摘要
目的探讨登革热的中医证候特点及病因病机,为其中医药诊疗规范化提供参考。方法运用回顾性分析方法,对本院2017年8月至2017年10月期间收治的登革热患者基本资料、临床主要症状、辅助检查、中医证型进行整理分析。结果本院感染科共收治登革热患者229例,其中60~70岁年龄段发病人数最多,占28.38%;临床主要表现依次为发热(100%)、乏力(99.56%)、纳差(96.07%)、头痛(72.05%)、关节和(或)肌肉酸痛(65.50%);辅助检查方面,白细胞、血小板减少者分别占91.27%、98.69%,ALT、AST升高者分别占62.88%、93.88%,同时有27.07%的患者出现大便隐血阳性;中医证型方面主要辨证为以下4型,气分热盛证(53.28%)、气阴两伤证(31.00%)、气血(营)两燔证(13.54%)、湿热稽留,脾虚不运证(2.18%)。结论本次登革热暴发其病因涉及湿热、暑燥,中医辨证分型较集中。
Objective:To explore the characteristics,etiology and pathogenesis of dengue fever,providing references for the standardization of medical diagnosis and treatment.Methods:The basic data,main clinical symptoms,auxiliary examinations and TCM syndromes of patients with dengue fever were analyzed retrospectively.Results:Among 229 cases of dengue fever,the age group from 60 to 70 had the largest number of cases,accounting for 28.38%.The main clinical manifestations were fever(100%),fatigue(99.56%),anorexia(96.07%),headache(72.05%),and joint/muscle soreness(65.50%).In auxiliary examination,patients whose leukopenia and thrombocytopenia reduced accounted for 91.27%and 98.69%respectively,while the cases,in which ALT and AST increased,accounted for 62.88%and 93.88%respectively.Meanwhile,27.07%of patients had fecal occult blood positive.The main TCM syndromes were excessive heat in the system(53.28%),impairment of both Qi and Yin(31.00%),vigorous heat at Qi-blood phase(13.54%)and damp-heat-accumulate spleen(2.18%).Conclusion:The cause of outbreak of dengue fever involves damp-heat and summer-dryness,and TCM syndrome differentiation is concentrated.
作者
孙涛
茹清静
徐鑫陵
郑毅
陈小梅
王刚毅
周语媚
任泽泽
Sun Tao;Ru Qingjing;Xu Xinling(The Second Affiliated Hospital of Zhejiang TCM University,Zhejiang,Hangzhou 310005,China)
出处
《中国中医急症》
2019年第1期77-80,共4页
Journal of Emergency in Traditional Chinese Medicine
基金
浙江中医药大学校基金重点项目(2018ZZ06)
关键词
登革热
中医证型
病因病机
Dengue Fever
TCM Syndromes
Etiology and pathogenesis
