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[1]杨振华,符林春,岑玉文,等.广东135例艾滋病病毒携带者、艾滋病患者症候群与病位的相关研究[J].环球中医药,2012,5(05):325-0.
　YANG Zhen hua,FU Lin chun,CEN Yu wen,et al.Investigation of TCM symptoms and disease location in 135 HIV/AIDS patients of Guangdong[J].,2012,5(05):325-0.
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广东135例艾滋病病毒携带者、艾滋病患者症候群与病位的相关研究()
     
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《环球中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
第5卷
期数:
2012年05期
页码:
325-0
栏目:
中医证候学研究
出版日期:
2012-05-06

文章信息/Info

Title:
Investigation of TCM symptoms and disease location in 135 HIV/AIDS patients of Guangdong
作者:
杨振华; 符林春; 岑玉文; 张清仲; 王健;
Author(s):
YANG Zhenhua ; FU Linchun ; CEN Yuwen ; et al.
Institute of Tropical Medicine, Guangzhou University of Traditional Chinese Medicine, Guangzhou 510405, China.
关键词:
艾滋病病毒携带者;  艾滋病患者;  症状;  中医病位
Keywords:
HIV; AIDS; Symptoms; Disease location艾滋病（acquired immune deficiency syndrome
分类号:
R512.91
DOI:
-
文献标志码:
A
摘要:
目的探讨广东艾滋病病毒携带者、艾滋病患者(HIV/AIDS)在中医临床症状、体征以及病位(脏腑定位)上的分布规律。方法对2009年9月至2010年5月之间广州市第八人民医院门诊部的HIV/AIDS病人,进行中医症候资料的调查、采集与分析。结果 HIV/AIDS患者症候群:以情绪抑郁、健忘、烦躁、乏力、咽干口燥、腰膝酸痛、失眠、性欲减退为主,出现率均在40%以上; 舌象:舌苔以白腻、薄黄为主; 舌质以红舌、齿痕舌、瘀斑舌多见; 脉象:多表现为复合脉,以含有弦脉特征的最多,其次为滑脉、数脉、细脉等; 病位:全身、心系、肝系、肾系症状的出现率较高,且不同性别、不同年龄段的脏腑病位有一定的差异性,女性患者在肝系的出现率明显较男性高,40岁以上患者肾系的出现率高于40岁以下者,差异具有统计学意义(P<0.05)。结论病位以肝、心脑、肾等多见,HIV/AIDS患者的性别、年龄对病位有一定影响,提示临床辨证治疗时应将其纳入思考。
Abstract:
ObjectiveTo investigate the distribution rule of TCM symptoms, signs and disease location (Visceral Syndrome in TCM)in HIV / AIDS patients of Guangdong. Methods135 HIV/AIDS patients were investigated, the data were analyzed with frequencies and oneway ANOVA. ResultsThe mainly TCM symptoms were :depression, forgetfulness, irritability, fatigue, dry mouth and throat, waist and knee pain, insomnia, hyposexuality, the emergence rate in more than 40%.The coat of the tongue was mainly white greasy and thin yellow. Much performance as the composite pulse,to contain the characteristics of the stringlike pulse most, then was slippery pulse, number of veins, veinlets, and so on. Disease at systemic, cardiovascular system, hepatobiliary, and renal department were more likely to be found, and there was a difference in the distribution of disease location in different gender and age, the emergence rate of female patients in hepatobiliary was significantly higher than that of male patients, and patients over 40 years of age in kidney department was more than those under the age of 40,the difference was statistically significant (P<0.05). ConclusionThe most frequently involved location were liver, heart, brain, kidney, and the gender ,the age of the HIV / AIDS patients had an influence on the disease location, suggesting that the clinical TCM syndrome diagnosis and treatment should be incorporated into their thinking.

参考文献/References:

[1]1993 revised classification system for HIV infection and expended surveillance case definition for AIDS among adolescent and adults[J].MMWR Recomm Rep,1992,41（ＲＲ17):119.
[2]国家中医药管理局.5省中医药治疗艾滋病项目临床技术方案（试行）[S].2004:111.
[3]王健,刘颖,岑玉文,等.2237例HIV/AIDS患者中医证候分布与演变规律的研究[C].中华中医药学会防治艾滋病分会第八次年会论文集,2011:5864.
[4]岑玉文,符林春,谭行华,等.广东地区HIV/AIDS患者中医证型分布规律的初步研究[J].中华中医药学刊,2008,26(5):958961.
[5]张清仲,符林春,岑玉文,等.广东HIV/AIDS患者舌象分析及其与CD4、CD8、CD4/CD8计数的相关性研究［J］.免疫学杂志,2010,26(4):325328.

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备注/Memo

备注/Memo:
基金项目：国家“十一五”科技重大专项（2008ZX10005001、2008ZX10005005）
作者单位：510405广州中医药大学热带医学研究所［杨振华（硕士研究生）、符林春、张清仲(博士研究生)］；广州市第八人民医院感染科(岑玉文)；中国中医科学院艾滋病中医药防治中心(王健)
作者简介：杨振华（1984- ），女，2009级在读硕士研究生。研究方向：中医药防治感染性疾病。Email：1054324015@qq.com
通讯作者：符林春（1957-　），教授，研究员，博士生导师。研究方向：中医药防治感染性疾病。Email:fulc01@126.com
更新日期/Last Update: 1900-01-01