新型冠状病毒Delta变异株感染者166例中医证候特征及中医救治策略分析  

Analysis of Traditional Chinese Medicine syndrome characteristics and Traditional Chinese Medicine treatment strategies of 166 cases infected with delta variant strain of novel coronavirus

作　　者：罗纯 林琳 傅晓霞 张俭 蔡彦 林路平[1] 谭行华[1] LUO Chun;LIN Lin;FU Xiao-xia;ZHANG Jian;CAI Yan;LIN Lu-ping;TAN Xing-hua(Department of Traditional Chinese Medicine,Guangzhou Eighth People’s Hospital,Guangzhou Medical University,Guangzhou 510006,Guangdong,China;不详)

机构地区：[1]广州医科大学附属市八医院中医科,广东广州510060 [2]广州中医药大学第二附属医院呼吸科,广东广州510120

出　　处：《广东医学》2022年第10期1200-1204,共5页Guangdong Medical Journal

基　　金：广东省科技创新专项资金(广东省防控新型冠状病毒感染科技公关应急专项)项目(2020B111115001);广东省中医药局新冠肺炎中医药防治临床研究应急项目(2020ZYYJ01)。

摘　　要：目的分析新型冠状病毒Delta变异株感染者中医证候特征及中医救治策略。方法收集166例新型冠状病毒Delta变异株感染患者的临床信息,对患者人口学特征、症状体征、中医辨证论治方案及预后等进行描述性分析。结果(1)166例病例中,男68例,女98例;年龄1~92岁,平均(47.05±19.2)岁;临床分型以普通型为主,占72.3%,症状主要表现为发热(高热)、恶寒、头身痛、肌肉酸痛、咳痰、咽痛、咽干、乏力、腹胀、食欲不振、舌质红、舌苔黄腻以及脉浮、大、弦、滑、数等。(2)无症状感染者中医药参与率为71.4%,确诊患者中医药参与率为100%,核心病机是暑湿化热、疫毒侵肺、元气大虚,以“湿”“热”“毒”“虚”为主。(3)制定清暑化湿、宣肺解毒、通腑泄热、调肠治肺的治则治法,同时重视早期扶正、全程扶正。结论此次广州新型冠状病毒Delta变异株感染者以中老年女性居多,住院期间症状以呼吸道表现为主,中医药治疗全程参与,根据临床分型辨证施治,中西医并重,取得良好疗效。Objective To analyze and summarize the characteristics of TCM syndromes and TCM treatment strategies of 166 patients infected with the delta variant strain of new coronavirus.Methods The clinical information of 166 patients infected with the delta variant of the new coronavirus were collected.Descriptive analysis on demographic characteristics,clinical symptoms and signs,TCM syndrome differentiation and treatment strategy,and prognosis of COVID-19 was performed.Results Of the 166 cases,there were 68 males and 98 females,with an average age of(47.05±19.2)years old.The clinical classification was mainly common type,accounting for 72.3%.The symptoms were mainly fever,chills,head and body pain,muscle aches,sputum expectoration,sore throat,dry throat,fatigue,abdominal distension,loss of appetite,and tongue quality red,yellow and greasy tongue coating,and pulse floating,large,stringy,slippery,counted and etc.The participation rate of asymptomatic infection in traditional Chinese medicine was 71.4%,and the participation rate of traditional Chinese medicine in confirmed patients was 100%.The core pathogenesis was heat and dampness,epidemic virus invasion to the lungs,and weak vitality.Virtual was the main type.Formulate the treatment methods were focus on clearing heat and dispelling dampness,dissipating lungs and detoxification,clearing the organs to relieve heat,regulating the intestines and treating the lungs.At the same time,attention to the early strengthening of the body and the whole process of strengthening the body was focused.Conclusion The majority of patients infected with the delta variant of the Guangzhou new coronavirus delta strain were middle-aged and elderly women.During the hospitalization,symptoms were mainly manifested in the respiratory tract.Traditional Chinese medicine was involved in the whole treatment.According to clinical classification,treatment based on syndrome differentiation with equal emphasis on Chinese and Western medicine,can achieve good results.

关 键 词：新型冠状病毒 Delta变异株 中医证候特征 中医救治策略 

分 类 号：R254[医药卫生—中医内科学] R259[医药卫生—中医学]