HIV感染者外周血淋巴细胞总数与CD4+T淋巴细胞计数相关性研究

摘要

Objective To analyze the correlation between total lymphocyte count (TLC)and CD4+ T lymphocyte count in patients with HIV infection, and investigate the feasibility of using TLC instead of CD4+ T lymphocyte to estimate the status of HIV infection. Methods A retrospective study was conducted to analyze the correlation between TLC and CD4+ T lymphocyte count in 54 patients with HIV infection treated in our hospital. The corresponding critical value and accuracy of TLC were estimated when CD4+ T lymphocyte counts were less than l00×l06 /L, 200×l06 /L and 350×l06 /L, and the sensitivity and specificity of each critical value were calculated. Results Ninety-six pairs of TLC and CD4+ T lymphocyte counts were positively correlated (r=0.642, P<0.001). TLC of 955×l06 /L, 1010×IO6 /L and 1570×l06 /L could serve as critical values to estimate CD4+ T lymphocyte counts less than l00× 106 /L, 200×l06 /L, and 350×l06 /L with a great accuracy. Conclusion TLC can estimate the status of HIV infection instead of CD4+ T lymphocyte count.%目的 分析HIV感染者外周血淋巴细胞总数(total lymphocyte count,TLC)与CD4+T淋巴细胞计数相关性,探讨将外周TLC作为监测HIV感染者病情变化指标的可行性.方法 回顾性分析我院54例HIV感染者TLC与CD4+T淋巴细胞计数相关性,判断CD4+T淋巴细胞计数分别＜100× 106/L、＜200×106/L和＜350×106/L时TLC的临界值及准确度,计算各临界值的灵敏度和特异度.结果 TLC和CD4+T淋巴细胞计数呈正相关(r=0.642,P＜ 0.001).将TLC分别为955×106/L、1010×106/L和1570×106/L作为估计CD4+T淋巴细胞计数＜100× 106/L、＜200×106/L和＜350×106/L的诊断界值有较高准确度,Youden指数分别为0.724、0.613和0.535.结论 本研究为将TLC作为替代CD4+T淋巴细胞计数监测HIV感染情况的指标提供了依据.