同伴教育模式下艾灸疗法干预HIV感染者50例临床观察  

Clinical Observation on Moxibustion for 50 Cases of HIV Infection under the Peer Education

作　　者：刘振威[1] 邓鑫[1] 莫金花[2] 梁爱华[1] 庞军[3] 

机构地区：[1]广西中医药大学附属瑞康医院艾滋病研究中心 [2]广西医科大学第一附属医院 [3]广西中医药管理局

出　　处：《中医杂志》2013年第13期1119-1121,1126,共4页Journal of Traditional Chinese Medicine

基　　金：国家"十二五"科技重大专项资助项目(2012ZX10005010);广西中医药管理局科技专项资助项目(GZPT1223;GZZY13-24;GZKZ-G1105;GZKZ10-054;GZYZ-10-14);广西科技厅攻关课题(桂科攻1398046-1-4;1014001-12;11107009-1-3);广西中医药大学附属瑞康医院院级课题(RKP201019)

摘　　要：目的观察同伴教育模式下的艾灸疗法(简称同伴艾灸)对人类免疫缺陷病毒(HIV)感染者的临床疗效。方法将100例HIV感染者随机分为试验组和对照组各50例。试验组予同伴艾灸干预,对照组予普通健康教育干预,两组疗程均为3个月,观察期1年,观察两组患者综合疗效和干预前后主要症状体征积分、卡洛夫斯基积分、生存质量评分、CD4+细胞计数变化。结果试验组综合疗效总有效率为96.00%,对照组为64.00%,试验组优于对照组(P<0.01)。干预后试验组发热、乏力、纳呆、腹泻、自汗、盗汗、症状体征总积分、卡洛夫斯基积分、CD4+细胞计数、生理领域、心理领域、社会关系领域及综合评分明显改善(P<0.05或P<0.01),对照组干预后症状体征总积分、卡洛夫斯基积分、环境领域评分明显改善(P<0.05)。试验组干预后发热、乏力、纳呆、腹泻、自汗、盗汗、症状体征总积分、卡洛夫斯基积分、CD4+细胞计数、生理领域、心理领域、社会关系领域及综合评分改善明显优于对照组(P<0.05或P<0.01)。结论同伴艾灸能改善HIV感染者的症状体征,提高生存质量,疗效确切。Objective To observe the therapeutic effect of moxibustion under the peer education on human immunodeficiency virus （HIV） infection. Methods One hundred HIV patients were randomized into test group and control group, with 50 in each. The test group was given moxibustion under the peer moxibustion education and the control group was given general health education. The treatment lasted for 3 months and the observation lasted for 1 year. The comprehensive efficacy, symptom score, sign score, Karnofsky Performance Score （KPS）, quality of life （QOL） and CD4＋ T cell count were observed before and after treatment. Results The total effective rate of the test group and control group was 96. 00% and 64.00% respectively, with significant difference between （P 〈 0.01 ）. The scores of fever, fatigue, poor appetite, diarrhea, spontaneous sweating, night sweating, total scores of symptoms and signs, physiology field, emotion field and social relation field, KPS, CD4＋ T cell count and total score were significantly improved in the test group （P〈0.05 or P〈0. 01）. The total score, KPS and enviromental relation score was significantly improved in the control group （P〈0.05）. Comparing with the control group, the scores of fever, fatigue, poor appetite, diarrhea, spontaneous sweating, night sweating, total scores of symptoms and signs, physiology field, emotion field and social relation field, KPS, CD4＋ T cell count and total score were significantly improved in the test group （P〈0. 05 or P〈0.01）. Conclusion The moxibustion under the peer education is effective for HIV infection and it can obviously relieve the symptoms and signs and improve the QOL.

关 键 词：人类免疫缺陷病毒 同伴教育 艾灸 

分 类 号：R246.1[医药卫生—针灸推拿学]