新型冠状病毒肺炎与中风发病相关性探讨  

Discussion on Correlation between COVID-19 and Stroke Incidence

作　　者：孙永康 刘向哲[2] 杨海燕[2] 杨国防[2] 陈俊华[2] 马驰远 王新志[2] SUN Yongkang;LIU Xiangzhe;YANG Haiyan;YANG Guofang;CHEN Junhua;MA Chiyuan;WANG Xinzhi(Henan University of Chinese Medicine,Zhengzhou Henan China 450046;The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou Henan China 450000)

机构地区：[1]河南中医药大学,河南郑州450046 [2]河南中医药大学第一附属医院,河南郑州450000

出　　处：《中医学报》2022年第12期2551-2556,共6页Acta Chinese Medicine

基　　金：国家重点研发计划项目(2018YFC1705002);国家中医药管理局中医药领军人才支持计划项目{国中医药人教函〔2018〕284号};河南省中医药学科领军人才项目{豫卫中医函〔2021〕8号}。

摘　　要：新型冠状病毒肺炎(corona virus disease 2019,COVID-19)不同阶段的病机特点及证素、证候等特征,可能导致中风发病率升高。初期或轻型、普通型患者中风发病率升高可能与影响肺卫功能有关;进展期及危重期对中风发病的影响可能与“毒”“瘀”有关;恢复期出现正虚之象可为中风发生的病因;COVID-19以湿邪为主要病因,并贯穿疾病各个阶段,故中风发病可能与痰湿之邪留滞机体有关。COVID-19传播过程中所带来的劳逸失衡、饮食失常、情志失调、肥胖、不寐及预防调护的影响等因素同样可能影响中风的发病。The pathogenesis characteristics,syndrome elements,and syndromes of the corona virus disease 2019(COVID-19)at different stages may lead to an increase in the incidence of stroke.The increased incidence of stroke in patients with initial or mild or common types may be related to the impact on lung defense function.The influence of the advanced stage and critical stage on the incidence of stroke may be related to"Toxin"and"Stasis".The signs of Zhengxu appearing in the recovery period can be the cause of stroke.The main cause of COVID-19 is Dampness and it runs through all stages of the disease.Therefore,the onset of stroke may be related to the retention of Phlegm and Dampness evil in the body.And factors such as work-rest imbalance,eating disorders,emotional disorders,obesity,insomnia,and the impact on preventive care brought about by the spread of COVID-19 may also affect the incidence of stroke.

关 键 词：新型冠状病毒肺炎 中风 卫气失常 湿邪 毒 瘀 正虚 

分 类 号：R256.1[医药卫生—中医内科学]