吴昊教授:防控艾滋病的最重点环节是反对卑视,让艾滋病病人前行的路充满希冀
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">吴昊教授:国内艾滋病治疗<span style="color: black;">行业</span>我最敬重的人,<span style="color: black;">无</span>之一。</span></p><span style="color: black;"><strong style="color: blue;">早检测、早<span style="color: black;">发掘</span>、早治疗,感染HIV<span style="color: black;">亦</span>能活到正常寿命。</strong></span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">艾滋病位居<span style="color: black;">全世界</span>三大公共卫生问题之首(艾滋病、结核、疟疾)。</span></span><span style="color: black;"><span style="color: black;">自</span>1985年传入中国,流行</span><span style="color: black;">3</span><span style="color: black;">0<span style="color: black;">数年</span>来</span><span style="color: black;"><span style="color: black;">,</span></span><span style="color: black;"><span style="color: black;">全世界</span></span><span style="color: black;"><span style="color: black;">累计</span></span><span style="color: black;"><span style="color: black;">有</span>7000多万人感染艾滋病</span><span style="color: black;"><span style="color: black;">病毒</span></span><span style="color: black;"><span style="color: black;">,</span></span><span style="color: black;"><span style="color: black;">大<span style="color: black;">大概</span></span>3500万人</span><span style="color: black;">(</span><span style="color: black;">50%)死亡</span><span style="color: black;"></span><span style="color: black;"><span style="color: black;">。虽然</span></span><span style="color: black;"><span style="color: black;">人们对艾滋病的<span style="color: black;">认识</span>越来越多,但<span style="color: black;">更加多</span>的</span></span><span style="color: black;"><span style="color: black;">还</span></span><span style="color: black;"><span style="color: black;">是</span>“谈艾色变”,对艾滋病传播的<span style="color: black;">重点</span>途径、防治重点等问题,仍存在认知误区</span><span style="color: black;"><span style="color: black;">。</span></span><span style="color: black;"><span style="color: black;">改变人们对艾滋病的错误认知,对推动</span></span><span style="color: black;"><span style="color: black;">艾滋</span></span><span style="color: black;"><span style="color: black;">防治</span></span><span style="color: black;"><span style="color: black;">工作的进步<span style="color: black;">道理</span><span style="color: black;">非常</span>重大</span></span><span style="color: black;"><span style="color: black;">。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2</span><span style="color: black;">018年</span><span style="color: black;">1</span><span style="color: black;">0月</span><span style="color: black;">1</span><span style="color: black;">5日</span><span style="color: black;"><span style="color: black;">,</span></span><span style="color: black;"><span style="color: black;">医学界记者走进</span></span><span style="color: black;"><span style="color: black;">首都医科大学<span style="color: black;">附庸</span></span></span><span style="color: black;"><span style="color: black;">北京佑安医院</span></span><span style="color: black;"><span style="color: black;">,并有幸采访到了感染中心<span style="color: black;">专家</span>吴昊教授,吴教授向<span style="color: black;">咱们</span>仔细介绍了我国艾滋病的防治<span style="color: black;">状况</span>。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/fxy4icdrGfahqNebS8ZyX6OfGibP2nW5NIbVSvk76SlTkWa8RTdMzcuibsczUNh0PV0KzahJbad5A79sooJP2H6sQ/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">我国艾滋病防控形势不容<span style="color: black;">阳光</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">在我国</span></span><span style="color: black;"><span style="color: black;">,</span></span><span style="color: black;"><span style="color: black;"><span style="color: black;">日前</span><span style="color: black;">发掘</span>艾滋病感染者8</span>5万</span><span style="color: black;"><span style="color: black;">余例</span></span><span style="color: black;">[</span><span style="color: black;">2]</span><span style="color: black;"><span style="color: black;">,北京在全国<span style="color: black;">来讲</span>,属于</span></span><span style="color: black;"><span style="color: black;">感染人数较多的地区,</span></span><span style="color: black;"><span style="color: black;">累计</span></span><span style="color: black;"><span style="color: black;"><span style="color: black;">发掘</span></span></span><span style="color: black;">30,000</span><span style="color: black;"><span style="color: black;">人</span></span><span style="color: black;"><span style="color: black;"><span style="color: black;">上下</span></span>, 排在前十名省市里</span><span style="color: black;"><span style="color: black;">。全国有</span>7</span><span style="color: black;">0多万人采取了抗病毒治疗</span><span style="color: black;"><span style="color: black;">,</span></span><span style="color: black;"><span style="color: black;">其中</span></span><span style="color: black;"><span style="color: black;">北京有接近</span></span><span style="color: black;">3万人接受治疗,</span><span style="color: black;"><span style="color: black;">即</span></span><span style="color: black;"><span style="color: black;">有接近</span>9</span><span style="color: black;">0%的人接受治疗</span><span style="color: black;"><span style="color: black;">。</span>“这种<span style="color: black;">状况</span>相<span style="color: black;">针对</span>前些年<span style="color: black;">来讲</span>,有了很大的改观。”吴教授<span style="color: black;">暗示</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">尽管如此,我国每年新<span style="color: black;">发掘</span>的艾滋病感染者仍呈逐年增长的趋势,估计新发感染者每年</span>8-9<span style="color: black;">万例<span style="color: black;">上下</span></span></span><span style="color: black;">。</span><span style="color: black;">2018年<span style="color: black;">迄今</span>新<span style="color: black;">发掘</span>感染者15万<span style="color: black;">上下</span></span><span style="color: black;"><span style="color: black;"><span style="color: black;">,而相对<span style="color: black;">来讲</span></span>, </span><span style="color: black;"><span style="color: black;">美国近十年来新<span style="color: black;">发掘</span>感染者人数较稳定</span>,</span><span style="color: black;"><span style="color: black;">保持在</span>4-4.5万<span style="color: black;">上下</span></span><span style="color: black;">。</span><span style="color: black;">“但这<span style="color: black;">亦</span><span style="color: black;">不可</span>说明我国艾滋病感</span></span><span style="color: black;">染呈暴增态势。”吴教授解释道,“<span style="color: black;">由于</span>近年来,我国对艾滋病的检测力度加大,每年<span style="color: black;">最少</span>2亿人检测,且检测多在高危人群中进行,<span style="color: black;">因此呢</span>有可能对既往<span style="color: black;">的感染者<span style="color: black;">发掘</span>较多,总的新<span style="color: black;">发掘</span>感染人数剧增,事实上<span style="color: black;">日前</span>暂<span style="color: black;">没</span>新发感染<span style="color: black;">关联</span>数据。</span>”</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">防控艾滋病的最<span style="color: black;">重点</span>环节是反对<span style="color: black;">卑视</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">抗击艾滋病并<span style="color: black;">不可</span>仅仅依赖于医学的进步,<span style="color: black;">有些</span>人冷漠、孤立的态度,给<span style="color: black;">病人</span><span style="color: black;">增多</span>了巨大的心理压力。社会对艾滋病感染者的<span style="color: black;">卑视</span>现象,使<span style="color: black;">行径</span>的人不愿意接受艾滋病检测,</span></span><span style="color: black;"><span style="color: black;">这就失去了早<span style="color: black;">发掘</span>的机会,</span></span><span style="color: black;"><span style="color: black;">失去了新发感染人数的准确统计。<span style="color: black;">同期</span>这种<span style="color: black;">卑视</span>现象</span></span><span style="color: black;"><span style="color: black;"><span style="color: black;">亦</span>使</span></span><span style="color: black;"><span style="color: black;">感染者</span></span><span style="color: black;"><span style="color: black;">不愿意暴露自己的感染<span style="color: black;">情况</span>,容易<span style="color: black;">引起</span><span style="color: black;">病人</span>拒绝<span style="color: black;">协同</span>治疗,使得<span style="color: black;">本来</span><span style="color: black;">能够</span>遏制的病情,在拖延中进一步加重</span></span><span style="color: black;"><span style="color: black;">,这都<span style="color: black;">有害</span>于艾滋病的防控。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">男男同性性<span style="color: black;">行径</span>者(</span>MSM)是艾滋病感染的高危人群,吴<span style="color: black;">专家</span>指出,全国MSM感染者占艾滋病感染者的25</span><span style="color: black;">%</span><span style="color: black;"><span style="color: black;"><span style="color: black;">上下</span>,北京的特点较<span style="color: black;">显著</span>。这部分人对艾滋病传播途径及<span style="color: black;">关联</span>知识匮乏,且承受</span></span><span style="color: black;"><span style="color: black;">更加</span></span><span style="color: black;"><span style="color: black;">巨大</span></span><span style="color: black;"><span style="color: black;">的</span></span><span style="color: black;"><span style="color: black;">压力。<span style="color: black;">因为</span>全社会<span style="color: black;">广泛</span>对<span style="color: black;">她们</span>的<span style="color: black;">卑视</span>,会使<span style="color: black;">她们</span>产生恐惧,不敢暴露<span style="color: black;">亦</span>不敢治疗,<span style="color: black;">从而</span><span style="color: black;">导致</span>艾滋病的传播。虽然<span style="color: black;">日前</span>全国范围内的<span style="color: black;">卑视</span>现象有所减轻,检测率和治疗率<span style="color: black;">亦</span>有所<span style="color: black;">上升</span>,<span style="color: black;">然则</span>反<span style="color: black;">卑视</span>仍然是个长远的工作。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“<span style="color: black;">例如</span>,你的家庭<span style="color: black;">或</span>你所在的办公室,能<span style="color: black;">不可</span>容纳一个艾滋病<span style="color: black;">病人</span>正常生活<span style="color: black;">或</span>工作?你能<span style="color: black;">不可</span>做到和他吃饭聊天时脑子里不会<span style="color: black;">显现</span>‘艾滋病’这个词?出门逛街时,能<span style="color: black;">不可</span>做到不<span style="color: black;">能够</span>对<span style="color: black;">咱们</span>佑安医院绕道走呢?”吴<span style="color: black;">专家</span>不乏幽默的问题,令人沉思。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">爱心家园为艾滋病<span style="color: black;">病人</span>带来温暖</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“北京佑安爱心家园”</span><span style="color: black;"><span style="color: black;">是我国最早成立的关爱艾滋病<span style="color: black;">病人</span>及感染者的组织。据吴教授介绍,艾滋病在我国最早<span style="color: black;">发掘</span>时,尚<span style="color: black;">没</span>法医治,且艾滋病<span style="color: black;">病人</span>社会<span style="color: black;">卑视</span>现象严重,更<span style="color: black;">必须</span>关怀。</span>“佑安医院在最早<span style="color: black;">发掘</span>艾滋病<span style="color: black;">病人</span>时就成立了</span><span style="color: black;">“爱心家园”</span><span style="color: black;"><span style="color: black;">,这是在当时的社会背景下应运而生。并且<span style="color: black;">由于</span>艾滋病在全世界范围内的影响都很大,</span></span><span style="color: black;">“爱心家园”</span><span style="color: black;"><span style="color: black;">的<span style="color: black;">非常多</span>关怀工作和治疗理念都是与国外同步的。</span>”吴教授说。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“爱心家园”</span><span style="color: black;"><span style="color: black;">成立<span style="color: black;">迄今</span>,<span style="color: black;">始终</span>在逐步探索更有效的工作模式,致力于为艾滋病<span style="color: black;">病人</span><span style="color: black;">供给</span>更加切实,贴心的关怀服务。从刚<span style="color: black;">起始</span>时的落实到<span style="color: black;">病人</span>生活工作中的<span style="color: black;">详细</span>行动,如身先士卒和<span style="color: black;">病人</span><span style="color: black;">一块</span>吃饭、包饺子等,转移到重点阻止艾滋病的传播,<span style="color: black;">尤其</span>强调在健康人中传播艾滋病防控知识。直到</span>1</span><span style="color: black;">0</span><span style="color: black;"><span style="color: black;">年前<span style="color: black;">发掘</span>工作重点有所偏差,从而把重点转移到艾滋病<span style="color: black;">病人</span>,在<span style="color: black;">她们</span>之间宣传防治艾滋病传播的知识。近几年来,</span></span><span style="color: black;">“佑安爱心家园”</span><span style="color: black;"><span style="color: black;">的工作重点放在了预防和治疗艾滋病<span style="color: black;">病人</span>,<span style="color: black;">奋斗</span>做到及早<span style="color: black;">发掘</span><span style="color: black;">病人</span>,早治疗及防止艾滋病的传播。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“</span><span style="color: black;"><span style="color: black;">爱心家园</span></span><span style="color: black;">”</span><span style="color: black;"><span style="color: black;">把对艾滋病<span style="color: black;">病人</span>的关怀贯穿到<span style="color: black;">每日</span>的诊疗工作中,引导<span style="color: black;">病人</span>顺利就诊、及早介入进行心理疏导,并<span style="color: black;">逐步</span>形成一种工作常规。<span style="color: black;">经过</span><span style="color: black;">长时间</span>的工作实践,创立了适合中国国情的,由医院、<span style="color: black;">疾患</span>预防<span style="color: black;">掌控</span>中心及感染者同伴</span></span><span style="color: black;"><span style="color: black;">、志愿者</span></span><span style="color: black;"><span style="color: black;"><span style="color: black;">一起</span>形成</span></span><span style="color: black;"><span style="color: black;">的</span></span><span style="color: black;"><span style="color: black;">工作团队,将治疗、健康教育、生活方式<span style="color: black;">干涉</span>等</span></span><span style="color: black;"><span style="color: black;">多</span></span><span style="color: black;"><span style="color: black;">项工作结合在<span style="color: black;">一块</span>,对艾滋病感染者和<span style="color: black;">病人</span>进行治疗、护理及关怀的一站式服务</span></span><span style="color: black;"><span style="color: black;">。近些年来,佑安医院<span style="color: black;">亦</span>进行了多次这种工作模式的推广工作,<span style="color: black;">期盼</span>全国多家医院能够利用类似的<span style="color: black;">办法</span>,为<span style="color: black;">病人</span><span style="color: black;">处理</span><span style="color: black;">更加多</span>的问题,做好艾滋病知识的宣传、治疗和预防。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">佑安医院<span style="color: black;">始终</span>走在艾滋病治疗前列</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/fxy4icdrGfahOZZI2t4jIMRwggQm9emHGTFOBwXjzxKqTiajyN7gylgWKuAMXLopu7HhsATJicniaNxj01dMiczgE3w/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">佑安医院感染中心门诊<span style="color: black;">专家</span>孙丽君<span style="color: black;">暗示</span>,门诊艾滋病<span style="color: black;">病人</span>每年新增人数在</span>1</span><span style="color: black;">500</span><span style="color: black;">—1</span><span style="color: black;">700</span><span style="color: black;"><span style="color: black;">人,在治</span>9</span><span style="color: black;">000</span><span style="color: black;"><span style="color: black;">人,治疗效果能够达到欧美发达国家的标准。住院<span style="color: black;">病人</span><span style="color: black;">通常</span>是从<span style="color: black;">外区</span>转诊到佑安医院的疑难杂症,每年新<span style="color: black;">增多</span>的艾滋病<span style="color: black;">病人</span>中,有</span>2</span><span style="color: black;">0</span><span style="color: black;"><span style="color: black;">%左右的晚期<span style="color: black;">病人</span>(</span>CD4<2</span><span style="color: black;">00</span><span style="color: black;"><span style="color: black;">),这类<span style="color: black;">病人</span>治疗会有</span>3</span><span style="color: black;">0</span><span style="color: black;"><span style="color: black;">%的几率<span style="color: black;">出现</span>免疫重建炎性<span style="color: black;">综合症</span>,<span style="color: black;">必须</span>住院治疗。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“门诊还增设2名导医人员及党员、<span style="color: black;">专家</span>医师巡视咨询小分队,主动对就诊<span style="color: black;">病人</span>进行医改政策宣传,对<span style="color: black;">病人</span>的挂号、就诊、交费、取药等环节进行积极引导,<span style="color: black;">保准</span>就诊秩序良好有序。对艾滋<span style="color: black;">病人</span><span style="color: black;">归类</span>管理,特殊人群重点关注,及早<span style="color: black;">发掘</span>隐患,<span style="color: black;">提高</span><span style="color: black;">病人</span>的<span style="color: black;">看病</span>体验度和<span style="color: black;">得到</span>感。”孙<span style="color: black;">专家</span>说,“<span style="color: black;">咱们</span>感染中心秉持为<span style="color: black;">病人</span><span style="color: black;">供给</span>高品质诊疗服务的<span style="color: black;">同期</span>,用心营造良好的诊疗环境。”</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">据佑安医院感<span style="color: black;">患病</span>房<span style="color: black;">专家</span>郭彩萍介绍,内科病房全年收治</span>1</span><span style="color: black;">700</span><span style="color: black;"><span style="color: black;">人<span style="color: black;">上下</span>,艾滋病全因死亡率在</span></span><span style="color: black;">3</span><span style="color: black;">‰</span><span style="color: black;">-</span><span style="color: black;">5</span><span style="color: black;">‰,在全国范围内能达到这种治疗水平的医疗单位很少。郭<span style="color: black;">专家</span>说:“<span style="color: black;">做为</span>传<span style="color: black;">患病</span>专科及艾滋病指定医院,<span style="color: black;">咱们</span>尽可能为<span style="color: black;">病人</span><span style="color: black;">处理</span><span style="color: black;">看病</span>困难问题。即使<span style="color: black;">病人</span>当天住不了院,<span style="color: black;">咱们</span><span style="color: black;">亦</span>会尽可能留观<span style="color: black;">或</span>借用其他科室的病房,利用一切<span style="color: black;">要求</span>为<span style="color: black;">病人</span><span style="color: black;">供给</span>便利的<span style="color: black;">看病</span>环境。”</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">之<span style="color: black;">因此</span>能够保持这么高的治疗水平和效果,离不开佑安医院完整的团队及组织结构。医务工作者能够<span style="color: black;">持续</span>学习进步,</span></span><span style="color: black;"><span style="color: black;">随时</span></span><span style="color: black;"><span style="color: black;"><span style="color: black;">把握</span>前沿知识,有基本的医疗素养和责任心,同时能够熟悉<span style="color: black;">疾患</span>的诊疗规范,结合<span style="color: black;">病人</span>的<span style="color: black;">自己</span><span style="color: black;">状况</span>做出最好的诊疗<span style="color: black;">方法</span>。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">防治艾滋,道阻且长</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">谈到<span style="color: black;">怎样</span>做好艾滋病的防控工作,吴教授说,当务之急是要更好地推进更有效<span style="color: black;">药品</span>的应用。</span>2</span><span style="color: black;">001</span><span style="color: black;"><span style="color: black;">年</span>—2</span><span style="color: black;">003</span><span style="color: black;"><span style="color: black;">年之间,我国还<span style="color: black;">无</span>抗病毒治疗的<span style="color: black;">药品</span>,<span style="color: black;">引起</span>艾滋病的病死率很高。</span></span><span style="color: black;"><span style="color: black;">在</span>2</span><span style="color: black;">003</span><span style="color: black;"><span style="color: black;">年以后,我国<span style="color: black;">起始</span>实行对艾滋病<span style="color: black;">病人</span>的</span>“四免一关怀”政策,免费对<span style="color: black;">病人</span>进行抗病毒治疗,且随着鸡尾酒疗法的<span style="color: black;">显现</span>,艾滋病病死率有了大幅度下降。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“<span style="color: black;">日前</span>,我国</span><span style="color: black;"><span style="color: black;">艾滋病</span></span><span style="color: black;"><span style="color: black;"><span style="color: black;">病人</span>的治疗<span style="color: black;">重点</span><span style="color: black;">吃下</span>我国</span>2</span><span style="color: black;">016</span><span style="color: black;"><span style="color: black;">年更新的《国家免费艾滋病抗病毒<span style="color: black;">药品</span>治疗手册</span></span><span style="color: black;">(第4版)</span><span style="color: black;"><span style="color: black;">》<span style="color: black;">举荐</span>的</span>8种免费<span style="color: black;">药品</span>,这些<span style="color: black;">药品</span>虽然</span><span style="color: black;"><span style="color: black;">能</span></span><span style="color: black;"><span style="color: black;">够<span style="color: black;">保准</span><span style="color: black;">病人</span>的基本治疗,<span style="color: black;">然则</span>想要<span style="color: black;">病人</span>能够更有质量的活到和正<span style="color: black;">一般人</span><span style="color: black;">同样</span>的寿命,还<span style="color: black;">必须</span>更多</span></span><span style="color: black;"><span style="color: black;">更好</span></span><span style="color: black;"><span style="color: black;">的新药。相对<span style="color: black;">来讲</span>,<span style="color: black;">非常多</span>自费市场的<span style="color: black;">药品</span>疗效更好,且副<span style="color: black;">功效</span>小、治疗成功率更高。<span style="color: black;">期盼</span>不久的以后,会有<span style="color: black;">更加多</span>的新药进入<span style="color: black;">医疗保险</span>系统,<span style="color: black;">或</span>免费抗病毒治疗</span></span><span style="color: black;"><span style="color: black;">的</span></span><span style="color: black;"><span style="color: black;"><span style="color: black;">药品</span><span style="color: black;">目录中</span><span style="color: black;">增多</span><span style="color: black;">有些</span>新药,</span></span><span style="color: black;"><span style="color: black;">以</span></span><span style="color: black;"><span style="color: black;"><span style="color: black;">保准</span>艾滋病防</span></span><span style="color: black;"><span style="color: black;">治</span></span><span style="color: black;"><span style="color: black;">的最大</span></span><span style="color: black;"><span style="color: black;">效益</span></span><span style="color: black;"><span style="color: black;">。</span>”吴教授对此充满希冀。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">例如</span></span><span style="color: black;"><span style="color: black;"><span style="color: black;">日前</span></span>TDF<span style="color: black;">做为</span>替诺福韦(TFV)的靶向前药,它不仅是治疗HIV的骨干<span style="color: black;">药品</span>,还是抗HBV</span><span style="color: black;"><span style="color: black;">的经典<span style="color: black;">药品</span></span></span><span style="color: black;"><span style="color: black;">。</span></span><span style="color: black;"><span style="color: black;">自从</span>2001年TDF在美国上市(2014年中国上市)<span style="color: black;">败兴</span>,其强大的疗效得到了充分的临床验证。然而<span style="color: black;">长时间</span><span style="color: black;">运用</span>TDF有两个值得关注的安全性问题,即骨质疏松和肾脏损害。为<span style="color: black;">认识</span>决这些问题,丙酚替诺福韦(TAF)应时而生。以创新的FTC /TAF为骨干<span style="color: black;">药品</span>,安全与强效兼得;以F/TAF为骨干,<span style="color: black;">拥有</span><span style="color: black;">长时间</span>的骨、肾和心血管安全性。</span><span style="color: black;"><span style="color: black;"><span style="color: black;">然则</span>这些药<span style="color: black;">日前</span>还<span style="color: black;">必须</span>自费获取。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">我国从</span>2012年就<span style="color: black;">起始</span>了早治疗、“<span style="color: black;">发掘</span>即治疗”的全员治疗策略,而在欧美国家</span><span style="color: black;"><span style="color: black;">更</span></span><span style="color: black;"><span style="color: black;">早就<span style="color: black;">起始</span><span style="color: black;">这般</span>的公共卫生策略。所有<span style="color: black;">病人</span>都应该得到治疗,抗病毒治疗的<span style="color: black;">方法</span>应该最大限度地适合所有<span style="color: black;">病人</span>,<span style="color: black;">不该</span>有<span style="color: black;">太多</span>的限制<span style="color: black;">要求</span>(<span style="color: black;">例如</span>病毒载量、</span>CD4计数等)</span><span style="color: black;"><span style="color: black;">。</span></span><span style="color: black;"><span style="color: black;"><span style="color: black;">同期</span></span></span><span style="color: black;"><span style="color: black;">,抗病毒治疗的<span style="color: black;">方法</span>还应该</span></span><span style="color: black;"><span style="color: black;"><span style="color: black;">供给</span>确切、持久的疗效,良好的安全性和耐受性,较高的耐药屏障,简单的服药方式。<span style="color: black;">全世界</span><span style="color: black;">已然</span>进入整合酶三联单片制剂的时代,随着新药快速审批和进入我国,中国的抗病毒治疗应该<span style="color: black;">亦</span><span style="color: black;">火速</span>能和国际接轨,让<span style="color: black;">更加多</span>的<span style="color: black;">病人</span>获益。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">参考文献:</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">1.王勇,黄匡时.<span style="color: black;">全世界</span>及中国艾滋病人口规模、空间分布和死亡特征.中国人口与发展<span style="color: black;">科研</span>中心.2018年7月;34(4):78-88.</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2. 中国<span style="color: black;">疾患</span>预防<span style="color: black;">掌控</span>中心,性病艾滋病预防<span style="color: black;">掌控</span>中心,性病<span style="color: black;">掌控</span>中心.2018年12月全国艾滋病性病疫情.中国艾滋病性病.2018年9月;24(2):111.</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/KL1WShZXMcZEeXLL5QgSvRDcNW6vocwmYUIRiaNWR5GPLJbE2gyagMU49yz0EoAiaiaLTT9O8RoCziaSkKlqzjpdZg/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">(上面的墨宝<span style="color: black;">能够</span>下载打印出来放在枕头下面,哈哈)</p>
我完全同意你的观点,说得太对了。 你的话语如春风拂面,让我感到无比温暖。 太棒了、厉害、为你打call、点赞、非常精彩等。 说得好啊!我在外链论坛打滚这么多年,所谓阅人无数,就算没有见过猪走路,也总明白猪肉是啥味道的。 我们有着相似的经历,你的感受我深有体会。 一看到楼主的气势,我就觉得楼主同在社区里灌水。
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