新疆某艾滋病高发地区吸毒及性传播途径AIDS患者中医证型及证候分布的研究  

Study on the distribution of TCM syndrome types and syndromes of drug addicts and sexually transmitted patients in a high incidence area of AIDS in Xinjiang

作　　者：曾琳 马秀兰 张颖 艾合买提·阿不都热依木 李静茹 邹雯[3] 马建萍 ZENG Lin;MA Xiulan;ZHANG Ying;Aihemaiti Abudureyimu;LI Jingru;ZOU Wen;MA Jianping(Office of AIDS Research,Traditional Chinese Medicine Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830011, China;Division of AIDS Research, National Clinical Research Base of Traditional Chinese Medicine of Xinjiang, Urumqi 830000, China;China Academy of Chinese Medical Sciences,Beijing 100700, China)

机构地区：[1]新疆维吾尔自治区中医医院艾滋病研究室,乌鲁木齐830000 [2]新疆·国家中医临床研究基地,乌鲁木齐830000 [3]中国中医科学院,北京100700

出　　处：《新疆医科大学学报》2020年第3期325-328,共4页Journal of Xinjiang Medical University

摘　　要：目的调查分析新疆某艾滋病高发地区吸毒及性传播途径AIDS患者中医证型及证候的分布。方法以2011年1月-2012年12月新疆某艾滋病高发地区的疾控中心、监狱、劳教所的877例HIV/AIDS患者为研究对象,根据患者感染途径分为吸毒感染组428例和性传播感染组449例,采用调查问卷收集两组患者人口学特征、临床表现以及中医证候和症型等数据,抽取患者血液测定CD4+T淋巴细胞数,分析比较两组患者间的差异。结果与性传播感染组患者比较,吸毒感染组患者临床症状以乏力、腰膝酸痛、口干、健忘、盗汗、失眠、心悸较多,差异有统计学意义(P<0.05);中医证型分布方面以脾气虚弱较少,气虚湿阻、气阴两虚较多,中医证候分布方面以虚实夹杂证较多,单纯虚证和单纯实证较少,差异有统计学意义(P<0.01)。两组患者血液CD4+T淋巴细胞数比较,差异无统计学意义(P>0.05)。结论新疆某艾滋病高发地区吸毒及性传播途径患者间中医证型及证候分布存在差异。Objective To investigate and analyze the distribution of Traditional Chinese Medicine(TCM)syndrome types and syndromes of drug users and HIV/AIDS patients in a high incidence area of AIDS in Xinjiang.MethodsFrom January 2011 to December 2012,investigated were 877 patients diagnosed with HIV/AIDS in the Centers for Disease Control(CDC),prisons and labor camps in a high incidence area of HIV/AIDS in Xinjiang.According to the way of infection,the patients were divided into drug addicted infection group(428 cases)and sexually transmitted infection group(449 cases).The demographic characteristics,clinical manifestations,TCM symptoms and symptom types of the two groups were collected by questionnaire and the blood of the patients were detected for CD4T.The difference between the two groups was analyzed.ResultsCompared with the patients in sexually transmitted infection group,the clinical symptoms of drug addicts in infection group were present with asthenia,backache,dry mouth,forgetfulness,night sweat,insomnia and palpitation;the difference was statistically significant(P<0.01).No significant difference can be identified between the two groups in the number of CD4T lymphocytes(P>0.05).ConclusionThere were indeed differences in TCM Syndrome types and syndrome distribution among drug addicts and STD patients in a high incidence area of AIDS in Xinjiang.

关 键 词：艾滋病 吸毒 性传播 中医证型 中医证候 

分 类 号：R211[医药卫生—中医学]