307例艾滋病患者维医异常体液分型的量化诊断研究

Screening of quantitative diagnosis indices of typing abnormal hilit syndrome in Uighur medicine with 307 cases of AIDS

目的:建立艾滋病维医异常体液分型量化诊断标准。方法:以非疾病临床相关信息为依据,对诊断明确的307例艾滋病患者进行量化诊断研究。入选的证候要素进行主成分改进的多分类Logistic回归分析以确立各证候要素对证候的贡献度,根据OR值确定艾滋病各异常体液主症、次症。结果:艾滋病异常黑胆质型主症:目光无神,唇色暗紫,舌质青紫,舌苔晦暗,小便色青;次症:心神不宁,皮肤较凉,舌体瘦薄,大便干结,盗汗,多梦、噩梦。艾滋病异常血液质型主症:面色发红,目光乏神,舌质暗红,皮肤较热,皮肤湿;次症:脉象粗、有力,睡眠尚少。艾滋病异常粘液质型主症:少气懒言,面色胱白,口黏,皮肤较凉、湿,尿色清长,睡眠较多;次症:口淡无味,尿量较多。艾滋病异常胆液质型主症:易怒,结膜发黄,口唇苍白,口干,皮肤较热,脉象细、短;次症:口味甘苦,舌体瘦薄,大便干,脉数。结论:艾滋病异常体液分型诊断标准的建立为开展维医艾滋病异常体液病证诊断规范的研究及艾滋病维医临床疗效标准研究奠定了一定的基础。

Objective： To set up abnormal hilit typing quantization diagnostic criteria of Uighur medicine for the AIDS patients. Methods： 307 AIDS patients were selected in the study of quantifying diagnosis specialist counseling. Selected factors were analyzed by the modified multi-categorization logistic regression analysis to determine the symptom-complex factor dedication degree and the symptom-complex factor main and subsequent symptoms of the abnormal hilit of AIDS through OR values. Results： The meaningful symptoms were found in all the abnormal hilit syndromes according to the OR values. It is shown that the chief symptoms of the abnormal savda type AIDS are nervousness in mind, dry mouth, thin white tongue coating, dark purple tongue and, bitter taste. The subsequent symptoms are cyanotic lips, fat, short tongue, thin and pale urine. The chief symptoms of the abnormal kan type AIDS are hot skin, thick, strong pulse, lack of eye expression and reddish conjunctiva. The subsequent symptoms are dark red tongue, smooth tongue coating, reddish complexion and slightly rough skin. The chief symptoms of abnormal balgham type AIDS are pale lips, weariness in mind, sticky mouth, white and greasy tongue coating. Subsequent symptoms are pale complexion, whitish conjunctiva, lack of sleep, and deep, slow pulse. The chief symptoms of abnormal sapra type AIDS are acute mind and excessive anger, yellowish complexion, pale lips, yellowish conjunctiva, and hot skin. Subsequent symptoms are dimcomplexion, lack of eye expression, yellow face color and rough skin. Conclusion： The features of excess syndromes of the four abnormal hilit syndromes identified by the Delphi method are in line with clinical practice. The establishment of the standards would provide a ground for developing the clinical effect standards for the traditional Uighur medicine and at the same time, a methodological reference for the establishment of the related standards.