珠海新型冠状病毒Omicron变异株肺炎中医证候特征单中心横断面研究  

Chinese Medicine Syndrome Characteristics of CoVID-19 Caused by Omicron Variant in ZhuhaiCity:A Single-Center Cross-Sectional Study

作　　者：段思雨 李珂楠 董文晓 林敏怡 洪仲思[1] 夏瑾瑜[1] DUAN Si-yu;LI Ke-nan;DONG Wen-xiao;LIN Min-yi;HONG Zhong-si;XIA Jin-yu(Center of Infectious Diseases,The Fifth Afiliated Hospital of Sun Yat-sen University,Guangdong(519000))

机构地区：[1]中山大学附属第五医院感染病中心,广东519000

出　　处：《中国中西医结合杂志》2023年第6期668-672,共5页Chinese Journal of Integrated Traditional and Western Medicine

基　　金：广东省重点领域研发计划项目(No.2020B111105001);中山大学2020年度“三大”建设新型冠状病毒防控科技攻关应急专项项目(No.81900568)。

摘　　要：目的总结珠海新型冠状病毒Omicron变异株肺炎的临床特征和中医证候特征,探讨新型冠状病毒肺炎的中医诊治策略。方法筛选2022年1月14—25日广东省珠海市中山大学附属第五医院收治的新型冠状病毒Omicron变异株患者42例,其中接受中医治疗的37例患者进行中医证候调查,收集一般资料、入院症状及缓解时间、中医证候及舌象、中医治疗方案、实验室检查等结果进行统计分析。结果37例接受中药治疗的新型冠状病毒肺炎患者中医证候以风寒束肺(40.54%)、风热犯肺(37.84%)多见,少数是湿热蕴肺(13.51%)、寒湿郁肺(8.11%);入院时主要症状表现为咳嗽(72.97%)、咳痰(54.05%)、发热(37.84%)、鼻塞(37.84%)、流涕(32.43%)、咽痛(32.43%)、咽痒(24.32%),经中药治疗后,各症状平均缓解时间为,咳嗽(8.59±3.48)天、咳痰(6.95±2.84)天、发热(3.43±2.14)天、鼻塞(4.43±2.62)天、流涕(3.42±1.73)天、咽痛(4.92±2.50)天、咽痒(5.11±2.32)天。结论珠海新型冠状病毒Omicron变异株肺炎仍属中医学“疫病”范畴,以“风”“寒”夹“湿”为主要特点。中医证型主要以风寒束肺、风热犯肺为主,少数为湿热蕴肺、寒湿郁肺。Objective To summarize the clinical features and the Chinese medicine(CM)syndrome characteristics of the Coronavirus Disease 2019(COVID-19)caused by Omicron variant in Zhuhai,and explore CM diagnosis and treatment strategies for the disease.Methods Totally 42 COVID-19 patients caused by Omicron variant from the Fifth Affliated Hospital of Sun Yat-Sen University in Zhuhai City,Guangdong Province were admitted from January 14 to 25,2022.Of which 37 patients who received CM treatment were investigated for CM symptoms,and general information,admission symptoms and symptom duration,tongue images,CM treatment plans,and laboratory test results were collected for statistical analysis.Results The CM syndromes of the 37 patients treated with CM were mostly wind-cold fettering in Fei(40.54%),wind-heat invading in Fei(37.84%),and a few were dampheat accumulation in Fei(13.51%),and cold-damp stagnation in Fei(8.11%).The clinical symptoms of the patients on admission mainly were cough(72.97%),expectoration(54.05%),fever(37.84%),nasal obstruction(37.84%),running nose(32.43%),sore throat(32.43%),and throat itching(24.32%).The average relief time of each symptoms after CM treatment was cough:(8.59±3.48)days,sputum:(6.95±2.84)days,fever:(3.43±2.14)days,nasal congestion:(4.43±2.62)days,runny nose:(3.42±1.73)days,sore throat:(4.92±2.50)days,pharyngeal itching:(5.11±2.32)days,respectively.Conclusions The COVID-19 caused by Omicron variant in Zhuhai city belongs to epidemic diseases in CM,with wind,cold and dampness as the main characteristics.The CM syndromes of the disease are mainly wind-cold fettering in Fei and wind-heat invading in Fei.A few are damp-heat accumulation in Fei and cold-damp stagnation in Fei.

关 键 词：新型冠状病毒肺炎 Omicron变异株 中医 证候特征 横断面研究 

分 类 号：R259[医药卫生—中西医结合]