic average of(4.43±0.79)log/mL. Different gender, age, marital status, education level, and transmission route had no statistical significance on the viral load level of newly discovered HIV-1 infected individuals(P>0.05). The plasma viral load logarithm was not significantly correlated with CD3+T lymphocytes and CD8+ cell count, but negatively correlated with the number of CD4+ cells and the ratio of CD4+/CD8+, and the corresponding coefficients were -0.276(P<0.01)and -0.355(P<0.01), respectively. Conclusion In Xiamen, the replication of HIV-1 virus is active in most newly detected HIV-1 infected individuals, so the combination of viral load and peripheral blood T-lymphocyte baseline test results should be considered to guide antiretroviral therapy and observe the effect of antiretroviral therapy.

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李莉, 张荣秋, 马桂林, 欧阳雪.厦门市新发现HIV\|1感染者病毒载量及外周血T淋巴细胞检测分析[J].福建医科大学学报自然版,2020,(2):113-116

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