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273例滇南地区艾滋病中医四诊信息调查和证候特点分析(PDF)

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

期数:
2014年01期
页码:
63-66
栏目:
临床研究
出版日期:
2014-02-25

文章信息/Info

Title:
Analysis on TCM Four Diagnostic Information Investigation and Syndrome Characteristics of 273 AIDS Patients in Yunnan Province
作者:
赵竞23王莉1刘彦丽1孙俊1杨绍春1蔡怡1贺铮铮1柳陈坚2
1. 云南省中医中药研究院,云南昆明 650223;2. 昆明理工大学生命科学与技术学院,云南昆明 650504; 3. 昆明圣爱中医馆,云南昆明 650021
Author(s):
ZHAO Jing23 WANG Li1 LIU Yan-li1 SUN Jun1 YANG Shao-chun1 CAI Yi1 HE Zheng-zheng1 LIU Chen-jian2
1. Yunnan Institute of Traditional Chinese Medicine and Materia Medica, Kunming 650223,China; 2. Faculty of Life Science and Technology, Kunming University of Science and Technology, Kunming 650504,China; 3. Kunming Sheng Ai Hospital of Traditional Ch
关键词:
云南 艾滋病 症状 证候
Keywords:
Yunnan AIDS symptom syndrome
分类号:
R512.91
DOI:
-
文献标识码:
A
摘要:
目的调查云南南部地区艾滋病患者中医四诊信息,分析证候特点。方法使用四诊信息调查表收集研究对象资料。结果常见症状依次为:腰膝酸痛、情绪抑郁、烦躁、乏力、咽干口燥、健忘、头痛、神疲、夜尿、失眠、咳痰、头晕、心悸、咳嗽、口淡;舌象:以淡红舌、红舌、薄白苔为主,齿痕舌和厚腻苔也很多见;常见脉象依次为:细、弦、数、沉、滑脉;病性:最常见气虚、阴虚、气滞;病位:主要累计肾、脾、肝;证型:ⅡA期常见气阴两虚、肝气郁结、脾肾亏虚、肝郁脾虚,ⅡB期常见气阴两虚、肝肾亏虚、肝气郁结,Ⅲ期常见脾肾亏虚、气阴两虚、脾气虚弱。结论患者普遍具有多项临床症状体征,病性多样,病位复杂。证候多为复合证候,总体上具有虚实夹杂,以虚为主的特点,随着病程进展呈现出从气阴虚损向脏腑亏虚发展的演变特点,脏腑主要累及肾脾肝三脏。精神心理症状很常见,在病情轻浅的ⅡA期合并肝郁较多。
Abstract:
Objective Investigate the TCM Four Diagnostic Information of AIDS patients in Yunnan Province and analyze the symptom characteristics. Methods The Four Diagnostic Information questionnaire is used for collecting the information about the research objects. Results The common symptoms are successively as follows: waist and knee pain, depressed mood, dysphoria, weakness, dry throat and mouth, forgetfulness, headache, neurolysis, enuresis nocturna, insomnia, expectoration, dizziness, cardiopalmus, cough and tastelessness; tongue picture: mainly featured by pale red tongue, red tongue and thin white tongue fur, while teeth-printed tongue and thick tongue fur being often seen; the common pulse conditions are respectively as follows: thready pulse, taut pulse, rapid pulse, deep pulse and slippery pulse; and the factors of etiology and pathogenesis include: the most common qi deficiency, yin deficiency and qi depression; and the disease locations are as follows: kidney, spleen and liver mainly involved. Conclusion The AIDS patients in Yunnan Province generally have multiple clinical symptoms and signs and the composite syndrome as well as the characteristics of mixed excessiveness and deficiency and obvious deficiency, and their kidneys, spleens and livers are mainly involved; and the psychological symptoms are very common, which might also related to the dependence on heroin.

参考文献/References

[1] 中华人民共和国卫生部.WS 293-2008艾滋病和艾滋病病毒感染诊断标准[S]. 北京:人民卫生出版社,2008.
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[3] 方路,王莉,段呈玉,等. 云南省180例HIV/AIDS的中医症状及证候的初步分析[J]. 云南中医中药杂志,2006,27(3):40-41.
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[6] 刘颖. 北京地区男男性接触者(MSM)艾滋病症证分布规律的研究[D]. 北京:中国中医科学院中医基础理论研究所,2010.

备注/Memo

备注/Memo:
基金项目: 国家“十一五”科技重大专项(2008ZX10005-001);国家自然科学基金项目(81160421) 收稿日期: 2013 - 10 - 11 作者简介: 赵竞(1983—),男,云南大理人,主治医师,主要从事感染性疾病研究。 △通信作者:王莉,E-mail:520136869@qq.com
更新日期/Last Update: 2014-03-10