云南省接受HAART治疗的老年艾滋病患者中医体质研究  

A Study in Yunnan:How HAART Approach Affect Traditional Chinese Medicine Constitution of the Aged AIDS Patients

作　　者：杨玉琪[1] 孙俊[1] 瞿广城[1] 陆中云 蒲亚萍 和丽生[1] YANG Yu-qi;SUN Jun;QU Guang-cheng;LU Zhong-yun;PU Ya-ping;HE Li-sheng(Yunnan Institute of Traditional Chinese Medicine and Materia Medica,Kunming 650223,China)

机构地区：[1]云南省中医中药研究院,云南昆明650223

出　　处：《云南中医中药杂志》2021年第9期25-28,共4页Yunnan Journal of Traditional Chinese Medicine and Materia Medica

基　　金：云南省科技计划应用基础研究计划中医联合专项(2017FF17-009)。

摘　　要：目的调查云南省接受HAART治疗的老年艾滋病患者的中医体质分布情况,为老年艾滋病中西医结合治疗提供参考。方法采用王琦教授编制的“中医体质量表”,对接受HAART治疗满1年的729例老年艾滋病患者(≥50岁)进行中医体质判定,并对中医体质类型分布进行分析。结果729例老年艾滋病患者中,平和质503例(69.00%),偏颇体质226例(31.00%),偏颇体质中频数由高到低依次为阳虚质、气虚质、气郁质、阴虚质、痰湿质、湿热质、血瘀质及特禀质;单因素分析患者性别、职业、可能感染途径对体质影响显著(P<0.05),民族、年龄、婚姻状况、文化程度、HAART治疗时长等对体质影响不明显(P>0.05);平和质、阳虚质、气虚质3种主要体质类型的老年艾滋病患者HAART治疗后CD 4+T淋巴细胞计数较治疗前均显著增加(P<0.01),治疗前后组间比较差异无统计学意义(P>0.05)。结论云南省接受HAART治疗的老年艾滋病患者中医体质以平和质为主,患者性别、职业、可能感染途径对中医体质类型有明显影响,平和质、阳虚质、气虚质3种主要体质类型的老年艾滋病患者HAART治疗后CD 4+T淋巴细胞计数较治疗前均显著增加。Objective:To investigate traditional Chinese medicine constitution(TCMC)classification among elderly AIDS patients receiving HAART treatment in Yunnan Province,so as to provide evidence for integrating TCM with Western medicine in treating the elderly AIDS patients.Methods:According to"TCMC Table"compiled by Professor Wang Qi,729 elderly AIDS patients(≥50 years old)who had received HAART treatment for one year were evaluated and analyzed.Results:Among the 729 elderly AIDS patients,503(69.00%)were normal constitution and 226 cases were lopsided constitution(31.00%).The frequency of lopsided constitution from high to low was Yang-deficiency,Qi-deficiency,Qi-stagnation,Yin-deficiency,phlegm-dampness diathesis,damp-heat,blood-stasis and special diathesis.The univariate analysis showed that patients'gender,occupation,possible infection routes had significant effects on TCMC(P<0.05),however,ethnicity,age,marital status,education level,HAART treatment duration,etc.had no significant effect on TCMC(P>0.05).In addition,the CD4+T lymphocyte counts of elderly AIDS patients significantly increased after HAART treatment(P<0.01)in three types of TCMC(normal constitution,Yang-deficiency constitution and Qi-deficiency constitution),nevertheless,there was no statistically significant difference within these three groups(P<0.05).Conclusion:The TCMC of the elderly AIDS patients receiving HAART treatment in Yunnan Province is mainly composed of normal constitution.gender,occupation and potential infection routes have a significant impact on TCMC.The CD4+T lymphocyte counts of elderly AIDS patients after HAART treatment significantly increase mainly in three types of constitution:normal,Yang deficiency,and Qi deficiency.

关 键 词：艾滋病 老年 中医体质 云南 

分 类 号：R512.91[医药卫生—内科学]