北京方庄地区流行性感冒的中医证型调查

发布时间：2018-08-17 16:35

【摘要】：目的:探讨流行性感冒中医证型分布特点。旨在通过调查北京地区东方医院流感样病例特征数据,在证实病原学证据基础上,分析流感样病例中医证型分布特点。目的为进一步开展本病的长期大样本、多中心的中医证候规范化研究打下基础。为临床工作者预防、诊断及治疗过程中提供科学的依据。方法:通过对300例发热门诊的流行性感冒病例的临床调查,分析流行性感冒在不同年龄、性别下中医证型的分布情况。通过筛查从2016年2月至2017年2月期间,在北京中医药大学东方医院发热门诊就诊的流感患者进行临床流行病学问卷调查,并确诊所调查流感样病例作咽拭子检查后,取得病毒病原学证实,通过对其年龄、性别、发病诱因、体温以及相关症状、体征、实验室检查等方面进行调查统计分析,将所得到的数据整理归纳,利用SPSS 21.0软件建成数据库进行分析。结果:通过临床收集,整理得到经病毒病原学证实的流感患者的资料进行总结如下:①调查患者中年龄多居中于19-44岁,以青壮年多见,性别比例相差不大。②患者体温大多低于39℃,处于发病初期。③大多患者属于青中年,既往基础病史少,不良嗜好少。④患者病原学证据提示:感染甲型流感病毒明显多于乙型流感病毒。⑤多数患者临床症状有特异性,血常规检查多提示异常,可能与流感初期血常规多有异常有关。根据提供的四诊相关信息的可归纳出5种中医证候,辨证为风热犯肺证的有138例,占总数46%,其中甲型流感病毒感染117例,占39%,乙型流感病毒感染21例,占7%;风寒袭肺证的有67例,占总数22.3%,其中甲型流感病毒感染43例,占14.3%,乙型流感病毒感染24例,占8%;表寒里热证的有52例,占总数17.3%,其中甲型流感病毒感染28例,占9.3%,乙型流感病毒感染24例,占8.0%;风寒夹湿证的有26例,占总数8.7%,其中甲型流感病毒感染8例,占2.7%,乙型流感病毒感染18例,占6.0%,可见乙型流感病毒多侵袭素体有湿邪者,这与单个症状调查结果一致;风燥伤肺证的有9例,占总数3%,其中甲型流感病毒感染3例,占1.0%,乙型流感病毒感染6例,占2.0%;邪入少阳证的有8例,占总数2.7%,其中甲型流感病毒感染6例,占2.0%,乙型流感病毒感染2例,占0.7%。北京地区以风热犯肺证居多。结论:通过对300例秋冬季节流感患者进行观察,发现流感发病人群以中青年为主,据统计,本次调查主要以甲型流感病原体感染为主;根据所观察记录的中医相关表现可见:统计频数较高的症状依次有咳嗽、流涕、头痛头晕、咽痒。所有调查人群均来自发热门诊,均可见不同程度发热,通过相关临床表现分析可见,中医证候以风热犯肺证居多。通过本观察分析流感病毒流行特征,总结患者中医病证证候,为临床诊断及治疗提供思路,以便更好地指导临床实践。
[Abstract]:Objective: to study the distribution of TCM syndrome types of influenza. The purpose of this study was to investigate the characteristic data of influenza like cases in Dongfang Hospital of Beijing area and to analyze the distribution characteristics of TCM syndromes of influenza like cases on the basis of confirmed etiological evidence. Objective to lay a foundation for the long-term, multi-center study on the standardization of TCM syndromes. To provide a scientific basis for the prevention, diagnosis and treatment of clinical workers. Methods: through the clinical investigation of 300 cases of influenza in fever outpatient clinic, the distribution of TCM syndromes of influenza in different age and sex was analyzed. During the period from February 2016 to February 2017, a clinical epidemiological questionnaire survey was conducted on influenza patients in the fever clinic of Oriental Hospital of Beijing University of traditional Chinese Medicine, and a throat swabbing test was made to confirm the influenza like cases investigated. Through the investigation and analysis of age, sex, cause of onset, body temperature and related symptoms, signs, laboratory examinations, etc., the obtained data were collated and summarized. Using SPSS 21 1.0 software to build the database to carry on the analysis. Results: through clinical collection, the data of influenza patients confirmed by virus etiology were summarized as follows: the majority of the patients in the survey were at the age of 19-44 years, and most of them were young and mature. The sex ratio was not different between the two groups. 2. The body temperature of the patients was less than 39 鈩，

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