摘要
目的:探讨成人新型冠状病毒肺炎(corona virus disease 2019,COVID-19,简称新冠肺炎)的中医临床特征与病因病机。方法:应用病例回顾的方法,分析河南省传染病医院收治的成人新冠肺炎初次就诊的一般信息、流行病学史、症状、舌象、脉象、证候分型,录入Excel数据库,进行分析。结果:共69例成人新冠肺炎患者,42例(60.9%)未曾到过疫区,48例(69.6%)为家庭聚集发病;平均体质量指数(body mass index,BMI)为(25.23±3.71) kg·m^-2;发热50例(72.5%),百分比最高,其次是咳嗽45例(68.8%);低热21例,中热17例,高热11例,超高热1例;舌质以淡红舌最多,24例(34.8%),其次为红舌20例(29.0%),舌体胖大最多,19例(29.7%),其次为齿痕舌11例(17.2);白苔最多,33例(51.6%);滑脉最多,22例(31.9%);寒湿郁肺证最多,29例(42.0%)。湖北输入病例证候与本地病例证候比较,差异无统计学意义(P>0.05)。结论:新冠肺炎症状主要为发热、咳嗽、胸闷;病机为"虚、湿",或兼寒、热、瘀;病位主要在肺,与脾密切相关。
Objective:To probe into the clinical characteristics and etiology and pathogenesis of TCM of corona virus disease 2019(COVID-19) in adults.Methods:The method of case review was used to analyze the general information,epidemiology history,symptoms,tongue manifestation,pulse manifestation and syndrome typing of the first onset of COVID-19 in adults treated in Henan Infectious Disease Hospital.Then the above information was then recorded into the Excel database for analysis.Results:There were a total of 69 patients with COVID-19,42(60.9%) had not been to the epidemic area,and 48(69.6%) were due to family gathering.The average body mass index(BMI) was(25.23±3.71) kg·m^-2;50 cases(72.5%) had fever,followed by cough(45 cases,68.8%).There were 21 cases of low fever,17 cases of moderate fever,11 cases of high fever and 1 case of ultra-high fever.Light red tongue was the most common tongue,with 24 cases(34.8%),followed by red tongue(20 cases,29.0%),fat tongue(19 cases,29.7%),and tooth mark tongue(11 cases,17.2%).There were 33 cases(51.6%) with white coating.Pulse manifestation:slippery pulse was the most common(22 cases,31.9%);cold dampness stagnation of lung syndrome was the most,with 29 cases(42.0%).There was no significant difference between the imported cases from Hubei Province and the local cases(P>0.05).Conclusion:The patients with COVID-19 are with fever,cough and chest tightness.The pathogenesis is "deficiency and dampness",or concurrent cold,heat and blood stasis.The disease is mainly located in the lung and is closely related to the spleen.
作者
侯明杰
刘旭辉
肖苗苗
李哲
赵清霞
HOU Ming-jie;LIU Xu-hui;XIAO Miao-miao;LI Zhe;ZHAO Qing-xia(Zhengzhou Sixth People′s Hospital,Zhengzhou,Henan,China,450015)
出处
《河南中医》
2020年第8期1144-1147,共4页
Henan Traditional Chinese Medicine
关键词
新型冠状病毒肺炎
临床特征
病因病机
corona virus disease 2019(COVID-19)
clinical characteristics
etiology and pathogenesis
作者简介
侯明杰(1983-),男,河南许昌人,医学硕士,主治医师;通信作者:赵清霞,E-mail:zhqx666@163.com。
