[在布基纳法索接受抗逆转录病毒治疗的艾滋病毒感染者中观察到的代谢紊乱和心血管危险因素]。

R Bognounou, A Diendéré, I Diallo, H Tieno, O Guira, D D Ouedraogo, Y J Drabo
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引用次数: 0

摘要

这项描述性横向研究的目的是描述在布基纳法索瓦加杜古大学医院日托病房接受抗逆转录病毒治疗的艾滋病毒感染患者的代谢紊乱和心血管危险因素。共有100名患者(布基纳法索队列)接受抗逆转录病毒治疗,随访时间至少为42个月(2005年10月至2009年10月)。女性77例,男性33例,平均年龄37岁。大多数患者,即95%,hiv阳性。平均体重指数为22 kg/m2。平均CD4计数280/mm3。71例接受病毒载量检测的患者中有66例检测不到病毒载量。逆转录病毒治疗包括27例固定剂量的TriomuneR组合(司他夫定+拉米夫定+ nsamvirapine)。心血管危险因素包括5例患者有高血压家族史,4例有吸烟家族史,8例有肥胖家族史。随访期间,7例患者出现高血压。代谢紊乱包括高血糖症(4%)、高甘油三酯血症(17%)和高胆固醇血症(14%)。6例患者出现脂肪营养不良。尽管随访时间较短,但在接受抗逆转录病毒治疗的患者中观察到代谢紊乱和心血管危险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Metabolic disorders and cardiovascular risk factors observed in patients infected by the HIV with antiretroviral therapy in Burkina Faso].

The purpose of this descriptive transverse study is to describe metabolic disorders and cardiovascular risk factors in HIV-infected patients undergoing antiretroviral therapy in the day-care unit of the University Hospital of Ouagadougou, Burkina-Faso. A total of 100 patients (Burkinavi cohort) undergoing antiretroviral therapy with a minimum of 42-months of follow-up (October 2005 to Mars 2009) were included. There were 77 females and 33 males with a mean age of 37 years. Most patients, i.e., 95%, were positive for HIV1. Mean body mass index was 22 kg/m2. Mean CD4 count was 280/mm3. Viral load was undetectable in 66 of the 71 patients who underwent viral load testing. Retroviral therapy consisted of the TriomuneR combination (Stavudine + lamivudine + névirapine) at a fixed dose in 27 cases. Cardiovascular risk factors included family history of high arterial blood pressure in 5 patients, smoking in 4, and obesity in 8. During follow-up, seven patients presented hypertension. Metabolic disorders included hyperglycemia (4%), hypertriglyceridemia (17%) and hypercholesterolemia (14%). Lipodystrophia was noted for 6 patients. Despite the short follow-up period, metabolic disorders and cardiovascular risk factors were observed at our patients under antiretroviral therapy.

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