性传播感染的HIV/AIDS患者中医辨证分型研究  

Study on the Traditional Chinese Medicine Syndrome Differentiation and Classification of HIV/AIDS Patients Caused by Sexually Transmitted Infection

作　　者：徐月琴[1] 岑玉文[2] 王健[3] 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]广州市第八人民医院,广东广州510060 [3]中国中医科学院艾滋病中心,北京100700

出　　处：《中医学报》2012年第4期391-393,共3页Acta Chinese Medicine

基　　金：国家"十一五"科技重大专项(编号:2008ZX10005-001);国家"十一五"科技重大专项(编号:2008ZX10005-005)

摘　　要：目的:探讨性传播感染的HIV/AIDS患者中医症状、体征、证候分布特点。方法:对107例性传播感染的HIV/AIDS患者进行问卷调查,按照中医四诊信息采集表收集患者的四诊信息和中医证型资料。结果:广东地区107例经性传播感染的HIV/AIDS患者最常见症状、体征为乏力(41.12%)、头痛(25.23%)、腰痛(24.30%)、自汗(23.36%)、咳嗽(20.56%)、皮疹(18.69%)、关节痛(18.69%)等;舌象以红舌(53.27%)为主,舌苔以白苔(54.21%)多见;最常见的脉象为细脉(59.81%)、弦脉(55.14%)、沉脉(23.36%)等;最常见证型为气阴两虚肺肾不足型(19.63%)、脾肾亏虚湿邪阻滞型(14.02%)、肝经风火湿毒蕴结型(13.08%)。结论:广东地区107例性传播感染的HIV/AIDS患者中医症状、体征、证候分布有一定规律,病位主要集中在肾、肝、脾(胃)。Objective：To investigate the characteristics of TCM symptoms,signs and syndrome classification of HIV/AIDS patients caused by sexually transmitted infection.Methods：A total number of 107 HIV/AIDS patients caused by sexually transmitted infection were investigated with questionnaire and diagnosis information and TCM syndrome type data of patients were collected according to the diagnosis information collection form of TCM.Results：The most common symptoms and signs of the 107 HIV/AIDS patients caused by sexually transmitted infection in Guangdong Province were lassitude（41.12%）,headache（25.23%）,lumbago（24.30%）,spontaneous perspiration（23.36%）,cough（20.56%）,rash（18.69%） and arthralgia（18.69%） and so on;the tongue manifestation was mainly red tongue（53.27%）;coating on the tongue was mostly white（54.21%）;the pulse were usually thready（59.81%）,taut（55.14%） and deep（23.36%）;the most common TCM syndromes of all the HIV/AIDS patients were：19.63% of cases with qi and yin deficiency with lung and kidney insufficiency;14.02% of cases with spleen and kidney deficiency with dampness stagnation,13.08% of cases with wind and fire in liver meridian with accumulation of damp poison.Conclusion：The classification characteristics of the TCM symptoms,signs and syndromes of 107 cases of HIV/AIDS patients caused by sexually transmitted infection have certain laws in Guangdong Province and the symptoms and signs mainly involve the kidney,liver,spleen and stomach.

关 键 词：艾滋病 性传播感染 辨证分型 气阴两虚肺肾不足型 脾肾亏虚湿邪阻滞型 肝经风火湿毒蕴结型 

分 类 号：R259.129.1[医药卫生—中西医结合]