中国HIV感染者/AIDS 患者服用抗病毒治疗药物后耐药性的系统综述
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梁欣

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R512.91

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Systematical review of drug resistance in Chinese HIV/ AIDS patients  after antiretroviral therapy
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    摘要:

    目的了解接受抗病毒治疗(ART)后,人类免疫缺陷病毒(HIV)感染者/艾滋病(AIDS)患者耐药性。方法检索中国知网,万方数据资源系统和PubMed数据库,收集中国HIV感染者/AIDS患者ART后耐药性相关文献,进行Meta分析。结果最终纳入15篇文献(1篇英文和14篇中文),其中3篇质量评分6分,4篇为7分,8篇为8分。异质性检验显示,差异有统计学意义(Q=45.98,P<0.001),存在异质性,所以采用随机效应模型进行Meta分析,结果显示中国HIV感染者/AIDS患者ART后总耐药率为4%(4%~5%)。Begg’s检验P=0.012,说明存在发表偏倚。通过敏感度分析删除文献后,合并效应量仍为4%(4%~5%)。结论中国HIV感染者/AIDS 患者经ART 后总耐药率不高。

    Abstract:

    ObjectiveTo understand drug resistance in patients with human immunodeficiency virus infection and acquired immunodeficiency syndrome (HIV /AIDS) after antiretroviral therapy(ART).MethodsArticles about drug resistance in HIV /AIDS patients after ART were retrieved from Wangfang data, China National Knowledge Infrastructure(CNKI),and PubMed. Meta analysis were performed.Results15 articles (1 English and 14 Chinese)were extracted, quality score of 3,4,and 8 articles was 6,7, and 8 respectively.  Heterogeneity of the included studies showed the difference was significant (Q=45.98,P<0.001), there was heterogeneity, randomeffects models was conducted for Meta analysis,which revealed that the overall drug resistance rate in HIV/ AIDS patients in China was 4% (4%-5%); Begg’s test showed that P=0.012, there was publication bias. After articles were excluded through sensitivity analysis, the combined effect was still 4%(4%-5%).ConclusionThe overall drug resistance rate  in Chinese HIV/ AIDS patients  after ART  is not high.

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梁欣,彭晓霞.中国HIV感染者/AIDS 患者服用抗病毒治疗药物后耐药性的系统综述[J]. 中国感染控制杂志,2016,15(4):254-257. DOI:10.3969/j. issn.1671-9638.2016.04.009.
LIANG Xin, PENG Xiaoxia. Systematical review of drug resistance in Chinese HIV/ AIDS patients  after antiretroviral therapy[J]. Chin J Infect Control, 2016,15(4):254-257. DOI:10.3969/j. issn.1671-9638.2016.04.009.

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  • 收稿日期:2015-07-25
  • 最后修改日期:2015-09-26
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  • 在线发布日期: 2016-04-30
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