摘要
目的:探讨武汉某方舱医院患者新型冠状病毒肺炎的中医临床证候特点、病机核心及证型分布规律。方法:收集469例新型冠状病毒肺炎患者的临床资料,采用回顾性研究,采集患者发病时的症状、体温和入舱时的症状、体征(包括生命体征和舌苔)相结合的方法,通过描述性和聚类分析,探讨患者发病到入舱时中医证候特点。结果:新型冠状病毒肺炎患者入舱(发病)时以发热(75.40%)、恶寒(畏寒、身痛)(67.21%)、咳嗽(68.85%)、胸闷(包括呼吸困难、气促)(63.93%)、恶心(呕吐、纳差)(60.65%)、有汗(50.81%)、腹泻(36.06%)等症状为主。舌象呈淡红舌(54.09%)、中红舌(36.06%)为主,苔质白腻苔(42.62%)、黄白腻苔(24.59%)为主。证候类型以疫毒闭肺246例(52.48%)、寒湿郁肺185例(39.34%)多见。结论:方舱医院新型冠状病毒肺炎患者的临床分期以早中期、轻症为主,无危重病例;中医证型以寒湿郁肺、疫毒闭肺为主,夹脾虚、肾虚等比例低。涉及病理因素有寒、湿、热、毒、郁,病机核心是疫毒闭肺、寒湿郁闭。
Objective:To explore the characteristics of Traditional Chinese Medicine clinical syndromes,the core of pathogenesis and the distribution of syndrome of COVID-19 in a mobile cabin hospital in Wuhan.Methods:A retrospective study was adopted in the collection of the symptoms and signs(symptoms,tongue coating)of patients at early onset and when they entered the cabin hospital.This research is based on the clinical data of 469 COVID-19 patients and it explores the characteristics of TCM syndromes through descriptive and cluster analysis.Results:When entering the cabin,COVID-19 patients were reported having a fever(75.40%),cough(68.85%),aversion to colds(frigid,body pain)(67.21%),chest tightness(including dyspnea,shortness of breath)(63.93%),nausea poor appetite(60.65%),sweating(50.81%)and diarrhea(36.06%).Tongue appearance:pale red tongue(54.09%),medium red tongue(36.06%).And the fur character is yellow and white greasy coating(42.62%),white and greasy(24.59%).The most common symptoms types are epidemic Toxin blocking Lung(246 cases,52.48%)and Cold Damp stagnating Lung(185 cases,39.34%).Conclusion:The COVID-19 patients in the mobile cabin hospital are mainly in the early and middle stage,and there were no severe cases(diagnosed at designated hospitals when entering the cabin).The TCM syndromes types are mainly classified into Cold Damp stagnating Lung and epidemic toxin blocking Lung.There are symptoms with Spleen deficiency and Kidney deficiency,but the proportion is low.The pathological factors involved are Coldness,Dampness,Heat,Toxin,and Stagnation.Coldness and Dampness are the pathological basis,and Heat toxin is the result of changes in stasis.
作者
杨志林
陈杰
杨晓清
向光明
Yang Zhilin;Chen Jie;Yang Xiaoqing;Xiang Guangming(Guangyuan Hospital of Traditional Chinese Medicine,Guangyuan,628000,China;North Sichuan College Of Preschool Teacher Education,Guangyuan,628000,China;Maternal and Child Health Hospital of Guangyuan,Guangyuan,628000,China;Guangyuan Central Hodpital,Guangyuan,628000,China)
出处
《成都中医药大学学报》
2021年第3期20-23,共4页
Journal of Chengdu University of Traditional Chinese Medicine
基金
国家中医药管理局继续教育项目(国Z20202304517)。
关键词
新型冠状病毒肺炎
中医证型
寒湿郁肺
疫毒闭肺
Corona Virus Disease 2019(COVID-19)
Syndrome types of Traditional Chinese Medicine
Cold Damp stagnating Lung
Epidemic toxin blocking Lung
