摘要
目的：分析中医、西医、公共卫生专业医务人员对高效抗反转录病毒疗法（ HARRT）、中医药疗法、中西医结合疗法治疗艾滋病（AIDS）的认可状况与使用情况，为推动中、西医提升 AIDS 的治疗效果提供相关建议。方法采用个案研究的方法，以方便抽样与随机抽样相结合的原则，于2013年10月9—15日选择中医药 AIDS 防治试点机构2所、AIDS HAART 治疗定点机构2所实施调研活动，选择调研当天在院（所）的所有曾经直接或间接参与AIDS 治疗的医生，共66名。其中中医专业27名，西医专业31名，公共卫生专业8名。调查不同专业医务人员从事AIDS 防治工作年限、参与 AIDS 治疗人数、对不同诊疗方法的使用意向、对中医药优势的认可情况、对中医药参与AIDS 治疗关键期的认识、认为限制中医药在 AIDS 防治中发挥作用的因素。采用平均绝对差法描述医务人员对同一问题的分歧。结果医务人员从事 AIDS 防治工作时间为0.5~22.0年，平均（6.1±4.7）年，3种专业医务人员从事工作时间比较，差异无统计学意义（F ＝3.472，P ＝0.723）。平均每位医务人员参与195名 AIDS 患者的治疗工作。3种专业医务人员使用的治疗方法比较，差异有统计学意义（χ2＝15.79，P ＜0.01）。3种专业医务人员认为最佳的治疗方法比较，差异有统计学意义（χ2＝14.380，P ＝0.006）。3种专业医务人员对不同诊疗方法的使用意向比较，差异有统计学意义（χ2＝43.88，P ＜0.01）。在原有治疗效果不佳的情况下，有92.2％（25/27）的中医专业医务人员表示会主动邀请西医人员参加会诊，有64.5％（20/31）的西医人员会主动为患者推荐中药，有51.6％（16/31）的西医专业医务人员会主动邀请中医专业人员参加会诊。3种专业医务人员对中医药能够增强免疫力、降低抗病毒不良反应同意率比较，差异无统计学意义�
Objective To analyze the acceptance and utilization of highly active antiretroviral therapy（ HAART）, traditional Chinese Medicine（TCM） therapy and combination therapy between TCM and Western Medicine by TCM workers, western medicine workers and public health workers and provide suggestion for the improvement of efficacy of Chinese and Western Medicine. Methods Case study method was employed in this research. 2 experimental TCM institutions and 2 HAART institutions were selected from October 9 - 15,2013 by the sampling principle of both convenience and random. 66 doctors who were directly and indirectly involved in the treatment of HIV patients including 27 TCM majors,31 western medicine majors and 8 public health majors were investigated about their working years in the protective job,the number of medical workers involved in the treatment of AIDS,the intention of using different therapies,their acceptance of advantages of TCM,awareness of the critical period of the involvement of TCM in treatment of AIDS and the factors influencing TCM in the treatment. The mean absolute difference method was used to describe the medical workersˊ divergence in the same matter. Results The working years of the medical workers in the protective job was 0. 5 - 22. 0 and the mean was（6. 1 ± 4. 7）and the difference among the three different majors was not statistically significant（F = 3. 472,P = 0. 723）. Each medical worker took part in saving 195 AIDS patients on average. No significant difference was found in medical workers choosing therapies（χ2 = 15. 79,P 〈 0. 01）. The difference in the opinions of the three medical majors on the best therapy was significant（ χ2 = 14. 380,P = 0. 006）. The difference in the intention of using different therapies of the three medical majors was significant（χ2 = 43. 88,P 〈 0. 01）. On the condition of poor efficacy of the therapy in use,92. 2% （25 / 27）of the Chinese medicine doctors expressed that they would invite western medicine doctors for consultation;64
出处
《中国全科医学》
CAS
CSCD
北大核心
2015年第2期144-148,共5页
Chinese General Practice
基金
北京中医药大学中医药管理学重点学科资助研究
中国全球基金艾滋病防治项目资助研究(2012-cso-44)
关键词
获得性免疫缺陷综合征
中医治疗学
西医
认可
Acquired immunodeficiency syndrome
Therapeutics（TCM）
Western medicine
Approval
