852例广州及周边地区流感患者临床特点及中医辨证分型研究  

Investigation of the Epidemiology and TCM Syndrome Characteristics of 852 Cases Infected with Influenza in Guangzhou and Neighbouring Regions

作　　者：徐慧聪 欧爱华 邓屹琪 李芳 康强 XU Hui-cong;OU Ai-Hua;DENG Yi-qi;LI Fang;KANG Qiang(The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510120,China;Shunde Hospital of Guangzhou University of Chinese Medicine,Foshan Guangdong 528333,China)

机构地区：[1]广州中医药大学第二附属医院,广东广州510120 [2]广州中医药大学顺德医院,广东佛山528333

出　　处：《中医药导报》2021年第1期182-185,共4页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：广东省科技发展专项资金项目(2017ZC0163),项目名称:岭南地区流感患者中医辨证分型及证候要素分布规律的临床研究。

摘　　要：目的:探讨广州及周边地区流行性感冒病例的流行病学、中医证候学特点。方法:采用方便抽样的调查方法,收集广州及周边地区2017年6月至2018年4月就诊的852例流行性感冒病例的流行病学及中医四诊信息,分析患者的流行病学及中医证候分布特征。结果:男性患者发病后高热比例为47.8%(184/385),高于女性患者的39.8%(186/467),差异有统计学意义(P<0.05)。甲型流感患者体温在39℃及以上的比例高于乙型流感患者(P<0.01)。流感患者的辨证分型多以风热犯卫证[甲型流感45.4%(138/304)、乙型流感43.6%(239/548)]和表寒里热证[甲型流感38.8%(118/304)、乙型流感43.8%(240/548)]为主,甲型流感的风热犯卫证比例、表寒里热证比例与乙型流感比较,差异均无统计学意义(P>0.05),甲型流感患者湿热互结证比例为8.9%(27/304),高于乙型流感患者的3.1%(17/548)(P<0.01)。按照六经辨证,最多的病证为太阳病,且乙型流感患者太阳病比例高于甲型流感患者(P<0.01);按照卫气营血辨证,以卫分证和气分证为主,且甲型流感患者气分证比例高于乙型流感患者(P<0.05)。结论:男性流感患者发病后高热比例高于女性,甲型流感患者高热比例高于乙型流感。流感患者的辨证分型以风热犯卫证和表寒里热证为主,甲型流感患者湿热互结证多于乙型流感患者。乙型流感患者太阳病多于甲型流感患者,甲型流感患者气分证多于乙型流感患者。O bjective: To investigate the epidemiology and TCM syndrome characteristics of influenza patients in Guangzhou and neighbouring regions. Methods: A total of 852 influenza patients were respectively observed during June 2017 to February 2018 in Gaungzhou and neighbouring regions. Epidemiological features and the characteristics of TCM syndromes were summarized. Results: The proportion of high fever in male patients was 47.8%(184/385), higher than that in female patients(39.8%, 186/467), the difference was statistically significant(P <0.05). The proportion of influenza A patients with body temperature above 39℃ was higher than that of influenza B patients(P <0.01). The syndrome differentiation types of influenza patients were mainly wind heat invading Wei syndrome [influenza A 45.4%(138/304), influenza B 43.6%(239/548)] and exterior cold and interior heat syndrome [influenza A 38.8%(118/304), influenza B 43.8%(240/548)], and the difference in proportion of heat invading Wei syndrome and exterior cold and interior heat syndrome between infwenza A and influenza B was not statistically significant(P>0.05). The proportion of damp heat syndrome in influenza A patients was 8.9%(27/304), which was higher than 3.1%(17/548) in influenza B patients(P<0.01). According to the six meridians syndrome differentiation, the most common syndrome was Taiyang disease, and the proportion of Taiyang disease in patients with influenza B was higher than that in patients with influenza A(P<0.01). According to the Wei Qi Ying Xue syndrome differentiation, the main syndrome was Wei Fen syndrome and Qi Fen syndrome, and the proportion of Qi Fen syndrome in patients with influenza A was higher than that in patients with influenza B(P<0.05). Conclusion: The proportion of high fever in male patients with influenza is higher than that in female patients, and the proportion of high fever in patients with influenza A is higher than that in patients with influenza B. The syndrome differentiation of influenza patients is mainly wind heat invading

关 键 词：流行性感冒 中医证候 辨证分型 流行病学 横断面调查 

分 类 号：R254.2[医药卫生—中医内科学]