摘要
通过分析相关文献、回顾分析辽宁地区90例COVID-19病例,提取辽宁地区COVIID-19中医证候要素,形成辽宁地区COVID-19中医证候名称数据库,分析发现,辽宁地区新型冠状病毒肺炎具有下列几个特点:(1)隐匿性强:轻症、症状不显者居多;(2)绝大多数不发热(76.7%),症以咳嗽(55.6%)、咽干(42.2%)、神疲乏力(38.9%)、纳差(34.4%)、尿黄(32.2%)等多见;(3)病邪以寒、湿为主,兼见燥热之象,病位多在肺、脾。综合数据库及相关分析,形成辽宁地区COVID-19中医证候指标清单:临床观察期/初起;早期:寒湿郁肺证、湿热蕴肺证;中期:寒湿阻肺证、湿毒郁肺证;危重期:疫毒闭肺证、内闭外脱证、气营两燔证;恢复期:肺脾气虚证、气阴两虚证;接下来研究者将通过德尔菲法调查,以专家共识的方式,根据本研究所得的中医证候指标清单形成更为普适、规范的中医证候指标集。
Through the analysis of relevant literature and retrospective analysis of 90 cases of COVID-19 in Liaoning province,TCM syndrome elements of COVID-19 in Liaoning province were extracted to form a TCM syndrome name database of COVID-19 in Liaoning Province.It was found that COVID-19 in Liaoning Province has the following characteristics:(1)It is highly insidious:mild and asymptomatic patients are in the majority;cough(55.6%),dry pharynx(42.2%),mental fatigue(38.9%),poor appetite(34.4%)and urine yellow(32.2%)were the most common symptoms.(2)The pathogenic factors are mainly cold and wet,accompanied by signs of dry heat,and the pathogenic factors are mostly in the lung and spleen.(3)A list of TCM syndrome indicators of COVID-19 in Liaoning province was formed based on a comprehensive database and relevant analysis:clinical observation/initial stage;early stage:cold dampness depression lung syndrome,damp-heat accumulation lung syndrome;middle stage:syndrome of cold dampness blocking lung,syndrome of dampness toxic stagnation lung;critical stage:syndrome of closed lung due to epidemic virus,syndrome of internal and external closure,and intense heat in both Qi and Ying;convalescence:deficiency of lung and spleen,deficiency of Qi and Yin.Next,researchers will form a more universal and standard set of TCM syndrome indicators based on the list of TCM syndrome indicators obtained in this study through Delphi survey and expert consensus.
作者
徐俊超
张红
田霞
郭黎娜
刘威
卢秉久
郑佳连
XU Junchao;ZHANG Hong;TIAN Xia;GUO Lina;LIU Wei;LU Bingjiu;ZHENG Jialian(Graduate School of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China;Anshan Infectious Disease Hospital,Anshan 114000,Liaoning,China;The Sixth People′s Hospital of Shenyang,Shenyang 110006,Liaoning,China;Dandong Infectious Disease Hospital,Dandong 118000,Liaoning,China;Dalian Infectious Disease Hospital,Dalian 116000,Liaoning,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)
出处
《辽宁中医杂志》
CAS
2022年第1期23-28,221,共7页
Liaoning Journal of Traditional Chinese Medicine
基金
辽宁省第三批新冠肺炎疫情防控应急科研攻关项目(2020JH2/10300014)
作者简介
徐俊超(1996-),男,浙江衢州人,硕士研究生,研究方向:研究方向:中医内科学;通讯作者:卢秉久(1961-),男,辽宁丹东人,主任医师、教授,硕士,研究方向:中西医结合治疗肝病研究,E-mail:lubingjiu@163.com;通讯作者:郑佳连(1984-),女,辽宁大连人,副主任医师,副教授,在站博士后,研究方向:中西医结合治疗肝病,E-mail:zhengjialian841025@163.com。
