190例老年艾滋病患者中医证候及用药特点分析  

Analysis on Chinese Medicine Syndrome Distribution and Treatment in 190 Cases of Elderly Patients with Acquired Immune Deficiency Syndrome

作　　者：姜枫[1] 张荣欣[1] 张亚萍[1] 刘振威[1] 李璇[1] 吴卫群[1] 梁爱华[1] 石德贤[1] 周小潇[1] 文彬[1] 邓鑫[1] 梁健[1] 

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,广西壮族自治区南宁市530011

出　　处：《中医杂志》2016年第1期51-54,共4页Journal of Traditional Chinese Medicine

基　　金：广西高校科学技术研究项目(2013YB127);广西自然科学基金(2013GXNSFAA019123,2011GXNSFB018101);广西中医药民族医药传承创新专项(GZLCI4-09);广西医疗卫生适宜技术研究与开发项目(S201308-02)

摘　　要：目的分析老年艾滋病患者的中医证候分布及用药规律。方法收集190例老年艾滋病患者病历,建立病历基本信息提取表,内容包括人口学信息、诊断和中医证治等信息,对患者主要机会性感染、合并疾病的病种及中医证候、药物使用情况进行统计分析。结果 190例老年艾滋病患者主要机会性感染和合并疾病病种主要分布于呼吸系统65例次占34.21%,心脑血管系统56例次占29.47%,消化系统55例次占28.95%。中医辨证中虚证91例次占47.89%,实证65例次占34.21%,虚实夹杂证34例次占17.90%。治疗使用频次居前5位的方剂有补中益气汤(35)、六味地黄汤(32)、四神丸(22)、参苓白术散(21)、生脉散(20);使用中药频次居前5位的依次为甘草(123)、参类(106)、白术(105)、茯苓(104)、陈皮(83)。结论老年艾滋病患者机会性感染多样,中医证候以虚证为主,治疗药物以补气药、理气药、活血药为主。Objective To analyze the distribution of Chinese medicine syndromes and the law of drug use in elderly patients with acquired immune deficiency syndrome （AIDS）. Methods Totally 190 cases of elderly patients with AIDS were collected to establish the basic medical information records including demographic informa- tion, diagnosis, Chinese medicine syndrome and treatments, the major opportunistic infections, complicated diseases and Chinese medicine syndrome, drug use of the patients were statistical analyzed. Results The major opportunistic infections and complicated diseases in the 190 cases of elderly AIDS patients mainly distributed in respiratory system with 65 cases/times accounting for 34. 21%, cardio-cerebral vascular system with 56 cases/times accounting for 29.47%, digestive system with 55 cases/times accounting for 28.95%. According to Chinese medicine syndrome differentiation, there were 91 cases/times of deficiency syndrome accounted for 47.89%, 65 cases/times of empirical syndrome accounted for 34. 21%, 34 cases/times of group insufficiency and excess syndrome accounted for 17.90%. The top 5 of the highest frequency of the prescription used in the treatment were Buzhong Yiqi Decoction （补中益气汤, 35 ）, Liuwei Dihuang Decoction （六味地黄汤, 32） and Sishen Pill （四神丸, 22）, Shenling Baizhu Powder （参苓白术散, ：21 ） and Shengmai Powder （生脉散, （20）. The top 5 of the highest frequency of the traditional Chinese Medi- cine used were Gancao （Radix Glycyrrhizae, 123 ）, Ginseng （ 106）, Baizhu （Rhizoma Atractylodis macrocephalae, 105）, Fuling （Sclerotium Poriae, 104）, Chenpi （Pericarpium Citri reticulatae, 83）. Conclusion The opportun- istic infections in the elderly AIDS patients are various, their Chinese medicine syndrome were mainly deficiency syndrome, the drugs used for the treatment were mainly drugs for tonifying Qi, regulating Qi, activating blood circula- tion.

关 键 词：艾滋病 证候分布 机会性感染 

分 类 号：R259[医药卫生—中西医结合]