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不同感染途径艾滋病症、证分布规律的研究

Research on rules of distribution and development of traditional Chinese medicine syndromes of 2 237 HIV/AIDS cases

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【作者】王健；刘颖；邹雯；李洪娟；何丽云；董继鹏；岑玉文；邓鑫；王莉；张国梁；胡建华；谢世平；王江蓉；王晓静；马艳萍；杨小平；李勇；刘水清；李霞；

【Author】 WANG Jian 1,LIU Ying 1,ZOU Wen 1,LI Hong-juan 2,HE Li-yun 1,DONG Ji-peng 1,CEN Yu-wen 3,DENG-Xin 4,WANG Li 5,ZHANG Guo-liang 6,HU Jian-hua 7,XIE Shi-ping 8,WANG Jiang-rong 9,WANG Xiao-jing 10,MA Yan-ping 11,YANG Xiao-ping 12,LI Yong 13,LIU Shui-qing 14,LI Xia 15(1.AIDS Research Center,Clinical Evaluation Center,China Academy of Traditional Chinese Medicine,Beijing 100700,China;2.Beijing University of Chinese Medicine,Beijing 1000293,China;3.The Eighth People’s Hospital of Guangzhou,Guangzhou 5100604,China;4.RuiKang Affiliated Hospital of Guangxi Traditional Chinese Medicine College,Nanning 530000,China;5.Yunnan Academy of Traditional Chinese Medicine,Kunming 650223,China;6 First Affiliated Hospital of Anhui Medical College,Hefei 230031,China;7 Beijing Youan Hospital,Beijing 100054,China;8.Henan University of Traditional Chinese Medicine,Zhengzhou 450008,China;9.Shanghai Public Health Clinical Center,Shanghai 201508,China;10.Beijing Ditan Hospital,Beijing 100011,China;11.Xinjiang Autonomous Region Hospital of Traditional Chinese Medicine,Urumqi 830000,China;12.Henan Academy of Traditional Chinese Medicine,Zhengzhou 450004,China;13.Guang’anmen Hospital of Traditional Chinese Medicine,Beijing 100053,China;14.The Fifth People’s Hospital of Guiyang,Guiyang 550004,China;15.Capital University of Medical Sciences,Beijing 100069,China)

【机构】中国中医科学院中医药防治艾滋病研究中心临床评价中心；北京中医药大学；广州市第八人民医院；广西中医学院附属瑞康医院；云南中医中药研究院；安徽中医学院第一附属医院；北京佑安医院；河南中医学院；上海公共卫生临床中心；北京地坛医院；新疆自治区中医院；河南中医中药研究院；中国中医科学院广安门医院；贵阳市第五人民医院；首都医科大学；

【摘要】运用中医学、临床流行病学、统计学的方法,在我国艾滋病流行的主要地区,选择不同感染途径(性传播878例,静脉吸毒527例,有偿供血652例)的HIV/AIDS患者,进行中医证候学调查,对不同感染途径艾滋病症、证分布规律进行为期1年的临床随访,初步总结出不同感染途径艾滋病的病性、病位和病机等特点。3种传播途径主要病性中虚证以气虚、阴虚和阳虚为主;实证中,血液传播以痰湿为主,性传播以气滞为主,静脉吸毒以热(火)毒为主。性传播者以肝肾阴虚、肝郁气滞证为主;静脉吸毒者以气阴两虚、湿热蕴结证为主;采供血者以肝胃不和、脾虚湿盛证为主。更多还原

【Abstract】 HIV/AIDS patients in high prevalence areas with different routes of infection(sexually transmitted 878 cases,527 cases of intravenous drug user,paid blood donor 652 cases) were choosen for traditional Chinese medicine(TCM) syndrome investigation for one-year clinical follow-up.This paper primarily concluded the nature,location and pathogenesis of AIDS diseases.Deficiency of Yang and Yin,combining deficiency of Qi are the basic deficiency syndromes,while stagnation of dampness,toxic fire are the excess syndromes;the disease location of HIV infector is spleen,main syndrome is deficiency of spleen Qi;the disease location of AIDS patient is kidney,main syndrome is deficiency of spleen and kidney Yang.The pathogenic development tendency is from deficiency of Qi to combining stagnation of dampness and toxic fire,finally to deficiency of Qi and Yin,deficiency of Yang.更多还原

【关键词】艾滋病；不同感染途径；症状；证候；
【Key words】 HIV/AIDS； various infection routes； symptom； traditional Chinese medicine syndrome；

【基金】国家“艾滋病和病毒性肝炎等重大传染病防治”科技重大专项(2008ZX10005-001)

【文献出处】中国中药杂志 ,China Journal of Chinese Materia Medica , 编辑部邮箱 ,2013年15期

【分类号】R259
【被引频次】16
【下载频次】390

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