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景洪地区123例HIV/AIDS患者中医辨证分型研究(PDF)

《云南中医学院学报》[ISSN:1000-2723/CN:53-1048/R]

期数:
2011年02期
页码:
16-0
栏目:
临床研究
出版日期:
2011-04-01

文章信息/Info

Title:
Dialectical Therapeutic IgA Nephropathy Curative Effect Observes Chinese Medicine
作者:
王晓颖陈文慧杨梅周青△
(云南中医学院,云南昆明650500)
Author(s):
JI QinDA Hong-yanLI Hong-shuai
the Frirst Affiliated Hospital of Yunnan University of TCM,Kunming Yunnan 650021
关键词:
HIV/AIDS辨证分型病因病机
Keywords:
IgA nephropathysyndrome differentiation and treatmentcombining traditional chinese and western medicine treatment
分类号:
R256.39
DOI:
-
文献标识码:
A
摘要:
[摘要]目的:观察HIV/AIDS患者的常见症状体征及证候特点,探讨其病因病机及辨证分型。方法:采用临床流行病学调研方法,对患者进行详细询问,填写症状体征调查表,了解不同症状体征及脉象出现的频率,并用数码相机拍摄患者舌象,进行统计学分析,总结景洪地区HIV/AIDS患者的证候学特点。结果:中医症状依次为:神疲,腰膝酸软,皮肤瘙痒,面色少华,咳嗽,身体困重,肢体倦怠,头痛,咽喉不适,易感冒,健忘等;舌象:最多见的是淡红舌,黄腻苔和薄白苔;脉象:多为复合脉象,其中弦脉最多见,其次为数脉、滑脉、沉脉、虚脉等。最
Abstract:
Objective:To observe the TCM treatment of IgA nephropathyclinical efficacy.Methods:90 patients with IgA nephropathy randomly divided into two groups.Control group of 30 cases,anticoagulant,resistance to infection,Western medicine antihypertensive therapy;≥ 1g/24h 24h urine protein to Tripterygium wilfordii more glucoside 1mg/( kg·d);Nephrotic syndrome or a large number of proteinuria,to prednisone 1mg/( kg·d) (maximum dosage<60mg/d);The illness relapses of 100mg/d,plus cyclophosphamide cumulative 68g withdrawal.Treatment group 60 cases,In the control group therapy basis,Add with TCM syndrome differentiation and treatment,treatment march.The clinical efficacy was observed,24-hour urinary protein quantitative,urine RBC count,creatinine,urea nitrogen,serum uric acid changes.Results:15 cases in treatment group complete remission,powerfully 21 cases,improving 16 cases,invalid 8 cases,The total effective rate was 86.67%;The control group complete remission 4 cases,powerfully 7 cases,improvement in 8 cases,invalid in 11 cases,The total effective rate was 63.33%.Two group total effectiveness comparison,the difference was statistically significant (P<0.05).The treatment group after the treatment of urine RBC count,24 h urinary protein of quantitative and before treatment,there is a significant difference compared statistical significance (P<0.01);Compared with controls,the difference was statistically significant meaning (P<0.01).And after treatment serum creatinine,blood urea nitrogen,uric acid comparison,difference was statistically significant (P>0.05).Conclusion:the syndrome differentiation and treatment with western medicine therapy effect is better than pure western medicine therapy.

参考文献/References

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备注/Memo

备注/Memo:
基金项目:国家重点基础研究发展计划(973计划)(NO:2006CB504802)收稿日期:2011—02—21修回日期:2011—03—30作者简介:王晓颖(1983~),女,吉林辽源人,云南中医学院2008级硕士研究生,主要研究方向:外感热病的证治规律。△通讯作者:周青,E-mail:kmzhouqing@tom.com
更新日期/Last Update: 2011-06-22