138例艾滋病患者中医体质类型分布及舌脉特点临床分析
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R512.91

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Clinical Analysis on Distribution of Chinese Medicine Constitution Types and Characteristics of Tongue and Pulse Among 138 Cases of Patients with Acquired Immunodeficiency Syndrome
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    摘要:

    目的:观察分析艾滋病 (AIDS) 患者中医体质类型分布及舌脉特点。方法:选取广州市第八人民医院 2016 年 1 月 —2018 年 1 月收治的 138 例 AIDS 患者作为研究对象。统计其中医体质类型分布情况、分析中医体质类型与临床特征的相关性,对比不同中医体质类型 AIDS 患者初治后的生活质量,采用 Logistic 回归分析中医体质类型与生活质量的关系,并统计分析患者的舌脉特点。结果:138 例 AIDS 患者中,中医体质类型以平和质为主,占 44.93%,气虚质次之,约占 24.64%;中医体质类型与临床分期、中医证候显著相关(P<0.05);气虚质患者心理状态、身体状态及生活质量总分低于平和质、阳虚质、痰湿质及其他中医体质类型患者 (P<0.05);舌象以舌色淡红 (占 65.22%)、舌体胖 (占 57.25%)、苔厚 (占 56.52%)、苔腻 (占 42.75%)为主;脉率以脉率不齐 (占 69.57%) 为主,脉象以虚 (占 74.64%)、弦 (占 47.10%)、结 (占 34.06%) 为主,脉位以中位为主(占 86.23%),脉势以低平虚 (占 89.13%) 为主。结论:AIDS 患者中医体质类型分布及舌脉特点有其特定规律,临床诊治中辨证、辨体相结合能更有效地为患者提供个体化治疗方案,以提升生活质量。

    Abstract:

    Abstract:Objective:To observe and analyse the distribution of Chinese medicine constitution types and characteristics of the tongue and pulse among patients with acquired immunodeficiency syndrome(AIDS). Methods:A total of 138 cases of AIDS patients who were admitted and treated in Guangzhou Eighth People's Hospital from January in 2016 to January in 2018 were selected as the study objects. The distribution of Chinese medicine constitution types was counted. The correlation between Chinese medicine constitution types and clinical characteristics was analyzed. The quality of life after initial treatment was compared among AIDS patients with different Chinese medicine constitution types. The relationship between Chinese medicine constitution types and quality of life was analyzed by Logistic regression. The characteristics of the tongue and pulse of patients were counted and analyzed. Results: Among 138 cases of AIDS patients, the moderate constitution which dominantly appeared accounted for 44.93% , which was followed by qi- deficiency constitution accounting for about 24.64%;there was significant correlation between Chinese medicine constitution types and clinical stage as well as Chinese medicine syndromes(P<0.05). The total scores of psychological state,physical condition and quality of life in patients with qi- deficiency constitution were lower than those in patients with moderate constitution, yang- deficiency constitution, phlegm- dampness constitution, and other Chinese medicine constitution types(P<0.05). Among 138 cases of AIDS patients, the main tongue manifestations were as following: pale red tongue(accounting for 65.22% ), enlarged tongue (accounting for 57.25%),thick fur(accounting for 56.52%),and slimy fur(accounting for 42.75%);the irregular pulse rate which dominantly appeared accounted for 69.57%. Among 138 cases of AIDS patients,the pulse condition which dominantly appeared was as following:vacuous pulse(accounting for 74.64%),string- like pulse(accounting for 47.10%),and bound pulse(accounting for 34.06%);pulse was mainly in the middle position(accounting for 86.23%);the main pulse trend was at low level with normal pulse and vacuous pulse(accounting for 89.13%). Conclusion:The distribution of Chinese medicine constitution types and characteristics of the tongue and pulse among AIDS patients have specific rules. In clinical diagnosis and treatment, the combination of syndrome differentiation and constitution differentiation can provide patients with individualized therapeutic scheme more effectively,so as to improve the quality of life.

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许飞龙,贾士杰,郑海鹏,邓西子,敖云龙.138例艾滋病患者中医体质类型分布及舌脉特点临床分析[J].新中医,2020,52(24):101-106

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  • 在线发布日期: 2020-12-22
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