Perfil lipídico en pacientes HIV positivos con dos tratamientos antirretrovirales que acudieron al Programa Regional de control VIH- SIDA de la VII Región Sanitaria de Itapúa en el periodo abril a septiembre de 2016

Celso Obdulio Mora Rojas, María Rossana Arenas, Lucía Margarita Gómez Fretes, N. Portillo, Mirta Arapayú, Celina Mabel Llano Vanni
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Abstract

Numerous research studies show that there is an impaired lipid metabolism in patients with HIV/AIDS, characterized by an increase in triglyceride concentration and decreased high- and low-density lipoproteins and total cholesterol. Dyslipidemia in HIV/AIDS people depends on viral suppression at the time of the study, response to the specific antiretroviral agent that relates to genetic susceptibility, as well as other factors including the use of medications, weight and lifestyle. Therefore, patients living with this infection have an increased risk of cardiovascular accident and diabetes. The objective was to determine whether there were differences in lipid profile in a cohort of patients receiving different treatment schemes in the targeted population. This was a prospective cohort design research with analytical component that included patients with HIV diagnosis and treatment that attended the Regional HIV-AIDS Control Programme at the Regional Hospital of Encarnacion - VII Itapua Health Region from April to September 2016. Significant differences were found in most analytes components of the lipid profile. A periodic control of the lipid profile is necessary in these patient groups as this will contribute to a better monitoring of the health status as well as to the prevention of cardiovascular accidents in patients living with HIV/AIDS, and who are being treated with antiretrovirals
2016年4月至9月期间参加itapua第七卫生区艾滋病毒-艾滋病区域控制方案的接受两种抗逆转录病毒治疗的艾滋病毒阳性患者的脂质谱
大量研究表明,HIV/AIDS患者存在脂质代谢受损,其特征是甘油三酯浓度升高,高、低密度脂蛋白和总胆固醇降低。艾滋病毒/艾滋病患者的血脂异常取决于研究时的病毒抑制、对与遗传易感性相关的特定抗逆转录病毒药物的反应,以及包括药物使用、体重和生活方式在内的其他因素。因此,患有这种感染的患者发生心血管事故和糖尿病的风险增加。目的是确定在目标人群中接受不同治疗方案的患者队列中脂质谱是否存在差异。这是一项具有分析成分的前瞻性队列设计研究,纳入了2016年4月至9月在恩卡纳松地区医院-第七伊塔普亚卫生区参加区域艾滋病毒-艾滋病控制规划的艾滋病毒诊断和治疗患者。在脂质谱的大多数分析成分中发现了显着差异。定期控制这些患者群体的血脂状况是必要的,因为这将有助于更好地监测健康状况,并预防正在接受抗逆转录病毒药物治疗的艾滋病毒/艾滋病患者的心血管事故
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