Syndrome Characteristics: An Analysis Of AIDS Fever Patients Of Guangdong Province

[Objective]In recent decades,with the renovation of people' s ideas and the floating position of Chinese population frequently,the incidence of AIDS (acquired immune deficiency syndrome)is improved constantly.AIDS patients whose mental complains are fever symptom are often seen,fever is not only the most common symptom in the department of internal medicine,but also it has the complex pathogenic factors and pathogenesis,so a satisfactory effect of clinical treatment must be done by individual treatment.The research is done by collection of clinical data of AIDS cases of Guangdong province whose mental complains are fever symptom,we made preliminary discussion about characteristics of epidemic febrile disease and the fever character of AIDS patients with fever syndrome,in order to provide a theoretical foundation of compilation for choosing prescription and herbal medicine to treat this disease better,at the same time this reseach can build clinical model research and provide good foundation for studying and treating AIDS patients with fever by a point of epidemic febrile disease.[Participants and Methods]1,Research objects:The patients are all from Guangzhou No.8 Hospital who have been to accord with diagnostic criteria of AIDS of American CDC,and their axillary temperature≥37℃,we collect these hospitalized AIDS cases from the 11^thmonth of 2006 to the seventh month of 2007.2,Methods:A questionnaire survey was carried out in 115 AIDS fever patients of Guangdong province.The TCM syndrome questionnaire was established according to the theory of epidemic acute febrile disease,which mainly covers the parameters of fever types,tongue and pulse condition,incidences of defense,Qi,nutrient,and blood syndromes,and incidences of triple-energizer syndrome,then we analysized these data by frequency list and usual statistical graphics;102 cases of 115 AIDS fever patients who had detailed laboratory records were divided into the three fever groups of low,middle, high fever,and we studied the 102 cases by frequency analysis and single factor analysis of variance.[Results]To the 102 AIDS fever patients of Guangdong province,the difference of the three fever groups was insignificant,but the determination results of peripheral Blood T-Lymphocyte subpopulation were lower than normal reference value significantly,and the measurement results of WBC,RBC,Hb,NC,LC,PLT and BUN which were lower than normal accounted for a very large proportion,more than half of the cases whose results of AST and ALT were all over normal.To the 115 AIDS fever patients of Guangdong province,the common -seen fever types were aversion to cold with fever,and high fever,which accounted 38.00%and 21.30%respectively;tongue proper was characterized as light red and dark red,accounting 35.00%and 44.00%respectively;tongue fur was characterized as whitish and mouldy fur,accounting 32.17%;in the condition,powerful pulse was the main vein,accounting 40.00%.In the methods of thinking on differentiation of syndromes of defense,Qi,nutrient and blood syndrom and incidences of triple-energizer syndrom,Syndromes of defense,Qi,the Lung heat syndrome of the upper-energizer syndrome and middleenenrgizer damp-heat syndrome were common,having the propotion of 92.17%,87.83%,91.30%and 73.04%respectively,and other concomitant syndrome was subsidiary.[Conclusion]The syndromes of AIDS fever patients are complex,covering defense, Qi,nutrient,and blood phases as well as triple enenrgizers,characterized as multiple fever types and different tongue and pulse conditions.During the syndrome differentiation of AIDS fever,the incidental and fundamental symptoms should be differentiated based on the synthetical analysis of four examinations.