473例艾滋病毒感染者和艾滋病患者中医临床症状和证候分布规律初探  

A Pilot Study on the Syndromes and Symptoms of Traditional Chinese Medicine in Patients with Human Immunodeficiency Virus Infection and Acquired Immunodeficiency Syndrome:A Report of 473 Cases

作　　者：张国梁[1] 徐经凤[2] 刘健[1] 陆平[3] 汪小波[4] 李玉升[5] 曹承楼[1] 昝兴平[6] 聂辉[7] 

机构地区：[1]安徽中医学院第一附属医院感染科,安徽合肥230031 [2]安徽省卫生厅中医管理局 [3]安徽省利辛县中医院 [4]安徽省界首市中医院 [5]安徽省临泉县中医院 [6]安徽省阜阳市中医院 [7]安徽省阜南县中医院

出　　处：《安徽中医学院学报》2009年第5期21-23,共3页Journal of Anhui Traditional Chinese Medical College

基　　金：安徽省2005年度重点科研计划项目(05023123)

摘　　要：目的:对皖北地区艾滋病毒(humani mmunodeficiency virus,HIV)感染者和艾滋病(acquired immunodeficiency syndrome,AIDS)患者的中医临床症状和证候特点进行初步探讨。方法:采用中医临床流行病学调查方法,制定统一的临床观察表与调查方法,用Excel建立相关数据库,对症状、体征和证型的频数分布进行统计。结果:皖北地区HIV感染者和AIDS患者的感染途径主要为经血感染;临床症状以乏力、气短为最多见;HIV期以气血两亏型为最多见,AIDS期以气阴两虚、肺肾不足型,肝经风火、湿毒蕴结型,脾肾亏虚、湿邪阻滞型和气虚血瘀、邪毒壅滞型为前4位复合证型。结论:AIDS中医临床症状特征是"以虚为主,虚实夹杂,气血津液俱亏,湿毒瘀虚同在",证型特征是"复杂多变,以虚为本,多脏腑受累",病情呈现渐行性发展、渐进性加重之特点。Objective： To preliminarily investigate the characteristics of clinical symptoms and syndromes of traditional Chinese medicine （TCM） in patients with human immunodeficiency virus （HIV） infection and acquired immunodeficiency syndrome （AIDS） in north Anhui province. Methods： The uniform clinical observation table and investigation schemes were established based on the method of TCM clinical epidemiology. The frequency distribution of symptoms, signs and TCM syndrome types was statistically described using Microsoft Office Excel database. Results： The HIV and AIDS patients were mostly infected through blood route in north Anhui province. Their most common symptoms were fatigue and short breath. In HIV phase, the syndrome type of deficiency of both qi and blood was most common; while in AIDS phase, the top 4 syndromes were the type of deficiency of both vital energy and yin complicated with deficiency of both lung and kidney, the type of wind-fire in liver meridian complicated with damp toxin accumulation, the type of deficiency of both spleen and kidney complicated with stagnation of pathogenic dampness and the type of blood stasis by qi asthenia complicated with block-up by pathogenic factors and toxin. Conclusion： The characteristics of clinical symptoms are as follows. The deficiency was the most reason; deficiency mixed with excess; the qi, blood, body fluid were all deficient; while the damp, toxin, blood stasis and deficiency are simulta neous. The TCM syndromes are complex and changeable, and mainly characterized by deficiency with several bow- els and visceras involved. The disease is developing unceasingly and steadily worsening.

关 键 词：艾滋病毒感染者 艾滋病 中医症状 中医证候 临床流行病学 

分 类 号：R512.91[医药卫生—内科学]