105例吸毒人群AIDS患者中医证型与CD_4~＋T淋巴细胞关系的探讨

Discussion on the correlation of the distribution of Chinese medicine syndromes with CD_4^+ T-lymphocyte counts in 105 cases of AIDS infected through drug transmission

目的:探讨吸毒人群不同中医证型与CD4+T淋巴细胞计数的关系。方法:选择吸毒人群AIDS患者105例,收集中医四诊信息并辨证分型,检测各证型AIDS患者CD4+T淋巴细胞水平,分析不同CD4+T淋巴细胞计数分段与中医证型分布的关系。结果:CD4+T淋巴细胞计数在50-200μL之间时,以气阴两虚、肺肾不足型多见;计数在201-350μL之间时,以气阴两虚、肺肾不足型和肝肾阴虚、湿毒蕴结型多见;计数在351-500μL之间时,以脾肾亏虚、湿邪阻滞型多见。计数在501-650μL之间时,以肝郁气滞火旺型多见。结论:吸毒人群AIDS患者中医证型分布有一定规律,并与CD4+T淋巴细胞计数分段密切相关。

Objective： To analyze the clinical data of 105 cases of AIDS infected through drug transmission,investigate the correlation of the distribution of Chinese medicine syndromes with CD4＋T-lymphocyte counts.Methods： To collect the data focusing on the four diagnostic methods of Chinese medicine and Chinese medicine syndrome,detect CD4＋T-lymphocyte counts and analyze the correlation of the different count range of CD＋4T-lymphocyte with Chinese medicine syndromes.Results： When the count was ranged from 50μL to 200μL,the syndromes of qi and yin deficiency,insufficiency of lung and kidney were predominated.When the count was ranged from 201μL to 350μL,the syndromes of qi and yin deficiency,insufficiency of lung and kidney,yin deficiency of liver and kidney,retention of toxic pathogen and dampness were predominated.When the count was ranged from 351μL to 500μL,the syndromes of kidney and spleen deficiency,retention of pathogenic damp were predominated.When the count was ranged from 501μL to 650μL,the syndromes of huo and qi stagnation of liver were predominated.Conclusion： A certain regular pattern in the distribution of Chinese medicine syndromes in AIDS patients infectes through drug transmission.CD4＋T-lymphocyte count is closely relevant with the differentiation of syndromes in Chinese medicine.