Peierdun Mi-ji-ti, Liu Wen-xian, Renaguli Ai-ze-zi, Nurmuhammat Amat, Li Xiao-chun, Gulibaier Ka-ha-er, Ainivaer Wu-la-mu, Halmurat Upur
Department of Epidemiology and Biostatistics, Xinjiang Medical University, Urumqi, 830011, China.
School of Traditional Uighur Medicine, Xinjiang Medical University, Urumqi, 830011, China.
Chin J Integr Med. 2015 Dec;21(12):895-901. doi: 10.1007/s11655-015-2075-8. Epub 2015 Mar 6.
To investigate the distribution of abnormal hilit syndromes in traditional Uighur medicine (TUM) among human immunodeficiency virus infection and acquired immune deficiency syndrome (HIV/AIDS) patients, and to find out the clinical characteristics of abnormal savda syndrome type HIV/AIDS patients.
Between June and July in 2012, 307 eligible HIV/AIDS patients from in-patient department and out-patient clinics of Xinjiang Uighur Autonomous Region the Sixth People's Hospital in Urumqi were investigated. TUM syndrome differentiation was performed by a senior TUM physician. Each participant completed a Sign and Symptom Check-List for Persons Living with HIV/AIDS (SSC-HIV) questionnaire. Depression was evaluated by using Hamilton Rating Scale for Depression Questionnaire. Blood specimen was collected from each participant to test the levels of blood chemicals.
Of 307 HIV/AIDS patients, 189 (61.6%) were abnormal savda syndrome type, 118 (38.4%) were non-abnormal-savda syndrome type. Mean CD4 counts of abnormal savda syndrome type patients was (227.61±192.93) cells/µL, and the prevalence of anemia, thrombocytopenia, and elevated cystatin C were 49.7%, 28.6%, and 44.7%, which were significantly higher than those in the non-abnormal-savda syndrome type patients (26.3%, 16.0% and 25.0%,P<0.05). In addition, depression (79.9%) and HIV/AIDS-related symptoms such as fatigue (42.3%), back aches (40.7%), lack of appetite (33.9%), night sweats (31.7%) were more common among abnormal savda syndrome patients (P<0.05).
Abnormal savda syndrome is the dominant syndrome among HIV/AIDS patients, and they present a more sever clinical manifestation.
探讨维吾尔医异常黑胆质型在人类免疫缺陷病毒感染及获得性免疫缺陷综合征(HIV/AIDS)患者中的分布情况,了解异常黑胆质型HIV/AIDS患者的临床特征。
2012年6月至7月,对乌鲁木齐市新疆维吾尔自治区第六人民医院住院部及门诊的307例符合条件的HIV/AIDS患者进行调查。由一位资深维吾尔医医师进行维吾尔医证候辨证。每位参与者完成一份HIV/AIDS患者症状体征检查表(SSC-HIV)问卷。采用汉密尔顿抑郁量表问卷评估抑郁情况。采集每位参与者的血液标本检测血液生化指标水平。
307例HIV/AIDS患者中,异常黑胆质型189例(61.6%),非异常黑胆质型118例(38.4%)。异常黑胆质型患者的平均CD4细胞计数为(227.61±192.93)个/μL,贫血、血小板减少症及胱抑素C升高的患病率分别为49.7%、28.6%和44.7%,显著高于非异常黑胆质型患者(26.3%、16.0%和25.0%,P<0.05)。此外,异常黑胆质型患者中抑郁(79.9%)及疲劳(42.3%)、背痛(40.7%)、食欲不振(33.9%)、盗汗(31.7%)等HIV/AIDS相关症状更为常见(P<0.05)。
异常黑胆质型是HIV/AIDS患者中的主要证型,且临床表现更为严重。