[1]杨明博 杨璞叶 代晓银 朱婷.西安地区 46 例新型冠状病毒肺炎中医证候初探[J].现代中医药,2021,(02):057-62.[doi:10.13424/j.cnki.mtct.2021.02.012]
 YANG Ming - bo,YANG Pu - ye,DAI Xiao - yin,et al.TCM Syndromes of 46 Cases of COVID -19 in Xi’an Area[J].Modern Traditional Chinese Medicine,2021,(02):057-62.[doi:10.13424/j.cnki.mtct.2021.02.012]
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西安地区 46 例新型冠状病毒肺炎中医证候初探()
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《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2021年02期
页码:
057-62
栏目:
出版日期:
2021-03-20

文章信息/Info

Title:
TCM Syndromes of 46 Cases of COVID -19 in Xi’an Area
文章编号:
1672-0571(2021)02-0057-06
作者:
杨明博 杨璞叶 代晓银 朱婷
西安市第八医院,陕西西安,710001
Author(s):
YANG Ming - bo YANG Pu - ye DAI Xiao - yin ZHU Ting
Xi’an eighth hospital, Xi’an 710001, China
关键词:
西安地区新冠肺炎中医症候
Keywords:
Xi’an area COVID -19 TCM Syndrome
分类号:
R256.1
DOI:
10.13424/j.cnki.mtct.2021.02.012
文献标志码:
A
摘要:
目的分析西安地区新型冠状病毒肺炎(简称“新冠肺炎”)患者的临床特征和中医症候分布规律?方法收集西安市第八医院2020年1月21日至3月5日收治的新冠肺炎确诊患者46例临床资料,包括性别,年龄,既往史,流行病学史?中医证候资料等,探讨患者的中医症候特征?结果纳入分析46例,平均年龄(44.4±15.7)岁?男性25例,女性21例,男/女性别比例为1.19:1,患者主要症状依次为:咳嗽?纳差?咯痰?乏力?腹泻等;舌象表现以舌质红?苔白腻为主;患者辨证主要为湿毒郁肺证和寒湿阻肺证?结论西安地区新冠肺炎患者以中青年居多,以普通型为主,中医证型突出表现为“湿”的特征,发热呈现出身热不扬的特点?
Abstract:
Objective To analyze COVID -19 patients clinical characteristics and TCM syndrome distribution law in Xi’ an area. Methods A total of 50 patients with COVID - 19 were selected. COVID - 19 patients admitted to Xi’ an eighth hospital from January 21, 2020 to March 5th, 2020 were collected from 46 cases, including gender, age, past history, epidemiology, TCM syndromes, etc. , and the characteristics of TCM symptoms were discussed. Results 46 cases were included in the analysis, with an average age of 44. 4 + 15. 7 years. There were 25 males and 21 females, and the ratio of male to female was 1. 19: 1. The main symptoms of the patients were cough, anorexia, expectoration, fatigue, diarrhea, etc. The tongue manifestations were mainly red tongue and white greasy fur. The syndrome differentiation of the patients were mainly dampness toxin stagnation of lung syndrome and cold dampness obstructing lung syndrome. Conclusion COVID -19 in Xi’ an is mostly young and middle - aged, mainly in the general type. The TCM syndrome is characterized by ‘ dampness’ characteristics, and the characteristics of fever is unsurfaced fever.Objective To analyze COVID -19 patients clinical characteristics and TCM syndrome distribution law in Xi’ an area. Methods A total of 50 patients with COVID - 19 were selected. COVID - 19 patients admitted to Xi’ an eighth hospital from January 21, 2020 to March 5th, 2020 were collected from 46 cases, including gender, age, past history, epidemiology, TCM syndromes, etc. , and the characteristics of TCM symptoms were discussed. Results 46 cases were included in the analysis, with an average age of 44. 4 + 15. 7 years. There were 25 males and 21 females, and the ratio of male to female was 1. 19: 1. The main symptoms of the patients were cough, anorexia, expectoration, fatigue, diarrhea, etc. The tongue manifestations were mainly red tongue and white greasy fur. The syndrome differentiation of the patients were mainly dampness toxin stagnation of lung syndrome and cold dampness obstructing lung syndrome. Conclusion COVID -19 in Xi’ an is mostly young and middle - aged, mainly in the general type. The TCM syndrome is characterized by ‘ dampness’ characteristics, and the characteristics of fever is unsurfaced fever.

参考文献/References:

[1]MAHASEE.Chinacoronavirus:whatdoweknowsofar?[J].BMJ,2020,368:m308.doi:10.136/bmj.m308.
[2]夏文广,安长青,郑婵娟,等.中西医结合治疗新型冠状病毒肺炎34例临床研究[J].中医杂志,2020,61(5):375-382.
[3]杨华升,李丽,勾春燕,等.北京地区新型冠状病毒肺炎中医证候及病机特点初探[J].北京中医药,2020,39(2):115-118.
[4]郑镪,林燕,陈文喜,等.漳州地区新型冠状病毒肺炎中医证候特征及病机特点初探[J].福建中医药,2020,51(2):7-9.
[5]陈如平,包剑锋,许远,等.杭州地区77例普通型新型冠状病毒肺炎中医证候及病机特点初探[J].浙江中医药大学学报,2020,44(6):507-513.
[6]方晶,乔飞,车军勇,等.基于中医传承辅助系统的40例新型冠状病毒肺炎中医证候特点分析[J].江苏中医药,2020,52(4):70-73.
[7]王怡菲,邱模炎,裴颢,等.基于24个省市自治区诊疗方案的新型冠状病毒肺炎中医病因病机与证素特点探讨[J].天津中医药,2020,37(5):496-502.
[8]李建生,李素云,谢洋,等.河南省524例新型冠状病毒肺炎患者临床特征及中医证候分布[J/OL].中医杂志:1-6[2020-07-15].http://kns.cnki.net/kcms/detail/11.2166.R.20200311.1508.002.html.
[9]国家卫生健康委办公厅,国家中医药管理局办公室.关于印发新型冠状病毒感染的肺炎诊疗方案(试行第四版)的通知[EB/OL].(2020-01-27)[2020-02-23].http://www.nhc.gov.cn/yzygj/s7653p/202001/4294563ed35b43209b31739bd0785e67.shtml.
[10]国家卫生健康委办公厅,国家中医药管理局办公室.关于印发新型冠状病毒感染的肺炎诊疗方案(试行第五版修正版)的通知.[EB/OL].(2020-02-08)[2020-02-23].http://www.nhc.gov.cn/yzygj/s7653p/20202/d4b89537e1945f8d728fcaf1e3e13a.shtml.
[11]国家卫生健康委.关于印发新型冠状病毒肺炎诊疗方案(试行第六版)的通知[EB/OL].(2020-02-18).[2020-02-19].http://www.nhc.gov.cn/yzygj/s7653p/202002/8334a8326dd94d329df351d7da8aefc2.shtml
[12]国家卫生健康委办公厅,国家中医药管理局办公室.关于印发新型冠状病毒感染的肺炎诊疗方案(试行第七版)的通知.[EB/OL](2020-3-4).http://www.nhc.gov.cn/yzygj/s7653p/202003/46c9294a7dfe4cef80dc7f5912eb1989.shtml
[13]马战平,阴智敏,魏耕树,等.陕西省新型冠状病毒感染的肺炎中医药治疗方案(试行第二版)[J].陕西中医,2020,41(3):275-277.
[14]中华人民共和国卫生部.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:168-189.
[15]王玉光,齐文升,马家驹,等.新型冠状病毒肺炎中医临床特征与辨证治疗初探[J].中医杂志,2020,61(4):281-285.
[16]杨华升,王兰,姜良铎.姜良铎教授防治新型冠状病毒肺炎遣方用药思路[J].中国实验方剂学杂志,2020,26(12):23-27.
[17]窦晓鑫,杨玉莹,卜志超,等.试从中医角度认识2019新型冠状病毒肺炎[J].天津中医药,2020,37(2):137-140.
[18]苗青,丛晓东,王冰,等.新型冠状病毒肺炎的中医认识与思考[J].中医杂志,2020,61(4):286-288.
[19]中国疾病预防控制中心.新型冠状病毒肺炎流行病学特征分析[J].中华流行病学杂志,2020(2):145-151.
[20]张婷,李玉,郑健.中医运动处方临床应用研究进展[J].新中医,2019,51(11):27-31.

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备注/Memo

备注/Memo:
基金项目:陕西省中医药管理局防治新型冠状病毒感染的肺炎科研应急专项(ZY-KJCYC-2020-YJ002)
通讯作者:杨明博,博士,副主任医师?E-mail:yamingbo120@163.com
更新日期/Last Update: 2021-03-26