90例艾滋病发热患者温病学证候特点分析  

Syndrome Characteristics Based on the Theory of Epidemic Febrile Disease:An Analysis of 90 AIDS Fever Patients

作　　者：朱菲菲[1] 黄玲[2] 马伯艳[1] 符林春[1] 

机构地区：[1]广州中医药大学热带医学研究所,广东广州510405 [2]广州中医药大学学报编辑部,广东广州510405

出　　处：《广州中医药大学学报》2008年第2期161-164,共4页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：教育部科学技术研究重点项目(编号:02109);广东省科技计划资助项目(编号:2003C33904)

摘　　要：【目的】观察艾滋病发热患者温病证候学特点。【方法】采用问卷调查方式对90例艾滋病发热患者进行调查。参照《温病学》制定临床中医证候调查表,主要观察艾滋病发热患者的发热类型、舌脉、卫气营血病证分布及三焦病证轻重分布情况。【结果】90例患者以恶寒发热、壮热较多见,分别占37.82%、21.01%;舌质以淡红、暗红多见,分别占38.89%、40.00%;舌苔为白腐苔为主,占34.44%;脉象以数脉为主,尤以实脉类多见,兼见浮、沉、虚类脉象且比例相当;卫气营血辨证中卫、气、营分证病情轻重分布比较无显著性差异(P>0.05),但与血分证比较均有显著性差异(P<0.01);三焦辨证中上焦证候与中焦脾经湿热证比较有显著性差异(P<0.01),其他各证型比较无显著性差异(P>0.05)。【结论】艾滋病发热患者证候复杂,卫气营血及三焦均可涉及,热型及舌脉也不单一,辨证须四诊合参,分清标本缓急。Objective To investigate the syndrome characteristics of AIDS（acquired immune deficiency syndrome） fever patients based on the theory of epidemic acute febrile disease.Methods A questionnaire survey was carried out in 90 AIDS fever patients.The TCM syndrome questionnaire was established according to the theory of epidemic acute febrile disease,which mainly covers the parameters of fever types,tongue and pulse condition,incidences of defense,Qi,nutrient,and blood syndrome,and incidences of triple-energizer syndrome.Results The common-seen fever types were aversion to cold with fever,and high fever,which accounted 37.82% and 21.01% respectively.Tongue proper was characterized as light red and dark red,accounting 38.89% and 40.00% respectively;tongue fur was characterized as whitish and mouldy fur,accounting 34.44%.Pulse condition was characterized as rapid pulse and complicated with floating,deep,vacuous or replete pulse type,the complicated pulse sharing the similar incidences.The difference of the illness severity between defense,Qi and nutrient syndrome was insignificant（P〉0.05）,but was significant as compared with the blood syndrome（P〈0.01）;the difference of the illness severity was significant between the middle-and upper-energizer syndrome and middle-energizer damp-heat syndrome（P〈0.01）,but was insignificant between the other patterns of triple-energizer syndrome（P〉0.05）.Conclusion The syndromes of AIDS fever patients are complex,covering defense,Qi,nutrient,and blood phases as well as triple energizers,characterized as multiple fever types and different tongue and pulse conditions.During the syndrome differentiation of AIDS fever,the incidental and fundamental symptoms should be differentiated based on the synthetical analysis of four examinations.

关 键 词：艾滋病 症状 体征 证候 发热 卫气营血辨证 三焦辨证 

分 类 号：R241.8[医药卫生—中医诊断学]