艾灸对脾肾阳虚型艾滋病患者免疫功能的影响

目的:观察艾灸治疗脾肾阳虚型艾滋病的临床疗效,并研究其作用机制。方法:将艾滋病患者66例分为观察组和对照组各33例。对照组采用西药抗反转录病毒治疗(HAART),观察组在HAART基础上加灸天枢、神阙、中脘、关元4穴,治疗3个月后,观察2组疗效、治疗前后症状体征积分改善以及细胞免疫的变化。结果:观察组有效率为90.9%,优于对照组的66.7%(P<0.05);2组症状体征改善积分比较,观察组优于对照组(P<0.01);经治疗2组患者的CD4 T淋巴细胞计数均有增加,但组间差异无显著性意义(P>0.05),观察组总淋巴细胞计数的升高优于对照组(P<0.05)。结论:灸法可提高HAART治疗艾滋病的疗效,灸法虽不能在西药基础上提高CD4 T细胞水平,但对提高总淋巴细胞计数有一定的作用。

Effect of moxibustion on immunological function in the patient of AIDS of spleen-kidney yang-deficiency

Objective To observe the therapeutic effect of moxibustion on AIDS patients of spleen-kidney yang-deficiency. Methods Sixty-six cases of AIDS were divided into a treatment group and a control group, 33 cases in each group. All of the patients were treated with HAART, with moxibustion at Tianshu (ST 25), Shenque (CV 8) , Zhongwan (CV 12) , Guanyuan (CV 4) added in the treatment group for 3 months. Clinical symptoms and cell immunity were recorded before and after treatment. Results After treatment, the effective rate was 90. 9% in the treatment group, which was better than 66. 7% in the control group (P<0. 05). The improvement of the score for clinical symptoms in the treatment group was superior to that in the control group (P<0. 01). After treatment, the CD4 lymphocyte counts increased in the two groups, with no significant difference between the two groups (P>0. 05). Additionally, increase of total lymphocyte count in the treatment group was superior to that in the control group (P<0. 05). Conclusion Moxibustion can increase the therapeutic effect of HAART on AIDS patients and increase the total lymphocyte count.