人民卫生出版社系列期刊
ISSN 2096-2738 CN 11-9370/R

中国科技核心期刊（中国科技论文统计源期刊）
2020《中国学术期刊影响因子年报》统计源期刊

新发传染病电子杂志

新发传染病电子杂志 ›› 2022, Vol. 7 ›› Issue (4): 1-5.doi: 10.19871/j.cnki.xfcrbzz.2022.04.001

• 一切为了人民健康——我们这十年 •    下一篇

从我国艾滋病诊疗指南的变迁看艾滋病防治工作的进展与成效

沈银忠1, 李太生2   

  1. 1.复旦大学附属公共卫生临床中心感染与免疫科,上海 201508;
    2.中国医学科学院北京协和医院感染内科,北京 100730
  • 收稿日期:2022-10-08 发布日期:2023-02-20
  • 通讯作者: 李太生,Email：litsh@263.net
  • 基金资助:
    1.上海市科委医学创新研究专项重大项目（21Y31900400）; 2.上海市科委临床研究中心建设项目(20MC1920100); 3.上海市传染病临床重点专科项目（shslczdzk01102）; 4.上海申康医院发展中心临床科技创新项目（SHDC22021317）和临床研究基础支撑项目（SHDC2020CR6025）

The changes of Chinese guidelines for diagnosis and treatment of HIV/AIDS reflect the progress in prevention and treatment of HIV/AIDS in China

Shen Yinzhong, Li Taisheng   

  1. 1. Department of Infection and Immunity, Shanghai Public Health Clinical Center, Fudan University, Shanghai 201508, China;
    2. Department of Infection, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China
  • Received:2022-10-08 Published:2023-02-20

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摘要： 艾滋病诊治指南对于指导艾滋病防治工作具有重要的意义。我国艾滋病诊疗指南从2006年第一版的制定发布到2021年的第五版更新修订,体现了我国艾滋病防治和研究工作的不断进展。指南的变迁体现了艾滋病防治理念的变化,促进了我国艾滋病防治工作的开展。通过各级政府和全社会的共同努力,我国艾滋病疫情总体上持续控制在低流行水平;公众艾滋病防治意识显著提升,输血传播基本上已经阻断,HIV母婴传播和注射吸毒传播降到历史最低水平;感染者抗病毒治疗覆盖率和成功率均超过90%,HIV感染/艾滋病患者的生活质量不断提高。指南的变迁体现了艾滋病防控工作中“防”和“治”的结合,强化了HIV感染的全程管理理念,强调多措施联合应用提升预防HIV感染的效果,倡导早期启动抗病毒治疗及抗病毒治疗方案优化,强调规范随访,关注HIV相关疾病和合并疾病的筛查和处理。诊疗指南将随着艾滋病防治和研究工作进展而不断更新修订,并继续在我国艾滋病防治工作中发挥重要作用。

关键词: 艾滋病, 指南, 抗病毒治疗, 预防, 进展

Abstract: Guidelines for diagnosis and treatment of HIV/AIDS are of great significance for guiding prevention and treatment of HIV infection. Chinese guidelines for diagnosis and treatment of HIV/AIDS were released from the first edition in 2006 to the fifth edition in 2021, which reflects the continuous progress of China's HIV/AIDS prevention and research. The changes in the guidelines reflect the changes in the concept of HIV/AIDS prevention and control, and promote the development of HIV/AIDS prevention and treatment in China. Through the joint efforts of governments at all levels and the whole society, the HIV/AIDS epidemic in China has generally been kept under control at a low epidemic level; the public's awareness of HIV/AIDS prevention and control has been significantly improved, the transmission of blood transfusion has been basically blocked, and the transmission of HIV from mother to child and injecting drug abuse has dropped to the lowest level in history; the coverage and success rate of antiretroviral treatment for HIV-infected people exceeded 90%, and the quality of life of HIV/AIDS patients continued to improve. The changes of the guidelines reflect the combination of "prevention" and "treatment" in HIV/AIDS prevention and control, strengthen the whole process management concept of HIV infection, emphasize the joint application of multiple measures to improve the effect of HIV infection prevention, advocate the early initiation of antiviral treatment and the optimization of antiviral treatment programs, emphasize standardized follow-up, and pay attention to the screening and treatment of HIV related diseases and associated diseases. The guidelines for diagnosis and treatment will continue to be updated and revised with the progress of HIV/AIDS prevention and research, and continue to play an important role in China's HIV/AIDS prevention and treatment work.

Key words: Acquired immune deficiency syndrome, Guidelines, Antiviral therapy, Prevention, Progress

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