摘要
目的 研究急性上呼吸道感染病原学检测与中医辨证分型之间的相关性,为中医辨证论治提供客观依据。方法 随机选取我院2023年1月—2024年1月期间收治的316例急性上呼吸道感染患者作为研究对象,对患者进行血常规检查和病原体抗体检查,探究患者中医辨证分型与患者病原抗体检查之间的关系。结果 316例AURI患者病毒感染占比为52.53%,支原体感染占比为6.01%,细菌感染占比为5.06%。腺病毒、副流感病毒、合胞病毒感染所致急性上呼吸道感染(AURI)主要中医辨证分型为风寒束表证;Epstein-Barr病毒(EB病毒)、柯萨奇病毒感染所致AURI主要中医辨证分型为寒热夹杂证;流感病毒感染所致AURI主要中医辨证分型为风热犯表证;细菌、肺炎支原体感染所致AURI主要中医辨证分型为风热犯表证;病毒混合细菌感染所致AURI中医辨证分型主要为寒热夹杂证。结论 不同病原体感染所致AURI的中医辨证分型存在较为显著的相关性,通过中医辨证分型方式能够有效推测患者的感染类型,为患者的临床治疗提供合理指导。
Objective To study the correlation between acute upper respiratory tract infection pathogenetic testing and traditional Chinese medicine(TCM)diagnosis and treatment,and to provide an objective basis for TCM diagnosis and treatment.Methods 316 patients with acute upper respiratory tract infection(AURI)admitted to our hospital between January 2023 and January 2024 were randomly selected as the study subjects,and the patients were subjected to blood routine examination and pathogen antibody examination to explore the relationship between patients’TCM diagnostic typing and patients’pathogen antibody examination.Results The percentage of viral infection in 316 AURI patients was 52.53%,mycoplasma infection was 6.01%,and bacterial infection was 5.06%.Acute upper respiratory tract infection(AURI)caused by adenovirus,parainfluenza virus,and syncytial virus infection was mainly characterized by wind-cold bundling of the surface syndrome in traditional Chinese medicine(TCM);Epstein-Barr virus(EBV)and coxsackievirus infection was mainly characterized by cold-heat intermingling syndrome in TCM;influenza virus infection was mainly characterized by windheat violation of the surface syndrome in TCM;bacterial,pneumonia,and mycoplasma infection were mainly characterized by wind-heat violation of the surface syndrome in TCM;and bacterial,pneumonia,and mycoplasma infection were mainly characterized by wind-heat violation of the surface syndrome.AURI caused by Mycoplasma infections was mainly characterized by wind-heat syndrome;AURI caused by viral and bacterial infections was mainly characterized by cold-heat syndrome.Conclusion There is a significant correlation between the TCM diagnostic typing of AURI caused by different pathogens,and the TCM diagnostic typing can effectively predict the type of infection of the patients and provide reasonable guidance for the clinical treatment of the patients.
作者
胡旭
HU Xu(Ziliujing District Hospital of Traditional Chinese Medicine,Zigong 643000,China)
出处
《实验室检测》
2024年第12期26-28,共3页
Laboratory Testing
关键词
急性上呼吸道感染
中医辨证分型
病原学检测
acute upper respiratory tract infection
Chinese medicine diagnosis and typing
pathogenicity testing
作者简介
通信作者:胡旭,中医主治医师,研究方向为中医儿科。E-mail:707134304@qq.com
