1373例HIV/AIDS患者中医药治疗临床疗效分析
作者:
作者单位:

1. 云南省中医中药研究院,云南昆明 650223;2. 昆明理工大学生命科学与技术学院,云南昆明650504;3. 西山红房子医院,云南昆明 650118

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R259

基金项目:

* 基金项目: 云南省应用基础研究计划项目(2011FB137,2011FZ249);云南省科技惠民专项(2013CA020);国家中医药管 理局云南省中医药治疗艾滋病试点项目
收稿日期: 2017 - 09- 26
作者简介: 赵竞(1983-),男,云南大理人,副主任医师,从事中医内科工作。
△通信作者: 王莉,E-mail:520136869@qq.com


Analysis of Effects of Traditional Chinese Medicine in Treating 1373 HIV/AIDS Subjects
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Affiliation:

1. Yunnan Institute of Traditional Chinese Medicine and Materia Medica, Kunming 650223, China;2. Faculty of Life Science and Technology, Kunming University of Science and Technology, Kunming 650504, China;3. Xishan Red House Hospital, Kunming 650118, China;

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    摘要:

    目的 分析中药治疗ⅡA、ⅡB、Ⅲ期HIV/AIDS的临床疗效。方法 收集云南各地医疗机构收治的中医药治疗HIV/AIDS病例,中药组给予扶正抗毒制剂或康爱保生制剂口服,中西药联合组加用HAART疗法,比较治疗前后(0月与6、12、24、36、48月)的临床症状体征评分、卡洛夫斯基评分、CD4计数、HIV-RNA载量、血常规、肝肾功等指标变化。结果 纳入病例1373例。临床症状体征积分:2组治疗后均较治疗前显著下降或稳定。卡洛夫斯基评分:2组治疗后均较治疗前显著上升或稳定。CD4计数:①ⅡA期:中药组治疗后多数时点较治疗前显著下降;②ⅡB~Ⅲ期:2组治疗后均较治疗前显著上升或稳定。HIV-RNA载量:第2、3次检测值较第1次显著下降或稳定。安全性指标:治疗后较治疗前无不良变化。结论 中药能改善临床症状体征、提高生存质量;不同病期CD4计数疗效存在差异,ⅡB~Ⅲ期可稳定或上升,但ⅡA期会下降。中药延缓HIV感染ⅡA期病程进展、中药联合HAART“减毒增效”等值得探索。

    Abstract:

    Objective To analyze the effect of Traditional Chinese Medicine(TCM) in treating with HIV/AIDS at the period of ⅡA, ⅡB and Ⅲ. Methods To collect the HIV/AIDS subjects who were treated with TCM in the medical institutions of Yunnan province. One group(TCM group) took Fuzheng Kangdu decoction or Kangaibaosheng decoction orally. The other group(TCM combined HAART group, TCM group) took the decoctions but accepted the treatment of HAART as well. To compare the index before and after treatment. Results 1373 subjects totally. After treatment the scores of signs and symptoms were decreased significantly or maintaining stability in two groups. Compared with pre-treatment, the Karnovsky score maintain stability or increased significantly in two groups. After treatment, CD4 count in TCM group was decreased at the period of ⅡA but increased significantly or maintaining stability at the ⅡB in two groups. HIV-RNA load was decreased significantly or maintaining stability. The index about security showed that there wasn’t any difference before and after treatment. Conclusion The TCM effect the signs and symptoms and improve the quality of life. It can maintain or raise the CD4 count at the period of ⅡB and Ⅲ, and descend the count at ⅡA. The TCM may delay the infection course at ⅡA. It may be worth exploring the treatment combine TCM and HAART in the future.

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