岭南地区流行性感冒临床特点及中医证型分布规律研究  

Distribution of Traditional Chinese Medical Syndromes and Clinical Characteristics of Influenza in South of Five Ridges

作　　者：杨柳柳[1] 刘小虹[1] 蔡俊翔[1] 张高[1] 

机构地区：[1]广州中医药大学第一附属医院,广东广州510405

出　　处：《广州中医药大学学报》2017年第2期149-152,共4页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省中医药管理局科研基金资助项目(编号:20142044)

摘　　要：【目的】探讨岭南地区流行性感冒(简称流感)的临床特点及中医证型分布规律。【方法】回顾性分析广州中医药大学第一附属医院2014~2016年门诊、急诊及住院部收治的162例流感患者的临床资料,并对临床症状及中医证型分布规律进行分析。【结果】流感患者的平均年龄为(35.76±11.4)岁,临床以发热、恶寒寒战、疲倦乏力为主要症状,且肢体困重、纳减、口干不欲饮、恶心欲吐等症状亦较突出。中医证型分布以风热犯卫、风寒束表、热毒袭肺、热毒壅肺和湿证为主,其中以风热犯卫、热毒袭肺最为多见,二者占77.79%,而上述证型中又多兼夹有湿证、湿热证的特征。【结论】岭南地区流感患者普遍兼夹有湿证、湿热证的特征,中医证型以风热夹湿证为主,可能与岭南地区气候湿热有关。Objective To investigate the distribution of traditional Chinese medical syndromes and clinical characteristics of influenza in South of Five Ridges. Methods A retrospective analysis was carried out in 162 cases of influenza patients admitted from outpatient department,emergency department and inpatient department of the First Affiliated Hospital of Guangzhou University of Chinese Medicine from 2014 to 2016. The distribution of clinical manifestations and syndrome types of the included influenza patients was analyzed. Results The average age of the included influenza patients was 35.76 ± 11.4 years old. The clinical syndromes were mainly characterized by fever,aversion to cold and chills,fatigue and weakness. And damp-accumulation manifestations of heaviness in the body,poor appetite,dry mouth without willing to drink,nausea and vomiting were also predominant. The main syndrome types were wind-heat attacking defense phase syndrome,wind-cold fettering exterior syndrome,heat-toxin attacking lung syndrome,heat-toxin accumulating lung syndrome,and damp syndrome. Of the syndrome types, wind-heat attacking defense phase syndrome and heat-toxin attacking lung syndrome were the leading types,accounting for 77.79% and interweaving with damp syndrome and heat-damp syndrome. Conclusion The syndromes of influenza patients in South of Five Ridges are usually complicated by damp syndrome or damp-heat syndrome, and the predominant syndrome type is wind-heat interweaved with damp syndrome, which is correlated with the climate being damp and hot in South of Five Ridges.

关 键 词：岭南地区 流行性感冒 临床特点 中医证型 

分 类 号：R259.117[医药卫生—中西医结合]