艾滋病患者中医舌象流行病学分析.pdfVIP

艾滋病患者中医舌象流行病学分析 李青雅1,2 郭会军2,3 李真2,3符林春4 1河南中医学院，郑州4500462河南省病毒性疾病中医药防治重点实验室，郑州4500083河南中医学院 第一附属医院艾滋病临床研究中心，郑州450008 4广州中医药大学，广州510405 摘要：目的：探讨艾滋病患者的舌象分布规律，为更好的进行中医辨证论证提供客观依据。方法：通过问卷 调查与现场诊断相结合的方式，对764例艾滋病患者和778例非HIV感染者进行了现场调查和舌象采集，并进行统 计分析。结果：在艾滋病患者中，舌色是以红舌出现频率最高，占40.58％;舌苔以腻苔、厚苔出现频率较高，分 别是0.71％和30.24％;苔色方面，艾滋病患者中黄苔出现比例较高，为28.66％，个别出现灰苔和黑苔；舌苔的部 位看，有9.29％的艾滋病患者出现中根部舌苔；从红舌相兼舌苔看，艾滋病患者在薄苔、厚苔、腻苔、花剥苔等 方面均显著高于对照组 （P＜0.01，P＜0.05）。结论：艾滋病患者的舌象分布具有一定规律，基本符合艾滋病多表 现为湿热的临床证候特征。 关键词：艾滋病；舌象；中医证候 EpidemiologicanalysisfortonguemanifestationofTCMinAIDSpatients LIQing-ya1,2GUOHui-jun2,3 LIZhen2,3FULin-chun4 1HenanUniversityofChineseMedicine,Zhengzhou450046,China 2HenanKeyLaboratoryofPreventionandTreatmentofVirus DiseaseswithTCM,Zhengzhou450008,China 3 Clinical Research Center for AIDS, the First Affiliated Hospital of Henan University of ChineseMedicine,Zhengzhou450008,China 4GuangzhouUniversityofChineseMedicine,Guangzhou510405,China Abstract:Objective:ToanalyzethetonguemanifestationofTCMinAIDSpatients.Methods:Throughthecombination ofsurveyanddiagnosis,thetonguemanifestationsof764AIDSpatientsand778healthypeoplewereanalyzed.Results:The incidenceofredtongueinAIDSpatientswashighestaccountingfor40.58％.TheincidenceofgreasyfurandthickfurinAIDS patientswererespectively40.71％ and30.24％.ThecoloroffurchangeinAIDSpatientswasmostlyyellowaccountingfor 28.66％,andtherewerealittlegrayfurandblackfur.Asforfur,itwaslocatedinthemiddleandrootoftongueinAIDSpatients whichaccountedfor9.29％.Fromtheviewoftheredtonguewiththinfur,comparedwithcontrolgroup,thickfur,greasyfur, exfoliativefurinAIDSpatientswerehigher,andtherewassignificantdifference(P＜0.01,P＜0.05).Conclusion:Therewasa certainregularpatterninthedistributionoftonguemanifestation,whichconformedwiththeclinicalsyndromecharacteristics dampnessandheatinAIDSpatients. Keywords:Acquiredimmunodeficiencysyndrome;Tonguema