四川省流行性感冒中西医结合诊疗专家共识(2023版)  

Expert consensus on the diagnosis and treatment of influenza with integrated Chinese and Western medicine in Sichuan Province

作　　者：王蜀强[1] 曾俊[2] 万朝敏 何涌泉 黄仁刚[1] 石伟[4] 周丽君[11] 袁珩[11] 蒋黎[5] 范娟[4] 张扬[12] 陈婧[12] 陈果[12] 肖玲辉[12] 杨阳[6] 杨勇[7] 崔小娇 梅劼[8] 蒲红[9] 雷学忠[13] 曾义岚 吴刚 胡章勇 刘凤君[17] 章晓红[2] 陈云凤[18] 万雪梅[12] 侯艳[8] 杨仁国[1] 闫力婷 扈晓宇[12] 杨兴祥[1] WANG Shu-qiang;ZENG Jun;WAN Chao-min;HE Yong-quan;HUANG Ren-gang;SHI Wei;ZHOU Li-jun;YUAN Heng;JIANG Li;FAN Juan;ZHANG Yang;CHEN Jing;CHEN Guo;XIAO Ling-hui;YANG Yang;YANG Yong;CUI Xiao-jiao;MEI jie;PU Hong;LEI Xue-zhong;ZENG Yi-lan;WU Gang;HU Zhang-yong;LIU Feng-jun;ZHANG Xiao-hong;CHEN Yun-feng;WAN Xue-mei;HOU yan;YANG Ren-guo;YAN Li-ting;HU Xiao-yu;YANG Xing-xiang(Department of Infectious Disease,Sichuan Academy of Medical Sciences&Sichuan Provincial People's Hospital,Chengdu 610072,China;Emergency Center,Sichuan Academy of Medical Sciences&Sichuan Provincial People's Hospital,Chengdu 610072,China;Sichuan Provincial Key Laboratory of Human Disease Gene Research,Sichuan Academy of Medical Sciences&Sichuan Provincial People's Hospital,Chengdu 610072,China;Department of Pediatrics,Sichuan Academy of Medical Sciences&Sichuan Provincial People's Hospital,Chengdu 610072,China;Department of Laboratory Medicine,Sichuan Academy of Medical Sciences&Sichuan Provincial People's Hospital,Chengdu 610072,China;Department of Respiratory and Critical Care Medicine,Sichuan Academy of Medical Sciences&Sichuan Provincial People's Hospital,Chengdu 610072,China;Department of Pharmacy,Sichuan Academy of Medical Sciences&Sichuan Provincial People's Hospital,Chengdu 610072,China;Department of gynaecology and obstetrics,Sichuan Academy of Medical Sciences&Sichuan Provincial People's Hospital,Chengdu 610072,China;Department of Radiology,Sichuan Academy of Medical Sciences&Sichuan Provincial People's Hospital,Chengdu 610072,China;Department of Pediatrics,West China Second Hospital,Sichuan University,Chengdu 610041,China;Sichuan Provincial Disease Control and Prevention Center,Chengdu 610041,China;Department of Infectious Disease,Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China;Infectious Disease Center,West China Hospital of Sichuan University,Chengdu 610041,China;Public Health Clinical Center of Chengdu,Chengdu 610066,China;Department of Infectious Diseases,Affiliated Hospital of Southwest Medical Univ

机构地区：[1]四川省医学科学院·四川省人民医院感染科,四川成都610072 [2]四川省医学科学院·四川省人民医院急救中心,四川成都610072 [3]四川省医学科学院·四川省人民医院人类疾病基因研究四川省重点实验室,四川成都610072 [4]四川省医学科学院·四川省人民医院儿科,四川成都610072 [5]四川省医学科学院·四川省人民医院临床检验中心,四川成都610072 [6]四川省医学科学院·四川省人民医院呼吸与危重症医学科,四川成都610072 [7]四川省医学科学院·四川省人民医院药学部,四川成都610072 [8]四川省医学科学院·四川省人民医院妇产科,四川成都610072 [9]四川省医学科学院·四川省人民医院放射科,四川成都610072 [10]四川大学华西第二医院儿科,四川成都610041 [11]四川省疾病预防控制中心急传所,四川成都610041 [12]成都中医药大学附属医院感染科,四川成都610075 [13]四川大学华西医院感染性疾病中心,四川成都610041 [14]成都市公共卫生临床医疗中心,四川成都610066 [15]西南医科大学附属医院感染科,四川泸州646000 [16]成都医学院附属第一医院感染科,四川成都610083 [17]川北医学院附属医院感染科,四川南充637000 [18]成都市中西医结合医院呼吸与危重症科,四川成都610041

出　　处：《实用医院临床杂志》2023年第2期1-11,共11页Practical Journal of Clinical Medicine

摘　　要：流行性感冒是由流感病毒引起的急性呼吸道传染病,主要由甲型流感病毒H1N1、H3N2亚型及乙型流感病毒Victoria和Yamagata系导致。典型表现为高热、头痛、肌痛、全身不适,部分患者伴有呼吸道症状。每年呈季节性流行,多数具有自限性,但是少数高危人群可发生重症表现,甚至导致死亡。诊断需结合流行病学史、临床表现、实验室及影像学检查。主要治疗措施为抗病毒治疗和对症治疗,重症患者需积极支持治疗。有效预防措施包括接种流感疫苗、药物预防及采取经呼吸道传播疾病标准预防措施。本共识集四川省内从事流感诊治中西医相关学科专家讨论制定,旨在为医疗机构临床医生在流感规范诊疗提供指导。Influenza is an acute respiratory infectious disease caused by influenza virus,mainly including the H1N1 and H3N2 subtypes of influenza A virus and the Victoria and Yamagata strains of influenza B virus.In general,influenza is characterized by high fever,headache,muscle pain,an overall feeling of discomfort,and some patients may have respiratory symptoms.The disease occurs seasonally every year,and most cases are self-limiting,but a small number of high-risk individuals can develop severe symptoms,even leading to death.Diagnosis requires a combination of epidemiological history,clinical manifestations,laboratory and imaging examinations.The main treatment measures include antiviral therapy and symptomatic treatment,while severe patients require active supportive treatment.Effective prevention measures include influenza vaccination,medication prophylaxis,and standard respiratory infectious disease prevention measures.This consensus was formulated through discussions among experts in traditional Chinese and western medicine who are engaged in the diagnosis and treatment of influenza in Sichuan Province,with the aim of providing guidance for clinicians of medical institutions on standardized diagnosis and treatment of influenza.

关 键 词：流行性感冒 中西医结合 诊疗 专家共识 

分 类 号：R18[医药卫生—流行病学]