不同气温条件下新型冠状病毒肺炎临床特征回顾性分析  

Retrospective Analysis of Clinical Characteristics of COVID-19 Under Different Temperature Conditions

作　　者：杨卜瑞 杨丽芳 贺小芳 陈晓静 张玲枝 冯泽华 陈志红 师晶晶 YANG Burui;YANG Lifang;HE Xiaofang;CHEN Xiaojing;ZHANG Lingzhi;FENG Zehua;CHEN Zhihong;SHI Jingjing(Affiliated Hospital of Shanxi University of Traditional Chinese medicine,Taiyuan 030024,China;Dongzhimen Hospital of Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]山西中医药大学附属医院,山西太原030024 [2]北京中医药大学东直门医院,北京100700

出　　处：《西部中医药》2023年第1期1-3,共3页Western Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局新冠肺炎中医药应急专项课题(2020ZYLCYZ05-9);山西省科技厅新冠病毒肺炎防控应急科研攻关专项(202003D32004/GZ)。

摘　　要：目的:分析2020年第1季度不同气温条件下新型冠状病毒肺炎(Corona Virus Disease2019,COVID-19)患者临床分型特征以及与主要症状发热、乏力、咳嗽的相关性,为COVID-19的防治及中医诊疗提供参考。方法:收集山西大同、晋城、晋中、临汾、吕梁、朔州、太原、忻州、阳泉、运城、长治各传染病定点医院2020年1月20日至2月28日收治入院的COVID-19患者共107例,根据COVID-19诊疗方案(试行第七版)回顾性分析不同患者临床分型,并根据临床病例登记表统计患者症状,比较同时期收住入院的武汉、深圳病例不同气温条件下中医临床分型差异以及主要症状与气温的相关性。结果:107例COVID-19患者年龄7~74岁,平均(36.47±14.15)岁;COVID-19临床分型:轻型5例(4.6%),其中寒湿郁肺型4例(3.7%)、湿热蕴肺型1例(0.9%);普通型89例(83.2%),其中寒湿郁阻型49例(45.8%)、湿毒郁肺型40例(37.4%);重型9例(8.4%),其中疫毒闭肺型6例(5.6%)、气营两燔型3例(2.8%);危重型4例(3.7%)。入院时主要症状为发热(82例占76.6%)、乏力(53例占49.5%)、咳嗽(78例占72.9%)。气温为10℃地域的患者主要症状乏力、咳嗽占比最高,气温低于10℃或高于10℃地域患者主要症状乏力、咳嗽占比下降;发热症状与气温无明显相关性(P>0.05)。结论:COVID-19轻型、普通型、重型患者随气温的升高,寒湿郁肺型占比逐渐降低,寒湿阻肺型占比先降低后上升,重型患者发生疫毒闭肺的比例逐渐下降;主要症状乏力、咳嗽占比与气温有相关性。Objective:To analyze the characteristics of clinical patterns of COVID-19 in the first quarter,2020 under different temperatures,and its links with main symptoms of fever,lassitude and cough,so as to provide the reference for the prevention and treatment,TCM diagnosis and treatment of COVID-19.Methods:All 107 patients hospitalized from the designated infectious disease hospitals of Datong,Jincheng,Jinzhong,Linfen,Lvliang,Shuozhou,Taiyuan,Xinzhou,Yangquan,Yuncheng and Changzhi were collected between January 20,2020 and February 28,clinical patterns of the patients were retrospectively analyzed according to COVID-19diagnosis and treatment protocol(trial version seven),the patients’symptoms were counted in light of the registration forms of clinical cases,and to compare the differences in clinical patterns of the patients hospitalized in Wuhan and Shenzhen under different temperatures during the same period,and the connections between main symptoms and the temperature.Results:The age of 107 COVID-19 patients ranged from 7 to 74 years,average(36.47±14.15)years;clinical patterns of COVID-19:five cases were of mild type(4.6%),among them,four cases of cold-damp stagnation in lung(3.7%),and one case of damp-heat accumulating lung(0.9%);89 cases were of common type(83.2%),among them,49 cases of cold-damp stagnation and obstruction pattern(45.8%),and 40cases of cold-toxin stagnating in lung pattern(37.4%);nine cases were of critical type(8.4%),among which,six cases of epidemic toxin closing lung(5.6%),three cases of Qi and nutrient blazing(2.8%);critical type 4 cases(3.7%);the main symptoms on admission were fever(82 cases occupying 76.6%),fatigue(53 cases holding 49.5%),cough(78 cases,72.9%).Fatigue and cough as the main symptoms accounted the highest proportion for the patients in the region where the temperature is 10℃,while the main symptoms of fatigue and cough declined in areas with temperature lower than or higher than 10℃;and no significant correlation has been found between fever and temperature(P>0.05).Con

关 键 词：新型冠状病毒肺炎 气温 中医主症 临床分型 回顾性分析 

分 类 号：R241.6[医药卫生—中医诊断学]