乌鲁木齐市艾滋病患者眼底病变情况调查及相关因素分析

摘要

目的：了解乌鲁木齐市艾滋病患者眼底病变情况及其主要影响因素。方法：收集乌鲁木齐市艾滋病患者173例，进行眼科、全身检查及进行问卷调查。结果：眼底微血管病变91例(52.61%)，未发现病变82例(47.39%)。≥50岁组眼底病变率65.5%，与20～49岁组比较，差异有统计学意义(P＜0.05)。汉族眼底病变率38.8%，低于少数民族的68.9%。结论：眼底病变表现为眼底微血管病变，病变与CD4+T淋巴细胞计数呈负相关关系，少数民族患者病变率明显高于汉族患者，抗病毒药物可以减缓或阻断病毒对患者眼底的改变。%Objective:To understand the related factors of Urumqi city AIDS patients with retinopathy.Methods: 173 cases of Urumqi city AIDS patients were selected,with systemic examination and questionnaire survey.Results:Expression of retinal microvascular lesions in 91 cases(52.61%),found no lesions in 82 cases(47.39%).Above 50 years old group of retinopathy was 65.5% ,comparing with 20~49 year old age group,the difference was statistically significant(P<0.05).Han nationality fundus disease rate of 38.8%,lower than the ethnic minorities of 68.9%.Conclusion:Fundus lesions showed retinal microvascular disease, lesions and CD4 +T lymphocyte count was negatively correlated,minority patients disease rate was significantly higher than Han nationality patients.Antiviral drugs can slow or block the virus changes to the fundus of the patient.