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五大创新治疗艾滋病
来源：春城晚报 2011年06月23日08:28
创新一：国内首创艾滋病实名制重点人群大筛查技术。
二代传播新感染
6年减少1.7万例
●从2003年~2009年，6年共筛查787万人，发现艾滋病病毒感染者/艾滋病病人60034例，减少二代艾滋病性传播新感染17396例。
●发现感染者人数占实际感染人数的比例从大筛查前（2003年）的19.1%上升到2009年的66.7%，为国家避免巨额医疗开支和经济损失46.9亿元。
●大量传染源从原先的隐匿状态进入管理状态，为后续传染源管理、母婴阻断和抗病毒治疗奠定了重要基础。
创新二：首次建立“以关怀救治服务为出发点，社区服务网络为依托”的感染者综合管理新模式。
艾滋病病死率
从22.9%降低到4.7%
●依靠社区及社会组织，感染者随访管理率从20.8%提高到84.6%，有效管理感染者32040例。
●对2953例阳性孕产妇实施母婴阻断，艾滋病母婴传播率从35%下降到4.49%，减少母婴传播感染1169例。
●以筛查、实名制和感染者管理为基础，大量的感染者/病人及时得到规范的抗病毒治疗。治疗人数从2005年的1154例增加到2009年的14662例，艾滋病病死率由治疗前的22.9%下降到4.7%，避免死亡2668例。
●我省将实施一项举措，所有筛查出来的，不管他/她的CD4淋巴细胞是多少，都要进行抗病毒治疗。
创新三：首次建立吸毒人群艾滋病预防和治疗结合新模式。
开展美沙酮治疗
减少新感染900多例
●截至2009年12月，美沙酮门诊抗病毒治疗1196例，2008年~2009年共减少死亡364例。
●参加美沙酮维持治疗的人数由2004年的325例增加到目前的22990例，吸毒者艾滋病新发感染从4/100人年下降到2.4/100人年，减少新感染900多例。
创新四：首次创立艾滋病阳性结果配偶告知干预技术。
免费自愿检查
阳性结果要告知配偶
●我省规定，市民可自愿进行实名制的免费咨询、筛查检测等服务。医疗卫生机构应当将确诊的艾滋病检测结果告知本人，是未成年人的告知其父母或者监护人。
●艾滋病病毒感染者和艾滋病病人应当将感染的事实及时告知其配偶或者性伴侣；1个月内未告知的，由疾控专业人员采取适宜方式告知。
创新五：率先运用BED HIV-1发病捕获酶联新技术客观评价防治效果。
采用新检测技术
可区分感染时间
●由于艾滋病的潜伏期为8年~10年，不能定期对市民进行筛查，不能发现艾滋病感染者是何时感染病毒。运用BED HIV-1发病捕获酶联新技术，可以检测出感染者感染病毒是在6个月前还是后。
●研究人员发现：注射吸毒人群和性病门诊就诊者HIV-1新近感染率总体呈下降趋势，孕产妇人群新近感染率在0.1%左右。这对客观评价艾滋病防治效果具有重要的应用价值和实践意义。本报记者 杨质高
作者：杨质高
艾滋病不治会早死，早治才康复 艾滋病不治会早死，早治才康复 艾滋病不治会早死，早治才康复 艾滋病不治会早死，早治才康复
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| 图示∶2011年5月正式出版的《中国特色医疗金鉴》登载的刘君主任及其机构事迹 |
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Five innovative treatment of AIDS
Source: Spring City Evening News at 08:28 on June 23 2011
Innovation First: China's first large population of AIDS real-name system focused screening technology.
Secondary transmission of new infections
Decrease of 17,000 cases of 6
● From 2003 to 2009, screening a total of 787 million people in six years, found that HIV / AIDS patients in 60,034 cases, to reduce the second-generation HIV sexually transmitted infection in 17,396 cases of the new.
● The number of accounts found to be infected proportion of the actual number of infections from the big screen before (2003) 19.1% to 66.7% in 2009, huge medical expenses for the state to avoid loss of 4.69 billion yuan and the economy.
● large source of infection from the original hidden state into the management of the state, the source of infection for follow-up management, PMTCT and antiretroviral therapy has laid an important foundation.
Innovation II: first to establish a "care treatment services as a starting point, the community service network-based" new model of integrated management of infected persons.
AIDS mortality
From 22.9% to 4.7%
● rely on community and social organizations, the management rate of infection were followed up from 20.8% to 84.6%, effective management of those 32,040 cases of infection.
● positive pregnant women of 2953 cases of implementation of PMTCT, HIV mother to child transmission rate from 35% to 4.49%, 1169 cases of infection to reduce mother to child transmission.
● to screening, real-name system, and infection management, based on a large number of infections / patient in a timely manner standard antiviral therapy. Treatment increased from 2005 to 1154 cases in 2009 to 14,662 cases of AIDS mortality from the pre-treatment 22.9% to 4.7%, to avoid death 2668 cases.
● province will implement an initiative, all screening out, whether he / she is the number of CD4 lymphocytes, antiviral treatment should be carried out.
Innovative three: first to establish AIDS prevention and treatment of drug users with a new model.
Methadone treatment
Reduce new infections over 900 cases
● As of December 2009, out-patient methadone treatment 1196 cases of anti-viral, 2008, 2009, 364 cases of death were reduced.
● the number of people participated in methadone maintenance treatment of 325 cases from 2004 to the present 22,990 cases, new infections from HIV drug addicts 4 / 100 person-years to 2.4/100 person-years of decline, reduce new infections over 900 cases.
Innovative four: the first creation of this intervention in HIV-positive results spouse technology.
Free voluntary testing
Positive results to inform spouses
● province provides real-name system for the public on a voluntary basis, free consultation, screening tests and other services. Medical and health institutions should be diagnosed with HIV test results told me that the minors to inform their parents or guardians.
● HIV infection and AIDS patients should be informed promptly of the fact that their spouse or sexual partner; a month is not informed by the professionals to take appropriate way to inform disease control.
Innovation five: the first use of BED HIV-1 capture enzyme-linked disease control effect of objective evaluation of new technologies.
Introduction of new detection technology
Time of infection can be distinguished
● Because the incubation period of AIDS is 8 years to 10 years, the lack of regular screening of people can not find is when people living with HIV infection. BED HIV-1 incidence using capture enzyme-linked technology that can detect HIV infection in the six months before or after.
● The researchers found: injecting drug users and sexually transmitted diseases clinic were HIV-1 infection rate of the overall downward trend recently, people newly maternal infection rate of 0.1 percent. This objective evaluation of the effect AIDS has important application value and practical significance. High quality of our reporter Yang
Author: Yang high quality
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