101例艾滋病病人中医体质类型与证候的相关性研究

发布时间：2018-07-01 20:46

本文选题：艾滋病 + 中医体质　；参考：《中国艾滋病性病》2017年10期

【摘要】：目的调查艾滋病中医体质类型与证候,探讨二者的相关性,为艾滋病中医药辨体辨证论治提供理论依据。方法选取接受高效抗反转录病毒治疗(HAART)的101例艾滋病病人作为研究对象,根据《中医体质分类与判定》评估体质类型,参照《重庆市中医药治疗艾滋病临床技术方案》主要辨证分型,归纳中医体质类型与证候,并分析二者相关性。结果101例接受HAART的艾滋病病人,体质分布:气虚质占44.55%(45例),湿热质占31.68%(32例),痰湿质占11.88%(12例),以及气郁质、阴虚质和血瘀质等。证候分布:肝胆湿热证占62.38%(63例),脾肺气虚证占16.83%(17例),痰湿蕴结证占11.88%(12例),以及气阴两虚证、肝郁气滞证和气滞血瘀证等。体质类型与证候相关性分析:气虚质、湿热质均与脾肺气虚证呈显著正相关(P0.01),均与肝胆湿热证呈正相关(P0.05);痰湿质与痰湿蕴结证呈显著正相关(P0.01),与脾肺气虚证呈正相关(P0.05)。结论艾滋病病人中医体质类型以气虚质、湿热质为主,气虚质、湿热质多表现为脾肺气虚证、肝胆湿热证,痰湿质多表现为痰湿蕴结证、脾肺气虚证。
[Abstract]:Objective to investigate the relationship between TCM constitution type and syndrome of AIDS, and to provide theoretical basis for TCM syndrome differentiation and treatment of AIDS. Methods 101 AIDS patients who received effective anti-retroviral therapy (HAART) were selected as the study subjects, and their physique types were evaluated according to the classification and judgement of TCM constitution. According to the main syndrome differentiation and classification of TCM treatment of AIDS in Chongqing, the types and syndromes of TCM constitution were summarized and the correlation between them was analyzed. Results the physical distribution of 101 AIDS patients receiving HAART: Qi deficiency accounted for 44.55% (45 cases), dampness and heat 31.68% (32 cases), phlegm dampness 11.88% (12 cases), Qi stagnation, yin deficiency and blood stasis. The distribution of syndromes: liver and gallbladder damp-heat syndrome accounted for 62.38% (63 cases), spleen and lung qi deficiency syndrome accounted for 16.83% (17 cases), phlegm and dampness accumulation syndrome accounted for 11.88% (12 cases), qi and yin deficiency syndrome, liver stagnation syndrome and qi stagnation and blood stasis syndrome, etc. Physical type and syndrome correlation analysis: Qi-deficiency, damp-heat were significantly positive correlation with spleen and lung qi deficiency (P0.01), and liver and gallbladder damp-heat syndrome were positively correlated (P0.05), phlegm-dampness and phlegm-dampness accumulation syndrome were significantly positive correlation (P0.01), and spleen and lung qi deficiency syndrome was positively correlated (P0.05). Conclusion the TCM physique types of AIDS patients are qi deficiency, dampness and heat, spleen and lung qi deficiency, liver and gallbladder dampness heat, phlegm and dampness, phlegm and dampness accumulation, spleen and lung qi deficiency.
【作者单位】：重庆三峡中心医院国医苑中医科;重庆三峡中心医院御安分院感染科;
【基金】：第三批中医药防治传染病临床基地建设单位(2012) 国家“十二五”科技重大专项项目(2012ZX10005001-005) 万州区科委项目(20140315)~~
【分类号】：R259

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