| 177例艾滋病病毒感染者中医证候分析 |
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| 引用本文： | 张苗苗,符林春,孙世辉. 177例艾滋病病毒感染者中医证候分析[J]. 中医杂志, 2010, 51(4) |
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| 作者姓名： | 张苗苗 符林春 孙世辉 |
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| 作者单位： | 1. 广州中医药大学热带医学研究所艾滋病研究室,广东省广州市机场路12号,510405
2. 广州市第八人民医院 |
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| 基金项目： | 国家“十一五”科技重大专项资助项目(2008ZX10005-005) |
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| 摘 要： | 目的探讨艾滋病病毒感染者(HIV/AIDS)中医证候的分布和演变规律。方法采用临床流行病学调研方法对177例HIV/AIDS患者进行问卷调查,按照中医临床症状体征观察表收集患者的四诊信息和中医证型资料,并检测CD4+T淋巴细胞计数。结果广东地区青壮年群体受威胁最大,女性感染率上升,性别与感染途径之间相关性很强。患者主症以乏力、咳嗽、纳差为多见,次症以盗汗、皮肤瘙痒、头痛、脱发为多见,体征以皮疹为多见。证型以气阴两虚肺肾不足证型最多。症状体征、证型、各项检查指标在性别、年龄、感染途径上的分布有统计学差异(P0.01)。CD4与CD8、CD4/CD8比值(Th/Ts)、白细胞(WBC)、淋巴细胞绝对值(LYM)、血红蛋白(HGB)含量相关性很强,对CD4影响最大的是Th/Ts、LYM。结论广东地区HIV/AIDS患者症状体征、证型、各项检测指标在性别、年龄、感染途径的分布有显著差异,提示分类治疗可能对提高疗效有帮助,评价CD4的波动时可参考Th/Ts、LYM这两个指标。
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| 关 键 词： | 人类免疫缺陷病毒(HIV) 获得性免疫缺陷综合征(AIDS) 中医证候 CD4+T淋巴细胞 |
Analysis on the Traditional Chinese Medicine Syndromes of 177 HIV/AIDS Patients |
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| ZHANG Miaomiao,FU Linchun,SUN Shihui. Analysis on the Traditional Chinese Medicine Syndromes of 177 HIV/AIDS Patients[J]. Journal of Traditional Chinese Medicine, 2010, 51(4) |
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| Authors: | ZHANG Miaomiao FU Linchun SUN Shihui |
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| Affiliation: | ZHANG Miaomiao1,FU Linchun1,SUN Shihui2 (1. Tropical Medicine Institute,Guangzhou University of Chinese Medicine,Guang zhou 510405,2. Guangzhou Municipal No.8 People's Hospital) |
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| Abstract: | Objective To study the rule of distribution and evol vement of TCM syn dromes in HIV/AIDS patients. Methods Totally 177 HIV/AI DS patients were investigated with questionnaire in the epide miological study to collect the data of diagnosis, and the rou tine test of CD4+T lymphocyte count was carried out. Results The young and mid dle-aged females were the most involved group with an increasing incidence in G u angdong Province and with a strong relation of sex and infection route. The main symptoms of the 17... |
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| Keywords: | Human immunodeficiency virus (HIV) Acquired immuno deficiency syndrome (AIDS) TCM syndrome CD4+T lymphocyte |
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