{"id":220,"date":"2023-12-12T10:51:20","date_gmt":"2023-12-12T02:51:20","guid":{"rendered":"http:\/\/baijianyy.cn\/?p=220"},"modified":"2023-12-12T10:51:20","modified_gmt":"2023-12-12T02:51:20","slug":"%e5%a4%a9%e6%b4%a5%e5%b8%82%e6%b2%b3%e5%8c%97%e5%8c%ba%e9%98%bb%e6%96%ad%e8%8d%af%e5%a4%9a%e5%b0%91%e5%b0%8f%e6%97%b6%e5%86%85%e5%90%83%e6%9c%89%e6%95%88%ef%bc%9f%e7%8c%b4%e7%97%98%e5%90%88%e5%b9%b6hi","status":"publish","type":"post","link":"http:\/\/baijianyy.cn\/?p=220","title":{"rendered":"\u5929\u6d25\u5e02\u6cb3\u5317\u533a\u963b\u65ad\u836f\u591a\u5c11\u5c0f\u65f6\u5185\u5403\u6709\u6548\uff1f\u7334\u75d8\u5408\u5e76HIV\u611f\u67d3\u7684\u5c0f\u77e5\u8bc6"},"content":{"rendered":"<p>\u5929\u6d25\u5e02\u6cb3\u5317\u533a\u827e\u6ecb\u75c5<a class=\"tag_link\" title=\"\u6d4f\u89c8\u5173\u4e8e\u201c\u963b\u65ad\u836f\u201d\u7684\u6587\u7ae0\" href=\"http:\/\/baijianyy.cn\/?tag=%e9%98%bb%e6%96%ad%e8%8d%af\" target=\"_blank\" 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class=\"tag_link\">\u7334\u75d8<\/a>\u662f\u7531\u7334\u75d8\u75c5\u6bd2\u611f\u67d3\u5f15\u8d77\u7684\u75be\u75c5\u3002\u7334\u75d8\u75c5\u6bd2\u4e3b\u8981\u7ecf\u9ecf\u819c\u548c\u7834\u635f\u76ae\u80a4\u4fb5\u5165\u4eba\u4f53\uff0c\u4e3b\u8981\u901a\u8fc7\u76f4\u63a5\u63a5\u89e6\u75c5\u4f8b\u7684\u75c5\u53d8\u76ae\u80a4\u6216\u9ecf\u819c\u4f20\u64ad\uff0c\u4ea6\u53ef\u901a\u8fc7\u63a5\u89e6\u88ab\u75c5\u6bd2\u6c61\u67d3\u7684\u7269\u54c1\u3001\u957f\u65f6\u95f4\u8fd1\u8ddd\u79bb\u5438\u5165\u75c5\u4f8b\u547c\u5438\u9053\u98de\u6cab\u4f20\u64ad\uff0c\u63a5\u89e6\u611f\u67d3\u52a8\u7269\u7684\u547c\u5438\u9053\u5206\u6ccc\u7269\u3001\u75c5\u53d8\u6e17\u51fa\u7269\u3001\u8840\u6db2\u53ca\u5176\u5b83\u4f53\u6db2\uff0c\u6216\u88ab\u611f\u67d3\u52a8\u7269\u54ac\u4f24\u3001\u6293\u4f24\u611f\u67d3\u4f20\u64ad[1]\u3002<\/p>\n<p>WHO\u53d1\u5e03\uff0c\u81ea2022\u5e74\u7334\u75d8\u7206\u53d1\u4ee5\u6765\uff0c\u5168\u7403\u62a5\u544a\u4e86\u8d85\u8fc78.8\u4e07\u4f8b\u786e\u8bca\u75c5\u4f8b\uff0c\u6b7b\u4ea1\u75c5\u4f8b\u8fbe152\u4f8b\u3002\u4e2d\u56fd\u75be\u75c5\u9884\u9632\u63a7\u5236\u4e2d\u5fc3\u7f51\u7ad9\u53d1\u5e03\uff0c2023\u5e74\uff0c\u6211\u56fd\uff08\u4e0d\u542b\u6e2f\u6fb3\u53f0\uff096\u6708\u65b0\u589e\u62a5\u544a106\u4f8b\u7334\u75d8\u786e\u8bca\u75c5\u4f8b\uff0c7\u6708\u65b0\u589e491\u4f8b\uff0c\u75ab\u60c5\u5448\u73b0\u4ee5\u4e0b\u7279\u70b9\uff1a\u4e00\u662f\u75c5\u4f8b\u5747\u4e3a\u7537\u6027\uff0c96.3%\u75c5\u4f8b\u660e\u786e\u4e3a\u7537\u7537\u6027\u884c\u4e3a\u4eba\u7fa4\u3002\u4e8c\u662f\u5176\u4ed6\u63a5\u89e6\u65b9\u5f0f\u4f20\u64ad\u98ce\u9669\u4f4e\u3002\u9664\u540c\u6027\u6027\u63a5\u89e6\u4ee5\u5916\u7684\u5bc6\u5207\u63a5\u89e6\u8005\u5747\u672a\u53d1\u751f\u611f\u67d3\u3002\u4e09\u662f89.2%\u75c5\u4f8b\u4e3a\u4e3b\u52a8\u5c31\u8bca\u53d1\u73b0\uff0c6.5%\u4e3a\u5bc6\u5207\u63a5\u89e6\u8005\u8ffd\u8e2a\u7b5b\u67e5\u53d1\u73b0\uff0c\u5176\u4ed6\u4e3a\u4e3b\u52a8\u62a5\u544a\u548c\u4e3b\u52a8\u7b5b\u67e5\u7b49\u53d1\u73b0\u3002\u56db\u662f\u7edd\u5927\u591a\u6570\u75c5\u4f8b\u4e34\u5e8a\u8868\u73b0\u5178\u578b\uff0c\u4e3b\u8981\u4e3a\u53d1\u70ed\u3001\u75b1\u75b9\u3001\u6dcb\u5df4\u7ed3\u80bf\u5927\u7b49\u75c7\u72b6\uff0c\u65e0\u91cd\u75c7\u3001\u6b7b\u4ea1\u75c5\u4f8b[2]\u3002<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter size-full wp-image-221\" src=\"http:\/\/baijianyy.cn\/wp-content\/uploads\/2023\/12\/\u7334\u75d8\u5408\u5e76HIV\u611f\u67d3.png\" alt=\"\" width=\"486\" height=\"349\" srcset=\"http:\/\/baijianyy.cn\/wp-content\/uploads\/2023\/12\/\u7334\u75d8\u5408\u5e76HIV\u611f\u67d3.png 486w, http:\/\/baijianyy.cn\/wp-content\/uploads\/2023\/12\/\u7334\u75d8\u5408\u5e76HIV\u611f\u67d3-300x215.png 300w\" sizes=\"(max-width: 486px) 100vw, 486px\" \/><\/p>\n<p>\u867d\u7136\u4efb\u4f55\u4eba\u90fd\u53ef\u80fd\u611f\u67d3\u7334\u75d8\uff0c\u4f46\u5728\u5168\u7403\u62a5\u544a\u7684\u7334\u75d8\u75c5\u4f8b\u4e2d\uff0cHIV\u611f\u67d3\u8005\u6240\u5360\u6bd4\u4f8b\u8f83\u9ad8\uff0c\u7ea6\u5360\u60a3\u6709\u7334\u75d8\u60a3\u8005\u768438-50%[3]\uff0c\u5176\u4e2d\u5408\u5e76HIV\u611f\u67d3\u7684\u60a3\u8005\u5927\u591a\u75c5\u6bd2\u6291\u5236\u4e14CD4 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\u4e2a\/mm3\u65f6\uff0c\u4f1a\u589e\u52a0\u7334\u75d8\u75c5\u6bd2\u653b\u51fb\u540e\u611f\u67d3\u7684\u4e25\u91cd\u7a0b\u5ea6\u3002\u540c\u65f6\u8be5\u7814\u7a76\u8fd8\u89c2\u5bdf\u5230\uff0c\u4f4eCD4\u7ec6\u80de\u8ba1\u6570\u5bf9\u7334\u75d8\u4e25\u91cd\u7a0b\u5ea6\u6216\u6b7b\u4ea1\u7684\u5f71\u54cd\u968f HIV \u8840\u6d46\u75c5\u6bd2\u8f7d\u91cf\u800c\u53d8\u5316\uff0c\u5728\u4efb\u4f55\u7ed9\u5b9a\u7684 CD4 \u7ec6\u80de\u8ba1\u6570\u7ec4\u4e2d\uff0c\u8f83\u9ad8\u7684\u75c5\u6bd2\u8f7d\u91cf\u4e0e\u4e25\u91cd\u75be\u75c5\u53d1\u751f\u9891\u7387\u589e\u52a0\u76f8\u5173\u3002<\/p>\n<p>\u7531\u6b64\u53ef\u89c1\uff0c\u7334\u75d8\u7684\u75c5\u60c5\u6709\u591a\u4e25\u91cd\u4e0e\u60a3\u8005\u7684\u514d\u75ab\u7cfb\u7edf\u606f\u606f\u76f8\u5173\uff0c\u56e0\u6b64\u4f18\u5316\u514d\u75ab\u7cfb\u7edf\u5bf9\u4e8e\u6e05\u9664\u611f\u67d3\u81f3\u5173\u91cd\u8981\uff0c\u6545\u65e0\u8bbaCD4\u7ec6\u80de\u8ba1\u6570\u5982\u4f55\uff0c\u5c3d\u65e9\u5f00\u59cb\u3001\u7ee7\u7eed\u6216\u6062\u590d\u827e\u6ecb\u75c5\u6297\u75c5\u6bd2\u6cbb\u7597\u662f\u9884\u9632\u7334\u75d8\u611f\u67d3\u548c\u6cbb\u7597HIV\u611f\u67d3\u8005\u5408\u5e76\u7334\u75d8\u7684\u5173\u952e\u3002<\/p>\n<p>\u5982\u679c\u60a8\u611f\u67d3\u4e86HIV\uff0c\u60a8\u5e94\u8be5\u9075\u5faa\u4e0e\u672a\u611f\u67d3HIV\u7684\u4eba\u76f8\u540c\u7684\u5efa\u8bae\u6765\u4fdd\u62a4\u81ea\u5df1\u514d\u53d7\u7334\u75d8\u611f\u67d3\u3002\u6309\u5904\u65b9\u670d\u7528\u827e\u6ecb\u75c5\u6bd2\u836f\u7269\u5e76\u4fdd\u6301\u75c5\u6bd2\u8f7d\u91cf\u4f4e\u4e8e\u68c0\u6d4b\u4e0d\u5230\u7684\u6c34\u5e73\u662f\u60a8\u4fdd\u6301\u5065\u5eb7\u53ef\u4ee5\u505a\u7684\u6700\u597d\u7684\u4e8b\u60c5\uff0c\u800c\u4e14\u8fd9\u6837\u505a\u8fd8\u53ef\u4ee5\u9632\u6b62\u60a8\u5c06HIV\u4f20\u7ed9\u60a8\u7684\u9634\u6027\u4f34\u4fa3\u54e6\u3002<\/p>\n<p>\u5982\u679c\u60a8\u611f\u67d3\u4e86HIV\u540e\u53c8\u611f\u67d3\u7334\u75d8\u75c5\u6bd2\uff0c\u4e0d\u7528\u62c5\u5fc3\uff0c\u7334\u75d8\u901a\u5e38\u662f\u8f7b\u5fae\u7684\uff0c\u5728\u611f\u67d3\u540e\u75c5\u6bd2\u8f7d\u91cf\u5f97\u5230\u63a7\u5236\u4e14CD4\u8ba1\u6570\u8f83\u9ad8\u7684\u60c5\u51b5\u4e0b\u53ef\u81ea\u884c\u6d88\u9000\u3002\u800c\u4e14\uff0c\u6839\u636e\u7f8e\u56fd\u75be\u75c5\u9884\u9632\u63a7\u5236\u4e2d\u5fc3\uff08CDC\uff09\u53d1\u5e03\u7684\u6d88\u606f\u6765\u770b\uff0c\u5bf9\u4e8e\u53ef\u80fd\u60a3\u4e0a\u4e25\u91cd\u7334\u75d8\u75be\u75c5\u7684HIV\u611f\u67d3\u8005\u6765\u8bf4\uff0c\u7334\u75d8\u7684\u6cbb\u7597\u4e0e HIV\u836f\u7269\u51e0\u4e4e\u6ca1\u6709\u76f8\u4e92\u4f5c\u7528\u3002<\/p>\n<p>\u5982\u679c\u60a8\u60a3\u6709\u7334\u75d8\u6216\u6b63\u5728\u63a5\u53d7\u7334\u75d8\u7684\u6cbb\u7597\uff0cHIV\u66b4\u9732\u524d\u9884\u9632 (PrEP)\u548cHIV\u66b4\u9732\u540e\u9884\u9632 (PEP) \u4ecd\u7136\u53ef\u4ee5\u6709\u6548\u9884\u9632HIV\u3002\u5982\u679c\u60a8\u6b63\u5728\u63a5\u53d7HIV PrEP\u6216 PEP\uff0c\u60a8\u5e94\u8be5\u7ee7\u7eed\u6309\u5904\u65b9\u670d\u836f\u3002<\/p>\n<p>\u53c2\u8003\u6587\u732e<\/p>\n<p>[1]\u56fd\u5bb6\u75be\u75c5\u9884\u9632\u63a7\u5236\u5c40,\u56fd\u5bb6\u536b\u751f\u5065\u5eb7\u59d4\u5458\u4f1a.\u7334\u75d8\u9632\u63a7\u65b9\u6848. [EB\/OL].2023-07-26.<\/p>\n<p>[2]\u4e2d\u56fd\u75be\u75c5\u9884\u9632\u63a7\u5236\u4e2d\u5fc3. 2023\u5e747\u6708\u7334\u75d8\u75ab\u60c5\u76d1\u6d4b\u60c5\u51b5[EB\/OL].2023-08-09..<\/p>\n<p>[3] Mitj\u00e0 O, Alemany A, Marks M, et al. Mpox in people with advanced HIV infection: a global case series[J]. The Lancet, 2023, 401(10380): 939-949.<\/p>\n<p>[4] Saldana C S, Kelley C F, Aldred B M, et al. Mpox and HIV: a Narrative Review[J]. 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