1. 中国中医科学院广安门医院呼吸科
2. 中国中医科学院广安门医院睡眠心理科
3. 武汉市金银潭医院艾滋病科
4. 中国中医科学院广安门医院急诊科
5. 中国中医科学院广安门医院护理部
6. 中国中医科学院西苑医院护理部
7. 中国中医科学院中医基础理论研究所
8. 中国中医科学院
9. 武汉市金银潭医院感染二科
10. 中国中医科学院西苑医院呼吸科
11. 武汉市东西湖区将军路街卫生院中医科
12. 武汉市东西湖区新沟镇卫生院全科医疗科
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[1]姚晓燕,夏宏盛,宋建钧,阮连国,郭敬,李静,吕诚,史华新,卢斯霞,陈扬,王微,闫蓓,苗青,黄苹,汤光华,王健,杨金亮,李光熙,边永君.重型新型冠状病毒肺炎出院患者的中医临床特征分析[J].北京中医药,2021,40(03):217-220.
YAO Xiao-yan, XIA Hong-sheng, SONG Jian-jun, et al. Analysis of TCM clinical characteristics of discharged patients with severe COVID-19[J]. Beijing Journal of Traditional Chinese Medicine, 2021,40(3):217-220.
[1]姚晓燕,夏宏盛,宋建钧,阮连国,郭敬,李静,吕诚,史华新,卢斯霞,陈扬,王微,闫蓓,苗青,黄苹,汤光华,王健,杨金亮,李光熙,边永君.重型新型冠状病毒肺炎出院患者的中医临床特征分析[J].北京中医药,2021,40(03):217-220. DOI: 10.16025/j.1674-1307.2021.03.001.
YAO Xiao-yan, XIA Hong-sheng, SONG Jian-jun, et al. Analysis of TCM clinical characteristics of discharged patients with severe COVID-19[J]. Beijing Journal of Traditional Chinese Medicine, 2021,40(3):217-220. DOI: 10.16025/j.1674-1307.2021.03.001.
目的分析武汉地区达到出院标准的重型新型冠状病毒肺炎(COVID-19)患者的中医证候分布特征,指导中医肺康复治疗。方法选取2020年2月10日—3月14日在武汉市金银潭医院和将军路街卫生院经治出院的肺部影像学仍异常的重型COVID-19患者共108例。出院时采用电子问卷调查其主要中医症状、活动能力、健康相关生存质量及心理状况,进行中医证候特征分析。结果 108例患者的主要症状有活动后气短84例(77.78%)、睡眠障碍83例(76.85%)、焦虑70例(64.81%)、抑郁63例(58.33%)、疲劳50例(46.30%)、咳嗽37例(34.25%)、大便黏滞22例(20.37%)、大便干燥19例(17.59%)、食欲不振18例(16.67%)、心悸17例(15.74%)、肌肉疼痛15例(13.89%),有17例(15.74%)无明显不适;中医证候为肺脾气虚型64.83%、气阴两虚型35.16%、夹湿浊者31.87%、夹血瘀者17.58%。结论达到出院标准的肺部影像异常的重症COVID-19患者,临床症状以活动后气短、疲劳及睡眠、心理障碍等较为常见,中医证候以肺脾气虚型为多。
Objective To analyze TCM syndrome distribution characteristics of patients with COVID-19 meeting the discharge criteria in Wuhan area in order to guide TCM rehabilitation.Methods 108 cases of severe COVID-19 with abnormal lung imaging discharged from Wuhan Jinyintan Hospital and Jiangjun Street Hospital from February 10,2020 to March 14,2020 were selected.At the time of discharge, electronic questionnaire was used to investigate the main TCM symptoms, activity ability, health-related quality of life and psychological status, and to analyze the TCM syndrome characteristics of them.Results The main symptoms of 108 patients were active shortness of breath in 84 cases(77.78%),sleep disorder in 83 cases(76.85%),anxiety in 70 cases(64.81%),depression in 63 cases(58.33%),fatigue in 50 cases(46.30%),cough in 37 cases(34.25%),sticky stool in 22 cases(20.37%),dry stool in 19 cases((17.59%),18 cases of anorexia(16.67%),17 cases of palpitation(15.74%)and 15 cases of muscle pain(13.89%).The remaining 17 cases(15.74%)did not have symptoms of discomfort.About TCM syndromes, lung and spleen qi deficiency type was 64.83%,Qi and Yin deficiency type 35.16%,dampness turbidity type 31.87%,blood stasis type 17.58%.Conclusion The clinical symptoms of severe COVID-19 patients with abnormal lung imaging were mainly shortness of breath after movement, fatigue, sleep disorder and abnormal mental status, and the main TCM syndrome is lung and spleen qi deficiency type.
新型冠状病毒肺炎重型出院患者中医证候肺脾气虚
COVID-19severe typedischarged patientTCM syndromelung and spleen qi deficiency
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