CAJ | 학술논문

目的：通过调查接受HAART治疗的HIV／AIDS患者的症状分布规律，探讨该类患者的中医证候特点。方法：选取接受HAART治疗3个月以上的HIV／AIDS患者1718例进行横断面调查，采集中医四诊信息和现代生物学信息，对这些患者进行症状、体征、证候出现频率（次）的描述性统计。结果：常见症状依次为：乏力、纳呆、咳嗽、头痛、月经失常（女性）、关节痛、皮肤瘙痒、腰痛、肌肉痛、发热；舌色以红、绛红、淡白及紫色为主，舌形以薄舌、胖大舌、齿痕舌为主，舌苔则以薄白苔和黄腻、厚腻苔多见；脉象以复合脉象为主，分解后脉象以细脉、滑脉、弦脉最为多见。共出现中医证型24种，气血两亏、气阴两虚是最常见的证型，其次为痰热内扰证、肝郁气滞火旺证、脾肾亏虚及湿邪阻滞证。多为复合证型，分解后出现的单证达32种。单证以虚证为主，其次为实证，虚实夹杂最少。脏腑的发病率由高至低依次为脾、肺、肾、肝、心，其中脾系发病率最高，且常与肺、肝、肾合而为病。发病脏腑数目由高至低依次为：三脏同病、二脏同病、四脏同病、一脏发病、五脏同病。结论：接受HAART治疗的HIV／AIDS患者临床症状体征表现多样，病情复杂，证候多见虚实夹杂，以虚为主，涉及脏腑主要为脾、肺、肾，常见多脏腑同病。
목적：통과조사접수HAART치료적HIV／AIDS환자적증상분포규률，탐토해류환자적중의증후특점。방법：선취접수HAART치료3개월이상적HIV／AIDS환자1718례진행횡단면조사，채집중의사진신식화현대생물학신식，대저사환자진행증상、체정、증후출현빈솔（차）적묘술성통계。결과：상견증상의차위：핍력、납태、해수、두통、월경실상（녀성）、관절통、피부소양、요통、기육통、발열；설색이홍、강홍、담백급자색위주，설형이박설、반대설、치흔설위주，설태칙이박백태화황니、후니태다견；맥상이복합맥상위주，분해후맥상이세맥、활맥、현맥최위다견。공출현중의증형24충，기혈량우、기음량허시최상견적증형，기차위담열내우증、간욱기체화왕증、비신우허급습사조체증。다위복합증형，분해후출현적단증체32충。단증이허증위주，기차위실증，허실협잡최소。장부적발병솔유고지저의차위비、폐、신、간、심，기중비계발병솔최고，차상여폐、간、신합이위병。발병장부수목유고지저의차위：삼장동병、이장동병、사장동병、일장발병、오장동병。결론：접수HAART치료적HIV／AIDS환자림상증상체정표현다양，병정복잡，증후다견허실협잡，이허위주，섭급장부주요위비、폐、신，상견다장부동병。
Objective:To understand the symptoms distribution of patients with HIV/AIDS treated by HAART to explore the characteris-tics of TCMsyndrome.Methods:Selected 1718 patients treated with HAART for more than 3 months to cross sectional survey.Collect four diagnostic information of TCM and modern biological information and descriptive statistics of symptoms,signs,frequency (time). Results:The most common symptoms were fatigue,anorexia,cough,headache,menstrual disorder (female),joint pain,skin itching, pain,muscle pain,fever;tongue color to red,crimson red,pale purple,fat and tooth marked tongue,a whitish fur and yellow greasy,thick and greasy fur see;pulse compound,after decomposition to fine pulse,slippery pulse,taut pulse.There are 24 kinds of TCM syndrome type,deficiency of both QI and qi-yin asthenia are the most common syndrome,followed by stagnation of QI due to depression of the liv-er.For more complex syndrome,decomposition occurred after up to 32 kinds of documents.Main deficiency,followed by empirical,defi-ciency of at least.The incidence rate of organs from high to low according to the spleen,lung,kidney,liver,heart,spleen system among the highest incidence,and is often associated with lung,liver,kidney and to a disease.The incidence of viscera number is successively from high to low:three viscera comorbidity,two viscera comorbidity,four viscera comorbidity,five viscera comorbidity.Conclusion:The clinical symptoms of patients with HIV/AIDS treated with HAART showed diverse,complex disease,asthenia-sthenia zheng complica-tions,common multi viscera disease.