9例人感染H7N9禽流感重症患者中医证候及治疗情况分析

发布时间：2018-02-15 05:31

本文关键词： 禽流感 HN 中医证候辨证治疗　出处：《中医杂志》2017年23期 　论文类型：期刊论文

【摘要】：目的探讨人感染H7N9禽流感重症患者中医证候特征并观察中医辨证治疗的效果。方法收集2017年4月1日至2017年5月7日成都市9例人感染H7N9禽流感重症患者的临床资料,包括临床症状及舌脉特点,探讨其中医证候特征;统计中医辨证治疗中所用方药及中药使用情况;同时观察临床疗效。结果9例患者以湿、痰为主要病机,部分兼有虚、瘀,治疗上普遍应用化湿、祛痰之法,以藿朴夏苓汤、达原饮为基本方加减化裁,气阴虚者同时予益气养阴治法,兼有瘀证者予化瘀通络。中药处方中法半夏、茯苓、甘草、厚朴、陈皮、苦杏仁、藿香、浙贝母、赤芍等药物使用频次较多。9例患者中治愈6例(H7N9病毒核酸转阴),死亡3例。结论人感染H7N9禽流感重症患者以湿、痰为主要病机,兼有虚、瘀,治疗多采用祛湿化痰、益气化瘀通络之法,临床疗效值得肯定。
[Abstract]:Objective to investigate the characteristics of TCM syndromes of severe human infection with H7N9 avian influenza and observe the effect of TCM syndrome differentiation. Methods from April 1st 2017 to May 7th 2017 in Chengdu, 9 patients with H7N9 avian influenza were collected and their clinical data were collected. Including clinical symptoms and tongue pulse characteristics, the characteristics of TCM syndromes, statistics of the use of traditional Chinese medicine and traditional Chinese medicine used in the treatment of TCM syndrome differentiation, observation of clinical efficacy. Results 9 patients with dampness, phlegm as the main pathogenesis, some with deficiency, blood stasis, In the treatment, the method of removing dampness and eliminating phlegm is widely used, with Huo Pu Xia Ling Tang, Da Yuan Yin as the basic prescription, add and subtract the cut, Qi and Yin deficiency at the same time, the Qi and Yin deficiency at the same time, and the blood stasis syndrome is given to remove blood stasis and Tongluo. Chinese traditional medicine prescriptions Chinese traditional medicine law Pinellia ternata, Poria cocos, liquorice, magnolia, Among the 9 patients, 6 cases were cured by H7N9 virus nucleic acid conversion and 3 cases died. Conclusion the main pathogenesis of human infection with H7N9 avian influenza is dampness, phlegm, deficiency and blood stasis. The treatment uses the method of removing dampness and resolving phlegm, replenishing qi and removing blood stasis and freeing collaterals. The clinical effect is worth affirming.
【作者单位】：成都市公共卫生临床医疗中心;
【分类号】：R259

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