16625例HIV/AIDS常见证候类型分布特征研究

Distribution Characteristics of Common Syndromes in 16625 Cases of HIV/AIDS

目的:探索无症状HIV感染期患者和艾滋病期患者证候分布特征。方法:通过采集16625例患者四诊信息,应用中国中医科学院研制的艾滋病中医诊断系统进行判读,分析不同感染途径不同病期常见证候类型分布特征,总结HIV和AIDS患者的证候规律。结果:16625例患者中经采供血传播比例最高,证型以肺脾气虚为主,次之为肝郁气滞、气虚血瘀;性传播以肝郁气滞、脾肾阳虚、气虚血瘀为主,静脉吸毒以阴虚内热、肝郁气滞、气虚血瘀为主。肝郁气滞虽然所占比重最大,但是不同感染途径所占比例有差别,以性传播最多,采供血次之,吸毒最少。脾肾阳虚证在性传播中的比例较高,在AIDS期的性传播病人中比例最高;肺脾气虚在采供血中比例最高,阴虚内热在吸毒人群中最多。结论:不同感染途径不同病期HIV/AIDS常见证候类型分布存在差异,应结合临床实践继续深入研究。

Objective： observing the feature distribution of symptom types of HIV/AIDS. Methods： Analyzing the rule of common symptom types among different transmission routes and different stages by collecting Four Diagnostic Information of 16625 cases,using the diagnostic system of China Academy of Chinese Medical Sciences to analyze,summarize the feature of symptom of HIV/AIDS. Results： Blood transmission is the highest proportion of 16625 cases,the major symptom types is deficiency of Qi both the spleen and lung,then are stagnation of liver-Qi and Qi deficiency causing blood stasis;The major symptom types of sexual transmission are stagnation of liver-Qi、Yang deficiency of spleen and kidney and Qi deficiency causing blood stasis; The major symptom types of injection drug use are Yin deficiency causing intrinsic heat、stagnation of liver-Qi and Qi deficiency causing blood stasis. Although stagnation of liver—Qi is the highest proportion,the proportion of different infected ways are different： the higher frequency is sexual transmission,blood transmission is second,injection drug use is least. Yang deficiency of spleen and kidney is relatively high proportion in sexual transmission,and is the highest in sexual transmission of AIDS. Deficiency of Qi both the spleen and lung is the highest proportion in blood transmission,Yin deficiency causing intrinsic heat is the most in injection drug user. Conclusion： The distribution of common symptom types had difference among different transmission routes and different stages of HIV/AIDS,we should continue studying deeply by combining clinical practice.