2017年冬季北京地区214例乙型流行性感冒患者中医病证特点的回顾性研究  

A Retrospective Study on the Characteristics of Chinese Medicine Syndromes in 214 Cases of Influenza B in Beijing in Winter of 2017

作　　者：卢幼然 王玉光[1] 郭玉红[1] 马家驹[1] 张磊[2] 吕小琴 田敬华[1] 苏芮 刘清泉[1] LU Youran;WANG Yuguang;GUO Yuhong;MA diaju;ZHANG Lei;LYU Xiaoqin;TIAN Jinghua;SU Rui;LIU Qingquan(Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, 100010;Beijing University of Chinese Medicine;Capital Medical University)

机构地区：[1]首都医科大学附属北京中医医院 [2]北京中医药大学 [3]首都医科大学

出　　处：《中医杂志》2018年第9期773-776,共4页Journal of Traditional Chinese Medicine

基　　金：国家科技重大专项(2017ZX10305501);北京市科技计划(Z141100006014056);北京市医院管理局重点医学专业发展计划(ZYLX201611);中医感染性疾病基础研究北京市重点实验室(BZ0320)

摘　　要：目的分析北京地区2017年冬季乙型流行性感冒的中医病证特点。方法回顾性分析2017年11—12月期间就诊于5所三级医院的乙型流行性感冒病例,制定《流行性感冒观察表》,收集患者信息,包括性别、年龄、发病时间、既往史、就诊时症状、体征、舌脉等。分析患者在发病第1、2、3天的症状、体征及舌脉的特点。结果共纳入确诊病例214例,起病第1天就诊患者40例、第2天82例、第3天92例。第1天症状主要表现为发热、咳嗽、咽痛、乏力、肌肉酸痛;第2天恶寒症状明显;第3天鼻流清涕、头痛症状明显。以上优势症状(发生率超过50%)在3日内的变化差异无统计学意义(P>0.05),其他症状如恶心、头晕头重的变化差异有统计学意义(P<0.05)。舌象表现为舌红、苔白腻,脉象初起以浮数为主,后期滑象逐渐明显。结论北京地区2017年冬季乙型流行性感冒属冬温病范畴,证属外寒里热证兼有湿邪。Objective To analyze the characteristics of Chinese medicine syndromes of type B influenza in Beijing in winter of 2017. Methods A retrospective analysis of cases of influenza B in 5 tertiary hospitals during November to December 2017 was conducted. An Influenza Observation Table was developed to collect patient information including gender,age,onset time,past history,symptoms,signs,tongue picture,etc. The patient＇s symptoms,signs and tongue picture on the first,second and third day of onset were analyzed. Results A total of 214 confirmed cases were included. Forty patients were visiting doctors on the first day of onset,82 on the second day,and92 on the third day. On the first day,the symptoms mainly included fever,cough,sore throat,fatigue,and muscle aches. On the second day,the symptoms of aversion to cold were obvious. On the third day,the symptoms of nasal discharge and headache were obvious. There was no significant difference in the above symptoms（incidence rate over50%） within 3 days（P〈0. 05）,and there were significant differences in other symptoms such as nausea and dizziness（P〈0. 05）. The tongue was characterized by red tongue and greasy fur. The pulse condition was mainly floating pulse and rapid pulse from the beginning and slippery pulse was gradually evident in the later period. Conclusion The winter influenza B in Beijing in 2017 belongs to winter warm disease,with syndromes of external cold and internal heat with dampness.

关 键 词：乙型流行性感冒 中医病证 传变规律 冬温 外寒里热证 

分 类 号：R254.9[医药卫生—中医内科学]