1. 首都医科大学附属北京中医医院肛肠科
2. 首都医科大学附属北京中医医院风湿科
3. 首都医科大学附属北京中医医院医务处
4. 首都医科大学附属北京地坛医院感染性疾病诊疗中心
5. 首都医科大学附属北京中医医院
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[1]李宇栋,温博,郭玉红,徐艳利,周洋,刘清泉.105例新型冠状病毒肺炎普通型患者中医临床特征分析[J].北京中医药,2021,40(03):221-224.
LI Yu-dong, WEN Bo, GUO Yu-hong, et al. Analysis on TCM clinical characteristics of 105 patients with common type COVID-19[J]. Beijing Journal of Traditional Chinese Medicine, 2021,40(3):221-224.
[1]李宇栋,温博,郭玉红,徐艳利,周洋,刘清泉.105例新型冠状病毒肺炎普通型患者中医临床特征分析[J].北京中医药,2021,40(03):221-224. DOI: 10.16025/j.1674-1307.2021.03.002.
LI Yu-dong, WEN Bo, GUO Yu-hong, et al. Analysis on TCM clinical characteristics of 105 patients with common type COVID-19[J]. Beijing Journal of Traditional Chinese Medicine, 2021,40(3):221-224. DOI: 10.16025/j.1674-1307.2021.03.002.
目的分析北京市新型冠状病毒肺炎(简称"新冠肺炎")普通型患者一般情况及中医临床特征。方法选取2020年6月16—30日首都医科大学附属北京地坛医院应急病区收治的新冠肺炎普通型患者105例,于入院后采集流行病学资料及血常规、C反应蛋白、血清淀粉样蛋白A(SAA)、血氧饱和度、降钙素原、首发症状、舌象等信息进行辨证。结果新冠肺炎普通型患者年龄(42.6±15.3)岁,男女比为1.84∶1;79例(59.38%)为新发地市场从业人员,20例有新发地市场接触史,6例为确诊患者的密切接触者。24例患者(22.86%)出现外周血白细胞计数下降,31例患者(29.52%)淋巴细胞计数下降,59例患者(56.19%)C反应蛋白升高,43例患者(40.95%)SAA升高,7例患者(6.67%)血氧饱和度低于95%,6例患者(5.71%)降钙素原升高;首发症状:发热101例(96.19%)、咳嗽1例(0.95%),3例(2.86%)患者无症状;舌象以舌红(72例,占68.57%)、苔黄(62例,占59.05%)、苔腻(58例,占55.24%)多见;中医证型:寒湿疫毒袭肺证12例(11.43%)、湿热疫毒蕴肺证93例(88.57%),其中热重于湿型54例(51.43%)、湿重于热型39例(37.14%)。结论新冠肺炎普通型的证型以湿热疫毒蕴肺证为主,兼夹暑邪为病,热盛及久病可致气阴两虚,病位主要涉及肺、心、脾、大肠、胃等多个脏腑,涉及病理因素包括湿、热、暑、寒、虚、毒,湿毒及湿热是核心病机。
Objective To investigate the general conditions and TCM clinical features of local common type COVID-19 patients in Beijing.Methods A total of 105 common type COVID-19 patients treated in the Beijing Ditan Hospital, Capital Medical University from June 16 to June 30,2020 were enrolled.The epidemiological data, including blood routine, C-reactive protein, serum amyloid A,blood oxygen saturation, procalcitonin, initial symptoms and tongue manifestations were collected on admission and differentiated according to traditional Chinese medicine diagnosis and treatment of COVID-19.Results The average age of common type COVID-19 patients was(42.6±15.3),the ratio of male to female was 1.84∶1.Of all patients, 79 cases(59.38%)were from the Xinfadi market; 20 had a history of exposure to the Xinfadi market, and 6 were close contacts of confirmed patients.24 patients(22.86%)had a decrease of white blood cell count in peripheral blood, 31 patients(29.52%)had a decreased lymphocyte count, 59(56.19%)had elevated C-reactive protein, and 43(40.95%)had increased SAA,7(6.67%)had a blood oxygen saturation lower than 95%,6(5.71%)had elevated procalcitonin; the initial symptom was fever found in 101 cases(96.19%),and cough in 1 case(0.95%),3 of patients(2.86%)were asymptomatic; more commonly seen tongue signs were red tongue(72 cases, accounting for 68.57%),and tongue with yellow coating(62 cases, accounting for 59.05%),and tongue with greasy coating(58 cases, accounting for 55.24%).TCM syndromes were present in 12 cases with dampness-cold pestilence attacking lung(11.43%),and dampness-heat pestilence accumulation in the lung in 93 cases(88.57%).Of them, predominated dampness over heat was seen in 54 cases(51.43%),predominated heat over dampness was seen in 39 cases(37.14%).Conclusion The main types of TCM syndrome of COVID-19 is dampness-heat pestilence accumulation in the lung, accompanied with summer heat, and excessive heat for a long time may cause both qi and yin deficiency.The disease mainly involves the lung, heart, spleen, large intestine, stomach and other organs, and the involved pathological factors, including dampness, heat, summer-heat, cold, deficiency and toxicity, and damp-toxicity and damp-heat are the critical pathology.
新型冠状病毒肺炎普通型临床特征中医证候
COVID-19common typeclinical characteristicsTCM syndrome
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