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目的调查研究新疆地区性传播HIV感染人群和静脉吸毒HIV感染人群的舌象特点。方法2011年5月—2012年3月新疆地区HIV感染者990例,根据感染途径分为静脉吸毒感染者498例,性传播感染者492例。运用舌象拍摄与专家分析相结合的方法,对性传播感染者和静脉吸毒感染者从舌色、舌形、苔色、苔质4方面进行比较和分析。结果与性传播HIV感染者比较,红舌、裂纹舌、黄苔、厚苔、花剥苔、少津苔在静脉吸毒HIV感染者中多见,差异有统计学意义(P<0.05);与静脉吸毒HIV感染者比较,淡白舌、白苔、薄苔在性传播HIV感染者中多见,差异有统计学意义(P<0.05)。结论静脉吸毒感染者的舌象变化反映了邪毒内盛、热伤气阴的病机特点。性传播感染者与静脉吸毒感染者比较,发病隐匿,内伤病病情较轻浅,胃气未伤,舌象亦无明显改变。
Objective To investigate the tongue features of HIV-infected and sexually transmitted HIV-infected people in Xinjiang. Methods From May 2011 to March 2012, 990 HIV-infected persons in Xinjiang were divided into 498 intravenous drug users and 492 sexually transmitted infections patients according to the route of infection. Using the combination of tongue imagery and expert analysis, we compared and analyzed the sexually transmitted infections and intravenous drug users from the aspects of tongue color, tongue shape, moss color and moss quality. Results Compared with those with HIV infection, sex, age, tongue, yellow tongue, thick tongue, Intravenous drug users of HIV infection, pale tongue, white moss, thin moss sexually transmitted HIV-infected persons more common, the difference was statistically significant (P <0.05). Conclusion The changes of tongue images of intravenous drug users reflect the pathogenesis characteristics of Shengxu, heat-dampness and qi-yin. Sexually transmitted infections compared with intravenous drug users, the incidence of occult, internal injuries less mild, gas not hurt, the tongue has not changed significantly.