中国中医科学院中医药防治艾滋病研究中心
纸质出版:2013
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[1]刘颖,邹雯,刘婷婷,高国建,王健.中医药治疗艾滋病临床文献回顾性分析[J].中医杂志,2013,54(19):1686-1691.
LIU Ying, ZOU Wen, LIU Tingting, et al. Retrospective Analysis of Clinical Literature on Chinese Medicine for AIDS[J]. Journal of Traditional Chinese Medicine2013, 54(19): 1686-1691.
[1]刘颖,邹雯,刘婷婷,高国建,王健.中医药治疗艾滋病临床文献回顾性分析[J].中医杂志,2013,54(19):1686-1691. DOI: 10.13288/j.11-2166/r.2013.19.017.
LIU Ying, ZOU Wen, LIU Tingting, et al. Retrospective Analysis of Clinical Literature on Chinese Medicine for AIDS[J]. Journal of Traditional Chinese Medicine2013, 54(19): 1686-1691. DOI: 10.13288/j.11-2166/r.2013.19.017.
目的通过文献评价中医药在治疗艾滋病(AIDS)方面的应用范围和确切疗效。方法收集1998年1月至2011年12月中国期刊网、万方数据库、维普中文科技期刊数据库的中医药治疗AIDS相关临床文献
对其观察对象、样本量、观察时间、试验方法、观察内容、疗效评价等方面进行分析。结果共纳入文献171篇
涉及患者8 742例
研究方法包括中药复方、经方及针灸治疗。中药复方观察药物包括益爱康胶囊、艾灵颗粒、扶正排毒片等45种
观察对象多为人类免疫缺陷病毒(HIV)感染者/AIDS患者
样本量从3例至1 634例不等
观察时间多为3
6
个月
临床试验方法多采用自身前后对照
观察内容多为提高患者免疫力
疗效评价多采用症状积分改善情况以及CD4+及其亚群的计数、病毒载量、临床各项常规指标、生化指标;经方研究观察对象主要是AIDS期患者
观察样本量20
6
5例
观察时间集中在1个月左右
多为自身前后对照
临床疗效评价以自觉症状的改善为主
评价方法标准不一;针灸研究观察对象多为AIDS期患者
样本量20
2
74例
观察时间多数为3个月
试验方法多为随机对照
观察内容主要集中在艾灸治疗AIDS相关性腹泻方面
疗效评价指标相对明确。结论中医药在改善AIDS患者的临床症状和提高生存质量方面凸显出明显优势
但相关研究需进一步明确研究对象、增加样本量及观察时间。
Objective To evaluate the application range and exact effect of Chinese medicine on acquired immunodeficiency syndrome(AIDS).Methods The related clinical literature on Chinese medicine for AIDS from January 1998to December 2011was collected in China National Knowledge Infrastructure
Wangfang Database and VIP Database.The observed object
sample size
observation time
test method
observation content and efficacy evaluation were evaluated.Results Totally 171 articles were included and 8 742patients were involved.The research methods consisted of TCM compound formulas
classical formulas
acupuncture and moxibustion.There were 45kinds of compound formulas such as Yiaikang Capsule
Ailing Granules and Fuzheng Paidu Tablet.The observed objects were mostly human immunodeficiency virus(HIV)infection/AIDS patients.The sample size ranged from 3to 1 634cases.The observation time lasted for 3to 6months.The self-contrast was commonly used in the clinical trials.The observation content was improvement of patient immunity.The efficacy evaluation adopted symptom score improvement
counts of CD4+and its subsets
viral load
conventional indicators and biochemical indicators.The observed objects in classical formulas research were AIDS patients mainly.The sample size ranged from 20to 65cases.The observation time lasted for 1month.The self-contrast was commonly used in the clinical trials.The efficacy evaluation mainly adopted symptom improvement with different evaluation standards.The observed objects in acupuncture and moxibustion research were AIDS patients.The sample size ranged from 20to 274cases.The observation time mainly lasted for 3month.The test methods were mostly randomized controlled.The observation content mainly focused on moxibustion for AIDS-associated diarrhea.The efficacy evaluation was relatively clear.Conclusion Chinese medicine can obviously relieve the symptoms and improve the quality of life in AIDS patients but related research should further clarify the object and increase the sample size and observation time.
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