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608例门诊和急诊新型冠状病毒肺炎患者中医临床回顾性分析 被引量:19

Clinical Retrospective Analysis on 608 Patients of Coronavirus Disease 2019 in Outpatient and Emergency Departments in Traditional Chinese Medicine
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摘要 目的探讨新型冠状病毒肺炎的早期中医临床证候特点和时间分布规律。方法采用回顾性研究,收集608例在武汉市中医医院门诊和急诊就诊的临床诊断新型冠状病毒肺炎患者的病历资料,观察患者发病至就诊时间、中医证候分布规律及不同就诊时间中医症状分布特点。结果608例患者以发热(77.8%)、肌肉酸痛(64.1%)、咳嗽(50.8%)、胸闷憋气(46.9%)、乏力(44.1%)、头痛(41.6%)、恶寒(38.7%)、纳差(36.7%)为主要临床表现;2019年12月与2020年1月就诊患者以发热及呼吸系统症状(咳嗽、胸闷憋气)为主诉的患者分别占当月比例为83.2%及54.3%,以消化系统(恶心、干呕、腹泻、纳差)为主诉患者所占当月比例分别为0.9%及17.3%,而两者兼有的分别为15.9%及28.4%。结论新型冠状病毒肺炎以发热、肌肉酸痛、咳嗽、胸闷、憋气、乏力为主要表现,2019年12月以发热及呼吸系统症状为主,2020年1月呼吸系统症状减少,消化系统症状增加。 Objective To explore the characteristics of early clinical syndromes and time distribution rule of coronavirus disease 2019(COVID-19)in traditional Chinese medicine(TCM).Methods A retrospective study was conducted to collect the medical records of 608 patients with COVID-19 diagnosed in the outpatient and emergency departments of Wuhan Hospital of Traditional Chinese Medicine.The time from onset to consultation,the distribution of TCM syndromes,and the distribution of traditional Chinese medicine(TCM)symptoms at different treatment times were observed.Results A total of 608 patients had fever(77.8%),muscle aches(64.1%),cough(50.8%),chest tightness(46.9%),fatigue(44.1%),headache(41.6%),chills(38.7%),anorexia(36.7%)as the main clinical manifestation.The proportion of patients with fever and respiratory symptoms including cough,chest tightness and suffocation as the main symptoms in December 2019 and January 2020 respectively accounted for 83.2%and 54.3%of the patients;digestive system with the main symptom of nausea,retching,diarrhea,anorexia in December 2019 and January 2020 respectively accounted for 0.9%and 17.3%of patients,while those with both above were 15.9%and 28.4%,respectively.Conclusion The main manifestations of COVID-19 are fever,muscle aches,cough,chest tightness,suffocation,and fatigue.In December 2019,fever and respiratory symptoms were the main symptoms.In January 2020,respiratory symptoms decreased and digestive system symptoms increased.
作者 喻灿 李旭成 王凌 李瀚旻 张军 周勇 张彩蝶 王刚 刘清泉 王玉光 张伯礼 YU Can;LI Xucheng;WANG Ling;Li Hanmin;ZHANG Jun;ZHOU Yong;ZHANG Caidie;WANG Gang;LIU Qingquan;WANG Yuguang;ZHANG Boli(Wuhan Hospital of Traditional Chinese Medicine,Wuhan,430000;Hubei University of Traditional Chinese Medicine;Hubei Provincial Hospital of Traditional Chinese Medicine;Beijing Traditional Chinese Medicine Hospital,Capital Medical University;Tianjin University of Traditional Chinese Medicine)
出处 《中医杂志》 CSCD 北大核心 2020年第18期1570-1572,共3页 Journal of Traditional Chinese Medicine
基金 国家重点研发计划(2020YFC0841600) 湖北省卫生健康委员会中医药科研立项项目(ZY2019M048)。
关键词 新型冠状病毒肺炎 湿毒疫 证候特点 coronavirus disease 2019 dampness toxin pestilence syndrome characteristics
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