标题：2015—2020年延安市HIV确证试验结果分析

      作者：马艳 1，张宁梅 2，何静子 1    1.延安市疾病预防控制中心，陕西 延安 716000；2.延安大学附属医院，陕西 延安 716000

      卷次： 2022年33卷6期

      【摘要】 目的 分析2015—2020年延安市571份经筛查结果阳性的艾滋病病毒(HIV)确证实验结果。方法 收集 2015—2020年延安市辖区内各个筛查实验室送检的 571份经筛查HIV阳性标本，通过免疫印迹试验(Westernblot)进行确证实验，应用SPSS22.0 软件进行试验结果统计分析。结果 HIV-1抗体阳性率为76.53%，HIV-1抗体不确定率为4.73%，HIV-1抗体阴性率为18.73%；HIV-1抗体阳性主要以男性为主，年龄为31~50岁，以农民和无业人群为主，文化程度以初中和初中文化以下者较多；不同年份间HIV抗体阳性、阴性、不确定性的检出率比较差异具有统计学意义(P<0.05)；HIV-1抗体不确定男性明显高于女性；年龄≥60岁的比例最高；但文化程度和婚姻状况之间差异无统计学意义。送检单位中医院的阳性率最高(91.44%)，血站的阳性率最低(26.32%)，相同条带在不同的送检单位间比较差异无统计学意义(P>0.05)；不同年龄组的gp160、gp120的检出率均为100%，p24条带在不同年龄组间比较差异有统计学意义(P<0.05)，其他条带在不同年龄组间差异无统计学意义(P>0.05)；不同婚姻状况的相同条带比较差异无统计学意义(P>0.05)。结论 2015—2020年延安市新发现艾滋病患者以男性为主，送检机构中医院阳性率最高，确证患者的条带型以全带为主。
      【关键词】 延安市；人类免疫缺陷病毒；确证试验；条带；年龄；婚姻状况；文化程度
      【中图分类号】 R512.91 【文献标识码】 A 【文章编号】 1003—6350（2022）06—0721—04

Analysis of the results of the HIV confirmatory test in Yan'an from 2015 to 2020.
MA Yan 1, ZHANG Ning-mei 2, HEJing-zi 1. 1. Yan'an Center for Disease Control and Prevention, Yan'an 716000, Shaanxi, CHINA; 2. The Affiliated Hospitalof Yan'an University, Yan'an 716000, Shaanxi, CHINA
【Abstract】 Objective To analyze the results of 571 specimens positive in HIV confirmatory tests in Yan'anCity from 2015 to 2020. Methods A total of 571 HIV-positive specimens screened by various screening laboratories inYan'an City From 2015 to 2020 were collected. Western blot was used to confirm the test results, and SPSS 22.0 soft-ware was used for statistical analysis. Results The positive rate of HIV-1 antibody was 76.53%, the uncertainty rate ofHIV-1 antibody was 4.73%, and the negative rate of HIV-1 antibody was 18.73%. The HIV-positive patients were main-ly male, aged 31 to 50 years old, mostly were farmers and unemployed people, and had education level not higher thanjunior high school. There were statistically significant differences in the detection rate of HIV antibody positive, nega-tive, and uncertain in different years (P<0.05). The detection rate of HIV-1 antibody uncertain was significantly higherin males than females, the highest in patients with age≥60 years, but showed no significant difference between educa-tion level and marital status. The positive rate was the highest in samples from TCM hospitals (91.44%), and the lowestin samples from blood stations (26.32%). There was no significant difference in the same band between different sam-