西双版纳州HIV/AIDS患者病因病机临床调查分析

目的：分析探讨西双版纳州HIV/AIDS患者的病因病机，为临床研究与治疗提供一定的理论依据。方法本课题采用流行病学调查及对比分析的方法，对HIV/AIDS患者及对照组进行现况调查，采用临床症状、证素及舌脉的对比分析，对HIV/AIDS患者的病因病机进行探讨总结。结果病例组与对照组的临床症状频率相比，大多数都是病例组高于对照组。其中有差异的临床症状主要有：皮肤瘙痒、面色少华、畏寒肢冷、恶风寒、肢体麻木，唇甲色淡、易感冒；病例组与其对照组证素频率相比，有差异的证素主要有：血瘀、湿、热、脾、气虚、血虚、精亏、肾，除证素热外，均为病例组检出率较高。HIV/AIDS组以淡红舌，黄腻、薄白苔为主，舌形以正常、胖大齿痕为主；脉象以弦脉和滑脉为主。结论在现有样本量和研究方法下，西双版纳州的HIV/AIDS患者病因与湿邪疫气密不可分，病机为湿热疫疠之毒侵犯人体后，呈现出一派气虚与血虚的表现，主要累及脾、肾等脏，最终导致气血阴阳俱虚，形成本虚标实，虚实夹杂的复杂的病理变化。

Clinical Investigation Analysis on Etiology and Pathogenesis of HIV/AIDS Patients in XiShuangBanNa

Objective To analyze the etiology and pathogenesis of HIV/AIDS patients in XiShuangBanNa for providing a theoretical basis for clinical research and treatment. Methods Epidemiological investigation and comparative analysis methods were used in this topic to survey the current situation of HIV/AIDS patients and patients in the control group. Meanwhile,to explore and summary the etiology and pathogenesis of HIV/AIDS patients by analyzing the clinical symptoms,syndrome factor,tongue and pulse comparatively. Results Compared to the control group,the frequency of clinical symptoms of the case group are higher than those in the control group. the main differences of clinical symptoms are itchy skin,look dim-complexioned,aversion to cold and cold extremities,aversion to wind and cold,numbness of the limbs,a pale lip and nails,easy to catch a cold. Compared to control group,the frequency of syndrome factor in the case group as Blood stasis,dampness,spleen qi deficiency,blood deficiency,Jing deficiency and kidney are higher except the syndrome factor heat is lower. And pink tongue with yellow and greasy coating or thin and white coating,normal tongue shape,or fat-large with tooth mark and wiry and slippery pulse were the main symptoms in HIV/AIDS group. Conclusion For the HIV/AIDS patients in XiShuangBanNa, the causal relation between etiology and dampness pestilence is inseparable based on the currently existing sample size and study methods. qi deficiency and blood deficiency were showing after the dampness pestilence violate the human body,the main involved visceras are spleen and kidney and then causing the qi,blood,yin and yang deficiency and formated the deficiency in origin and excess in superficiality,causing the deficiency-excess complication pathological changes.