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张彦敏,李峰,王玉光,倪量.346例艾滋病相关性痒疹患者的证候研究[J].,2012,32(6):759-762
346例艾滋病相关性痒疹患者的证候研究
Study of Chinese Medicine Syndrome Patterns in 346 Patients with Pruritic Papular Eruption
  
DOI:
中文关键词:  艾滋病  相关性痒疹  证候艾滋病  证候
英文关键词:AIDS  pruritic papular eruption  Chinese medicine syndrome
基金项目:“十一五”国家科技支撑计划项目(No.2008ZX10005-003)
Author NameAffiliation
ZHANG Yan-min 北京中医药大学中医诊断系 
LI Feng 山西中医学院中医内科学教研室 
WANG Yu-guang 首都医科大学附属北京中医医院呼吸科 
倪量 首都医科大学附属北京地坛医院感染病诊疗中心 
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中文摘要:
      目的研究艾滋病相关性痒疹的证候规律,为其分类及规范化诊断提供参考依据。方法多中心、前瞻性收集346例艾滋病相关性痒疹患者,分析不同性别、年龄、感染途径、CD4水平与中医证型之间的关系,从宏观和微观两方面探讨艾滋病相关性痒疹的证候规律。结果各中医证型患者性别、年龄、CD4水平比较,差异无统计学意义。感染途径在不同中医证型的分布差异有统计学意义:血液感染的患者多见脾虚湿蕴证,性接触感染者多见血热生风证,静脉吸毒感染者多见血虚风燥证。结论艾滋病中医证型有血热生风证、血虚风燥证、脾虚湿蕴证,不同感染途径在各证型的分布方面有差异。目的研究艾滋病相关性痒疹的证候规律,为其分类及规范化诊断提供参考依据。方法多中心、前瞻性收集346例艾滋病相关性痒疹患者,分析不同性别、年龄、感染途径、CD4水平与中医证型之间的关系,从宏观和微观两方面探讨艾滋病相关性痒疹的证候规律。结果各中医证型患者性别、年龄、CD4水平比较,差异无统计学意义。感染途径在不同中医证型的分布差异有统计学意义:血液感染的患者多见脾虚湿蕴证,性接触感染者多见血热生风证,静脉吸毒感染者多见血虚风燥证。结论艾滋病中医证型有血热生风证、血虚风燥证、脾虚湿蕴证,不同感染途径在各证型的分布方面有差异。
英文摘要:
      Objective To study the Chinese medicine(CM) syndrome laws of patients with pruritic papular eruption(PPE),thus providing reference for its classification and standard diagnosis.Methods Using multicenter,prospective trials in 346 PPE patients,the correlations between sex,age,infection route,and CD4 levels and CM syndrome patterns were analyzed.The syndrome laws correlated with PPE was studied from the macroscopic and microscopic aspects.Results There was no statistical difference in sex,age,or CD4 level among various CM syndrome patterns.There was statistical difference in the infection route among various CM syndrome patterns.Pi-deficiency dampness-accumulation syndrome occurred more in patients infected by blood.Wind production induced by heat in blood syndrome occurred more in those infected by sexual contact.Blood deficiency wind dryness syndrome occurred in those infected by intravenous drug abuse.Conclusions Wind production induced by heat in blood syndrome,blood deficiency wind dryness syndrome,and Pi-deficiency dampness-accumulation syndrome exist in CM syndrome types of AIDS.There was statistical difference in different infection routes of the distribution of each syndrome type.
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