新型冠状病毒奥密克戎变异株感染重症高危人群症状及中医证候学特征探析  

Analysis of symptoms and TCM syndrome characteristics of the Omicron variant of COVID-19 in severe high-risk population

作　　者：方辉 张宁[1] 王玉光[2] 郭亚丽[2] 祝勇[2,3] 刘建 FANG Hui;ZHANG Ning;WANG Yuguang;GUO Yali;ZHU Yong;LIU Jian(Beijing University of Chinese Medicine,Beijing 100029;Beijing Hospital of Traditional Chinese Medicine,Capital Medical University;Inner Mongolia Hospital,Beijing Hospital of Traditional Chinese Medicine)

机构地区：[1]北京中医药大学,北京100029 [2]首都医科大学附属北京中医医院 [3]北京中医医院内蒙古医院

出　　处：《现代中医临床》2023年第4期28-33,共6页Modern Chinese Clinical Medicine

基　　金：高层次公共卫生技术人才培养建设项目(学科带头人-01-16)。

摘　　要：目的分析北京地区新型冠状病毒(简称“新冠”)奥密克戎变异株感染重症高危人群病例的症状及中医证候学特征。方法采用横断面调查研究,选取217例于首都医科大学附属北京中医医院、北京中医医院顺义医院收治的新冠奥密克戎变异株感染重症患者,收集患者一般资料,包括性别、年龄、吸烟史、症状、体征、合并症、既往用药史等。采集患者中医四诊信息。结果217例新冠奥密克戎变异株感染高危患者中,合并心脑血管病者最多,共191例。呼吸系统表现中,咳嗽、咳痰、憋气和心胸症状出现频次较多。其他中医优势症状方面,周身感觉异常出现频次最多,占99.08%,消化系统症状多见腹胀、食欲减退,神志方面症状可见睡眠异常以及精神异常。二便方面以小便不利、便溏为主。舌色以淡红舌(33.18%)、淡白舌(30.41%)为主,淡暗舌(11.52%)少见;舌体可见胖大(20.28%)。舌苔主要有薄苔(31.80%)、腻苔(29.95%)、黄苔(28.57%)。脉象以滑脉(38.71%)、细脉(27.19%)、弱脉(25.81%)以及沉脉(24.42%)最为常见。中医证候方面,以肺脾气虚证最多(34.10%),其次是气阴两虚证(24.42%)和邪热郁肺证(17.51%)。结论新冠奥密克戎变异株感染重症高危患者,病因为感受疫疠之气,病因病机的关键在于虚,基本病理特点主要表现为痰凝、血瘀与外邪相杂,肺脾气虚证和气阴两虚证为主要中医证候。Objective To analyze the symptoms and TCM syndrome characteristics of patients infected with the Omicron variant of COVID-19 in Beijing,in order to provide a theoretical and scientific basis for better understanding and treatment of the disease.Methods A cross-sectional study was conducted,in which a total of 217 severe cases of COVID-19 infection with Omicron variant strain in Beijing Hospital of Traditional Chinese Medicine affiliated to Capital Medical University and Shunyi Hospital of Beijing Hospital of Traditional Chinese Medicine from December 2022 to January 2023 were reviewed.General patient information,including gender,age,smoking history,symptoms,signs,comorbidities,and past medication history,and also manifestations in terms of the four TCM methods of diagnosis was collected.Results Among the 217 patients at high risk for COVID-19 infections,those with combined cardiovascular and cerebrovascular diseases were the most frequent,with 191 cases.Among the respiratory system manifestations,cough,phlegm,chest tightness and cardiothoracic symptoms appeared more frequently.In terms of other TCM dominant symptoms,peripheral sensory abnormalities appeared most frequently,accounting for 99.08%,while digestive system symptoms were mostly seen in abdominal distension and loss of appetite,and mental symptoms were seen in abnormal sleep and mental abnormalities.In terms of urination and defecation,the main symptoms were dysuria and loose stools.The tongue color was mainly light red(33.18%)and light white(30.41%),and light dark tongue(11.52%)was rare;the tongue body was fat(20.28%).Tongue coating was mainly thin(31.80%),greasy(29.95%),and yellow(28.57%).Slippery pulse(38.71%),thready pulse(27.19%),weak pulse(25.81%),and deep pulse(24.42%)were the most common.In terms of TCM symptoms,lungqi deficiency was the most frequent(34.10%),followed by qi-yin deficiency(24.42%)and evil-heat stagnation in the lung(17.51%).Conclusion The TCM syndrome of the severe cases infected with the Omicron variant of COVID-19 were mainly qi

关 键 词：新型冠状病毒感染 重症 高危人群 奥密克戎变异株 中医证候特征 

分 类 号：R259[医药卫生—中西医结合]