艾滋病服用抗病毒药治疗并发痒疹的中医症状体征特点分析

Analyze on the characteristics of TCM symptom among AIDS patients with prurigo treated by ARV

目的:了解艾滋病服用抗病毒药治疗并发痒疹的中医症状体征,探索症状体征的临床特点。方法:通过病例回顾性方法,以国家"十一五"重大专项课题病例资料为来源,进行艾滋病服ARV治疗并发痒疹的中医四诊信息统计分析。结果:本研究共纳入105例病例分析,发现中医证候为血热生风证(43.0%),血虚风燥证(24.3%),脾虚湿蕴证(30.8%)。痒疹相关症状出现较多(>50%)的为丘疹、抓痕、色素改变、结节、皮肤颜色异常和水泡鳞屑。其它症状中出现较多(>50%)的为疲乏、口味异常、面色异常、神志异常、不寐、咽干,舌象出现较多(>40%)的为淡红舌、白苔、厚苔、黄苔、腻苔,最多脉象为弦脉(28.6%)。中医四诊信息在3种证型中分布稍有差别。结论:艾滋病服ARV治疗并发痒疹的中医四诊信息具有一定规律,但需进一步开展临床研究加以明确。

Objective： To investigate the traditional Chinese medical（TCM） symptom among AIDS patients with prurigo treated by ARV,and explore the clinical characteristics of symptom.Methods： The study sample was part of a study of national ＇eleventh five＇key special subject,and the TCM informations were collected by retrospective study.Results： A total of 105 cases in the study,and 43.0% of them were syndrome of blood-heat casing wind,24.3% were blood-deficiency wind-dryness syndrome and 30.8% were dampness stagnancy due to spleen deficiency syndrome.The symptom related with prurigo（50%） were papule,scratch,pigment alteration,nodus,appearance anomaly and bubble squame.Other symptoms（50%） were lassitude,taste anomaly,facial anomaly,mind anomaly,insomnia,dry pharynx.The tongue presentation frequently（40%） were pink tongue,white fur,thick fur,yellow fur and greasy fur.The pulse most frequency occurrence was stringy pulse（28.6%）.The TCM information was different in the three kinds of syndromes.Conclusion： The information of four diagnostic methods of TCM had a certain law which needs to study deeply to identify.