莆田市87例新冠肺炎儿童中医证候与理化指标分析  

Analysis of TCM Symptoms and Physical and Chemical Indicators of 87COVID-19Children in Putian City

作　　者：李旭微 闫超[1] 原丹 杨京华 林劲榕[1] 邱荣仙[5] 艾斯[1] 庄森 郑泽宇 黄志华[5] 朱俊腾[5] 郑健[1,2] Li Xuwei;Yan Chao;Yuan Dan;Yang Jinghua;Lin Jinrong;Qiu Rongxian;Ai Si;Zhuang Sen;Zheng Zeyu;Huang Zhihua;Zhu Junteng;Zheng Jian(The Affiliated People's Hospital,Fujian University of Traditional Chinese Medicine,Fuzhou 350004,China;Institute of Pediatrics,Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China;Fuzhou Hospital of Traditional Chinese Medicine,Fuzhou 350001,China;Guangzhou Hospital of Traditional Chinese Medicine,Guangzhou 510120,China;The Affiliated Hospital of Putian College,Putian 351106,China;The Second Affiliated Hospital of Fujian University of Traditional Chinese Medicine,Fuzhou 350003,China)

机构地区：[1]福建中医药大学附属人民医院,福建福州350004 [2]福建中医药大学中医儿科研究所,福建福州350122 [3]福州市中医院,福建福州350001 [4]广州市中医医院,广东广州510120 [5]莆田学院附属医院,福建莆田351106 [6]福建中医药大学附属第二人民医院,福建福州350003

出　　处：《亚太传统医药》2022年第11期68-72,共5页Asia-Pacific Traditional Medicine

基　　金：国家中医药管理局中医药防治新型冠状病毒感染肺炎应急研究专项课题(2021ZYLCYJ07-1)。

摘　　要：目的:研究新冠肺炎(COVID-19)儿童入院时中医证候与理化指标、胸部影像及住院时间的相关性。方法:回顾分析莆田学院附属医院已痊愈出院的COVID-19患儿共87例,入院时查WBC、LY、IL-6、T淋巴细胞分类、病毒载量、胸部影像学及患儿住院时间与中医证候的相关性。结果:普通型COVID-19患儿住院天数及病毒总量均高于轻型COVID-19患儿,两者比较有显著差异(P<0.05);普通型疫毒袭表证和湿毒郁肺证影像学病变程度比较有显著差异(P<0.05);轻型和普通型COVID-19患儿,入院时WBC、LY、IL-6、T细胞亚群均在正常范围,且两组对比无显著差异(P>0.05)。结论:莆田COVID-19患儿多见湿热蕴肺证、湿毒郁肺证,符合“湿热毒疫”特点。普通型COVID-19患儿以住院时间长、病毒总量高、影像学变化部位散在为特点。Objective:To study the correlation between TCM symptoms and physical and chemical indicators,chest imaging and hospital stay in children with COVID-19.Methods:A retrospective analysis was made on the correlation between WBC,LY,IL-6,T lymphocyte classification,viral load,chest radiography,hospital stay and TCM syndrome of 87cases of COVID-19children who were cured and discharged from the Affiliated Hospital of Putian University.Results:The hospitalization days and total virus content of children with common type COVID-19were higher than those of children with mild type COVID-19,and they had statistical differences(P<0.05).It was different in the degree of imaging lesions between the syndrome of common pathogens invading lung and damp-heat accumulating in lung(P<0.05),WBC,LY,IL-6,and T cell subsets of children with mild and common COVID-19were generally within the normal range at admission,and there was no statistical difference between the two groups(P>0.05).Conclusion:The syndrome of damp-heat accumulating in lung is more common in children with COVID-19in Putian this time,which is in line with the characteristics of“damp-heat epidemic disease”.The TCM symptom distributions of mild and common COVID-19children at the time of admission were as follows:pathogens invading lung and damp-heat accumulating in lung.Children with COVID-19of common damp-heat accumulating in lung syndrome have the characteristics of long hospital stay,high total virus content and scattered imaging changes.

关 键 词：新冠肺炎 儿童 邪犯肺卫 湿热蕴肺 中医证候 

分 类 号：R259[医药卫生—中西医结合] R272[医药卫生—中医内科学]