甲型流感的临床特点及中医证候分析(附65例临床分析)  

Analysis on clinical features and traditional Chinese medicine syndromes of 65 cases of type A influenza

作　　者：陈燕力[1] 孙利红[1] 黄象安[1] 赵洪杰[1] 

机构地区：[1]北京中医药大学东方医院感染性疾病科,100078

出　　处：《北京医学》2012年第3期193-196,共4页Beijing Medical Journal

摘　　要：目的分析甲型流感的临床及中医证候特点。方法回顾性分析2011年1~3月收治的65例甲型流感患者的临床特点并进行中医证候分型。结果 63例（96.9%）为轻症病例。除发热外,呼吸道症状以咳嗽（干咳66.2%）、咽痛（63.1%）、流涕（49.2%）多见。主要阳性体征有咽部充血（84.6%）和扁桃体肿大（32.3%）。10.8%的患者白细胞总数下降,15.8%的患者淋巴细胞计数下降。10.8%的患者丙氨酸氨基转移酶﹥40U/L,3.1%的患者天冬氨酸氨基转移酶﹥40U/L。合并急性支气管炎9例（13.8%）,合并肺炎2例（3.1%）。中医证型以外感风热多见（67.7%）。结论北京地区甲型流感以轻症为主,中医证型以外感风热证为主。Objective To analyze the characteristics of clinical features and traditional Chinese medicine syndromes of type A influenza in Beijing. Methods The clinical characteristics of 65 type A influenza cases from January to March in 2011 were retrospectively analyzed. Results There were 63 mild cases （96.9%）. In addition to fever, respiratory symptoms were common, such as cough （cough without sputum 66.2%）, sore throat （63.1%） and rhinorrhea （49.2%）. The main positive signs were pharyngeal hyperemia （84.6%） and enlargement of tonsil （32.3%）. Total white cell counts decreased in 10.8% of the cases and lymphocyte amounts decreased in 15.8% of the cases. ALT level increased in 10.8% of the patients, and AST level increased in 3.1% of the patients. The common syndrome types were wind-heat syndrome（67.7%）. Conclusion Type A influenza in Beijing area were mainly mild, and the most common syndrome types were wind-heat syndrome.

关 键 词：甲型流感 临床特点 中医证候 

分 类 号：R259[医药卫生—中西医结合]