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艾滋病合并肺部感染治疗过程中证型演变规律探讨
引用本文:屈冰,周桂琴,徐立然,王东旭,庞志勇,谭行华,岑玉文,孙丽君,蒙志好,蓝珂,张世玺,郭长河,刘占国,何瑞丽,翟靖琦. 艾滋病合并肺部感染治疗过程中证型演变规律探讨[J]. 中医杂志, 2012, 0(8): 681-684,710
作者姓名:屈冰  周桂琴  徐立然  王东旭  庞志勇  谭行华  岑玉文  孙丽君  蒙志好  蓝珂  张世玺  郭长河  刘占国  何瑞丽  翟靖琦
作者单位:河南省中医药研究院;首都医科大学附属北京地坛医院;河南中医学院第一附属医院;河南中医学院;广州市第八医院;首都医科大学附属北京佑安医院;广西壮族自治区龙潭医院;河南省商丘市第一人民医院分院;河南省上蔡县中医院
基金项目:“十一五”国家科技重大专项资助(2008ZX10005-003G)
摘    要:目的观察艾滋病(AIDS)合并肺部感染患者的证候学特点,探讨药物治疗(中西医或西医)对证型的影响。方法观察164例AIDS合并肺部感染患者治疗前后证型的变化,总结AIDS并肺部感染证型变化特点。结果 AIDS合并肺部感染患者治疗后较治疗前痰热壅肺证减少15.3%,痰湿阻肺证减少8.6%,肺肾两亏证增加7.3%,气血亏虚增加2.4%,气阴两虚证增加0.6%,与AIDS合并肺部感染无关证型增加14.0%。结论 AIDS并肺部感染证型有虚有实、虚实夹杂,疾病前期为实多虚少,疾病后期为虚多实少。

关 键 词:艾滋病  肺部感染  中医证型

The Evolution Rule of Chinese Medical Syndrome in the Treatment Course of AIDS Complicated with Pulmonary Infection
QU Bing,ZHOU Guiqin,XU Liran,WANG Dongxu,PANG Zhiyong,TAN Xinghua,CEN Yuwen,SUN Lijun,MENG Zhihao,LAN Ke,ZHANG Shixi,GUO Changhe,LIU Zhanguo,HE Ruili,ZHAI Jingqi. The Evolution Rule of Chinese Medical Syndrome in the Treatment Course of AIDS Complicated with Pulmonary Infection[J]. Journal of Traditional Chinese Medicine, 2012, 0(8): 681-684,710
Authors:QU Bing  ZHOU Guiqin  XU Liran  WANG Dongxu  PANG Zhiyong  TAN Xinghua  CEN Yuwen  SUN Lijun  MENG Zhihao  LAN Ke  ZHANG Shixi  GUO Changhe  LIU Zhanguo  HE Ruili  ZHAI Jingqi
Affiliation:1.Henan Academy of Chinese Medicine,Henan Province 450004;2.Beijing Ditan Hospital,Capital Medical University;3.The First Affiliated Hospital of Henan University of TCM;4.Henan University of TCM;5.The Eighth Hospital of Guangzhou City;6.Beijing Youan Hospital,Capital Medical University;7.Longtan Hospital of Guangxi Zhuang Autonomous Region;8.Branch of Shangqiu First People’s Hospital,Henan Province;9.TCM Hospital of Shangcai County,Henan Province)
Abstract:Objective To observe syndrome characteristic of acquired immune deficiency syndrome(AIDS) and discuss the effect of western medicine or combined with Chinese medicine on the syndrome.Methods The syndrome of 164 AIDS patients complicated by acute pulmonary infection was observed before and after the treatment.The syndrome characteristic of AIDS complicated by pulmonary infection was analyzed.Results After the treatment,the syndrome of phlegm-heat congesting the lung and phlegm-damp obstructing the lung decreased by 15.3% and 8.6% respectively.The syndrome of lung-kidney deficiency,qi-blood deficiency and qi-yin deficiency increased by 7.3%,2.4% and 0.6% respectively.The independent syndrome that is not related to AIDS complicated by pulmonary infection increased by 14.0%.Conclusion There are deficiency syndrome,repletion syndrome and deficiency-repletion complex syndrome in AIDS complicated by pulmonary infection.At the earlier stage,the repletion syndrome rather than the deficiency syndrome is predominant.But it is exactly the contrary at the later stage.
Keywords:acquired immune deficiency syndrome(AIDS)  pulmonary infection  Chinese medical syndrome
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