60例未治疗干预无症状期HIV感染(气虚)经络虚实及相关因素回顾性研究
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摘要
[目的]回顾研究60例未干预无症状期HIV感染(气虚)经络虚实及相关因素。[方法]使用回顾性研究方法,60例干预前无症状期HIV感染(气虚)患者病历,经络检测仪检测经络虚实表现,从左至右,检测棒依次点按肺、肾、肝、胆、脾经24个穴位。多元逐步回归分析(前进法)剔除变量F值=2,得到局部最优方程。判读经络检测系统值及性别、年龄等。观测体能值、阴经/阳经值(简称阴/阳)、上肢/下肢经络值(简称上/下)。[结果]肺、肾经虚,肝、胆、脾实51例(85%);肺经虚,肝、脾经实6例(10%);肾经虚,肝经实3例(5%)。病程差异显著:病程每增加1个月,阴经/阳经值增加0.0145,同步递增;年龄差异显著:年龄每增加1个单位,经络上/下值就增加-0.001,同步递减。[结论]无症状期HIV感染(气虚)肺肾经络虚表现为主,伴肝胆脾经实证为辅,阴/阳、上/下值受病程、年龄因素影响,呈"量效关系(同步递增/递减)"。病程越长,经络阴阳平衡越容易破坏;年龄越大,心肾气血平衡及心态平和调整越好。早养生干预可据补虚泻实原则,补肺肾,泻肝胆脾经。
[Objective] To review and study 60 cases of asymptomatic HIV infection(Qixu/气虚) detector and its related influencing factors. [Methods] Using retrospective analysis method, 60 cases of asymptomatic HIV infected people in traditional Chinese medicine dialectical for patients with qi xu type primarily before without any treatment and drug intervention, using traditional Chinese medicine meridian detector test, understand its performance situation of main and collateral channels, provide breakthrough point for clinical early intervention. [Results] Lung meridian, kidney meridian deficiency, liver meridian, gallbladder meridian and spleen meridian deficiency accounted for 85%. Only lung meridian deficiency, liver and spleen hyperplasia accounted for 10%; kidney meridian deficiency, liver meridian solid accounts for 5%. The Yin/Yang and upper/lower values in the meridian detection and interpretation system are affected by the disease course and age factors respectively. [Conclusion] Observation analysis that given priority to with the expression of lung and kidney meridian virtual, three associated with liver and spleen meridians empirical is complementary, therefore clinical or insufficiency of early health intervention according to the principle of solid, establishment for lung and kidney, purging liver and spleen by the principles of keeping in good health. The longer the course of disease, the more easily the balance of meridian Yin and Yang is destroyed. The older you are, the better your heart, kidney, Qi and blood balance and peace of mind adjustment.
[Objective] To review and study 60 cases of asymptomatic HIV infection(Qixu/气虚) detector and its related influencing factors. [Methods] Using retrospective analysis method, 60 cases of asymptomatic HIV infected people in traditional Chinese medicine dialectical for patients with qi xu type primarily before without any treatment and drug intervention, using traditional Chinese medicine meridian detector test, understand its performance situation of main and collateral channels, provide breakthrough point for clinical early intervention. [Results] Lung meridian, kidney meridian deficiency, liver meridian, gallbladder meridian and spleen meridian deficiency accounted for 85%. Only lung meridian deficiency, liver and spleen hyperplasia accounted for 10%; kidney meridian deficiency, liver meridian solid accounts for 5%. The Yin/Yang and upper/lower values in the meridian detection and interpretation system are affected by the disease course and age factors respectively. [Conclusion] Observation analysis that given priority to with the expression of lung and kidney meridian virtual, three associated with liver and spleen meridians empirical is complementary, therefore clinical or insufficiency of early health intervention according to the principle of solid, establishment for lung and kidney, purging liver and spleen by the principles of keeping in good health. The longer the course of disease, the more easily the balance of meridian Yin and Yang is destroyed. The older you are, the better your heart, kidney, Qi and blood balance and peace of mind adjustment.
引文
[1]中国疾病预防控制中心,性病艾滋病预防控制中心,性病控制中心.2017年12月全国艾滋病性病疫情[J].中国艾滋病性病,2018,24(2):111.
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[3]中华医学会感染病学分会艾滋病学组.艾滋病诊疗指南[C].病毒性丙型肝炎暨全国热带病学术会议论文汇编,2011:43-64.
[4]徐立然,王东旭,郭建中,等.HIV感染无症状期患者中医证型分布规律研究[J].中国中西医结合杂志,2013,33(7):896-900.
[5]艾军,戴铭.从伏疫学说探讨艾滋病的病因病机[J].新中医,2009,41(1):3-4.
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[10]国家药品食品监督管理局.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:378-382.
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[12]罗永芬,高忻洙.腧穴学[M]上海:上海科学技术出版社,1995:18-19.
[13]杨玉荣,王继光,杜建华,等.社区参与艾滋病高危人群及感染者综合干预工作模式的探索[J].中国预防医学杂志,2017,18(11):869-873.
[14]陈盛铎.传染病学[M]北京:中国中医药出版社,2009:80-90.
[15]何颖.浅析艾滋病的病因病机[J].湖北中医杂志,2002,24(6):11.
[16]汤艳莉.王阶“以平为期”理念在艾滋病免疫失调调节中的应用[J].中华中医药杂志,2011,26(5):915-918.
[17]彭勃,王丹妮.对艾滋病无症状HIV感染期的认识[J].中华中医药杂志,2006,21(11):663-665.
[18]吴敦序.中医基础理论[M]上海:上海科学技术出版社,1995:39-129.
[2]中国疾病预防控制中心,性病艾滋病预防控制中心,性病控制中心.2016年12月全国艾滋病性病疫情[J].中国艾滋病性病,2017,23(2):93.
[3]中华医学会感染病学分会艾滋病学组.艾滋病诊疗指南[C].病毒性丙型肝炎暨全国热带病学术会议论文汇编,2011:43-64.
[4]徐立然,王东旭,郭建中,等.HIV感染无症状期患者中医证型分布规律研究[J].中国中西医结合杂志,2013,33(7):896-900.
[5]艾军,戴铭.从伏疫学说探讨艾滋病的病因病机[J].新中医,2009,41(1):3-4.
[6]国家中医药管理局.中医治疗艾滋病临床技术方案(试行)[M].北京:人民卫生出版社,2004:20-27.
[7]李发枝,徐立然,何英.河南省中医药治疗艾滋病常见病症辩证治疗要点[J].中医学报,2010,25(1):1-3.
[8]北京勇澜生物科技有限公司.中医经络检测仪[EB/OL].[2017-08-20].http://www.bjylsw.com/chanpinzhongxin-139985-42985-item-165669.html.
[9]百度文库.经络检测仪操作说明书[EB/OL].[2017-08-20].https://wenku.baidu.com/view/a4a913c9da38376baf1faeca.html.
[10]国家药品食品监督管理局.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:378-382.
[11]百度.为什么艾滋病患者越来越多了?[EB/OL].[2017-08-20].http://baijiahao.baidu.com/s?id=1605300954640935889&wfr=spider&fo r=pc.
[12]罗永芬,高忻洙.腧穴学[M]上海:上海科学技术出版社,1995:18-19.
[13]杨玉荣,王继光,杜建华,等.社区参与艾滋病高危人群及感染者综合干预工作模式的探索[J].中国预防医学杂志,2017,18(11):869-873.
[14]陈盛铎.传染病学[M]北京:中国中医药出版社,2009:80-90.
[15]何颖.浅析艾滋病的病因病机[J].湖北中医杂志,2002,24(6):11.
[16]汤艳莉.王阶“以平为期”理念在艾滋病免疫失调调节中的应用[J].中华中医药杂志,2011,26(5):915-918.
[17]彭勃,王丹妮.对艾滋病无症状HIV感染期的认识[J].中华中医药杂志,2006,21(11):663-665.
[18]吴敦序.中医基础理论[M]上海:上海科学技术出版社,1995:39-129.