艾滋病合并肺部感染中医证型研究探析  

Traditional Chinese Medicine Syndrome Types of Acquired Immune Deficiency Syndrome with Pulmonary Infection

作　　者：扶伟[1] 徐立然[1] 马秀霞[1] 宋夕元[1] 李亮平[1] 李正[1] 丁雪[1] 邱荃 杨超华[1] 

机构地区：[1]河南中医学院第一附属医院,河南省郑州市人民路19号450008

出　　处：《中医杂志》2015年第18期1552-1554,共3页Journal of Traditional Chinese Medicine

基　　金："十二五"国家科技重大专项(2013ZX10005001001);国家中医药管理局国家中医临床研究基地业务建设科研专项(JDZX2012020);郑州市技术研究与开发经费支持项目(13IPLJRC671);河南省中医药科学研究专项(2013ZY01001)

摘　　要：艾滋病合并肺部感染已成为艾滋病患者发生机会性感染的主要疾病,并成为艾滋病患者死亡的主要原因之一。从中医学角度对艾滋病合并肺部感染的临床研究进行探讨,分析与该疾病证型相关的病因病机、辨证分析及其影响因素。认为艾滋病合并肺部感染具有复杂病理因素,在临床辨证过程中需要综合考虑脏腑、气血、阴阳等辨证方法,并且需要与艾滋病的分期辨证相结合,其病机以肺、脾、肾多脏腑及气血亏虚为特点,痰、虚、湿仍为其重要的病理因素。在肺部感染发病早期,正盛邪实,多见痰热壅肺证,随着脏腑气血功能的虚弱,而见痰湿阻肺证,后期多脏腑受累多见肺肾两亏证。证型的分布也受到地域、性别、感染途径等因素的影响,在临床辨证过程中需要综合考虑。Acquired immune deficiency syndrome （AIDS） with pulmonary infection has become the main condition of AIDS patients with opportunistic infections, and it has become one of the primary causes of death among AIDS patients. From the view of traditional Chinese medicine, the clinical research on AIDS with pulmonary infection is discussed, and the etiology and pathogenesis, syndrome differentiation, and influencing factors related to syndrome types of the disease are analyzed. The authors think that there are complicated pathological factors in AIDS with pulmonary infection. Syndrome differentiation method, such as Zang-Fu, Qi-Blood, and Yin-Yang differentiation should be taken into consideration in the process of clinical syndrome differentiation, combining with disease staging. The pathogenesis of the disease involves many organs, including the lungs, spleen and kidney, and Qi-blood deficiency is one of the characteristics. Phlegm, deficiency and damp are still its important pathological factors. In the early stage of pulmonary infection, both defensive-Qi and evil-Qi are sufficient, which often cause phlegm-heat obstructing lung syndrome. With the weakness of Qi-blood function of organs, phlegm-damp obstructing lung syndrome occurs. In the later period of the disease, many types in AIDS infection, etc. organs are damaged, that often leading to lung and kidney deficiency syndrome. Distribution of syndrome with pulmonary infection is influenced by many factors, such as geographic regions, gender, route of which should be considered comprehensively in the process of clinical syndrome differentiation.

关 键 词：艾滋病 肺部感染 中医证型 

分 类 号：R259[医药卫生—中西医结合]