摘要
目的:研究艾滋病(AIDS)患者的呼吸道症状并探讨中医病机。方法:随机抽取以呼吸道症状为主诉的AIDS患者31例,收集中医四诊资料,按照症状频率高低进行统计分析。结果:AIDS患者呼吸道症状出现频率按高低分别为咳痰、咳嗽、气短、胸闷、气喘、胸痛等,最多见的全身症状依次为发热、不寐、身体困重、食欲不振、盗汗、头痛、头晕、口苦等,出现最多的舌象依次为红舌、白厚苔、黄厚苔、暗舌等,出现最多的脉象依次为数脉、实脉、沉脉、虚脉,浮脉与沉脉、数脉与迟脉比较差异有统计学意义。结论:AIDS并呼吸道症状的主要病机是肺脾两虚、痰热壅盛、痰湿阻肺。
Objectives： The impact of the human immunodeficiency virus（HIV） infection on the respiratory system of pathogenesis in TCM has been little studied.This study aimed to determine the pathogenesis of respiratory symptoms in HIV infected Chinese.Methods：In this cross sectional study,the frequency of respiratory symptoms,general symptom,tongue presentation and pulse condition were determined in 31 HIV positive patients.Results： HIV positive patients had the most significantly respiratory symptoms： cough,cough with sputum production,short breath,choking sensation in chest,breathlessness and chest pain.The most significantly general symptom are followed by fever,insomnia,fatigue,in-appetence,night sweating,headache,dizziness and bitter taste.The most tongue presentations are followed by red tongue,white and greasy coating,yellow and greasy coating,crimson tongue and thin white coating.The most pulse conditions are followed by rapid pulse,forceful pulse,deep pulse and feeble pulse.Compare with difference between floating pulse and deep pulse,rapid pulse and slow pulse,forceful pulse and feeble pulse,the number of deep pulse and rapid pulse are more than floating pulse and slow pulse（p0.05）.Conclusions： Correlation of all four examinations in TCM,the main pathogenesis of respiratory symptoms with HIV patients are lung and spleen deficiency,phlegm and heat obstructing lung,phlegm and damp stagnating lung.
出处
《中国中医基础医学杂志》
CAS
CSCD
北大核心
2013年第6期618-620,共3页
JOURNAL OF BASIC CHINESE MEDICINE
基金
国家科技重大专项资助项目(2008ZX10005-005
2009ZX90103-414)
关键词
获得性免疫缺陷综合征
呼吸道症状
中医病机
肺脾两虚
Acquired Immune Deficiency Syndrome
Respiratory symptom
Pathogenesis of TCM
Deficiency of both lung and spleen
