79例艾滋病患者中医体质类型及舌面脉特点临床分析

Clinical Analysis of TCM Constitution Types and Lingual Pulse Characteristics of 79 Patients with AIDS

目的通过分析艾滋病患者的中医体质类型及舌面脉数据,找到其分布特点及规律,为中医药治疗艾滋病提供临床依据。方法用体质辨识仪(上海道生医疗科技有限公司生产),采集79例艾滋病患者进行体质辨识及舌面脉数据,分析79例患者的中医体质类型及舌脉象特点。结果 79例艾滋病患者中,单纯型体质48例,占60. 8%,其中以平和质为主,其次为气虚质、血瘀质、湿热质;复合型体质31例占39. 2%,兼气虚质、气郁质或阳虚质多见,合并三种体质的患者占复合体质的90. 3%,9. 7%为合并两种体质患者。舌象以舌色淡红、苔厚腻多见。脉象主要表现为虚、弦、结。面象以少量光泽、唇红、面黄为主。结论 HIV/AIDS患者中医体质分布有其特定的规律,在临床诊治中辨证与辨体质相结合能更好的为患者提供个性化治疗方案。

Objective: To analyze the TCM constitution types and lingual pulse data to find the distribution characteristics and regularity of AIDS patients and provide clinical evidence for TCM treatment of AIDS patients. Methods:79 AIDS patients were collected by a constitution recognition analyzer( produced by Shanghai Daosheng Medical Technology Co.,Ltd.) for the recognition of TCM constitution and the lingual pulse data. The TCM constitution and the lingual pulse condition characteristics of the AIDS patients were analyzed. Results: Among 79 AIDS patients,48 cases were simple constitution,accounting for 60. 8%,of which gentle constitution took as principal followed by qi deficiency,blood stasis and damp-heat types and 31 cases were complex constitution accounted for 39. 2%,and qi deficiency,qi stagnation or yang deficiency types were more common. The patients with three constitutions accounted for90. 3% of the complex constitutions,and the patients with two constitutions accounted for 9. 7%. The lingual conditions were more commonly seen as light red and thick lingual fur. The lingual pulse was mainly represented by deficiency,string,and knot. The face conditions were mainly less luster,lip red,and yellow look Conclusion: The distribution of TCM constitutions in HIV/AIDS patients has its specific rules. In clinical diagnosis and treatment,the combination of syndrome differentiation and differentiation constitution can better provide patients with personalized treatment.