摘要
目的探讨感染新型冠状病毒奥密克戎变异株患者的中医四诊及证候特征,为临床辨治提供参考。方法对苏州地区确诊的144例感染新型冠状病毒奥密克戎变异株的患者进行中医证候调查,采集其基本信息、发病初期及入院时临床症状以及舌象、脉象等,并进行辨证分型。结果144例患者中发病初期临床症状主要表现为咳嗽(42.36%)、咽部不适(36.11%)、发热(34.72%)、肢体酸痛(29.86%)、咯痰(25.69%)。入院时最常见中医症状排名前5位与发病初期时症状相仿,依次为咳嗽(41.67%),咽部不适(29.17%),咯痰(26.39%)、发热(23.61%),乏力(20.14%)。最常见舌象表现,舌色以淡白舌为主(65.28%),舌体多为胖舌(46.53%),部分患者有齿痕舌(19.44%),苔色多为白苔(86.81%),其中薄白苔最多(50.69%),其次为薄白腻苔(29.86%)。脉象以浮脉为主(72.92%),其中浮数脉(24.31%)、浮紧脉(23.61%)较多见。证候多见风寒湿毒表证,少数可见湿壅脾肺证、寒湿郁肺夹脾虚证(儿童)。结论苏州地区新型冠状病毒肺炎患者的中医证候分布早期以上焦肺系病症为主,少数以中焦脾胃表现为主,“湿、毒”邪为主要病因,多见风寒湿表证、湿壅脾肺等证。
Objective:To explore the four diagnosis and syndrome characteristics of traditional Chinese medi⁃cine in patients infected with the novel coronavirus Omicron variant,and to provide reference for clinical differenti⁃ation and treatment.Methods:The TCM syndromes were investigated in 144 patients infected with novel coronavi⁃rus Omicron variant in Suzhou area,and their basic information,clinical symptoms at the initial stage of onset and admission,as well as tongue and pulse symptoms were collected,and the syndrome differentiation was carried out.Results:Among the 144 patients,the main clinical symptoms at the initial stage of onset were cough(42.36%),pharyngeal discomfort(36.11%),fever(34.72%),limb pain(29.86%),sputum(25.69%).The top 5 TCM symptoms at admission were similar to the symptoms at the early stage of the disease,which were cough(41.67%),throat dis⁃comfort(29.17%),expectoration(26.39%),fever(23.61%),fatigue(20.14%).Symptoms in tongue was the most common,and the tongue color was mainly pale tongue(65.28%),the body of the tongue was mostly fat tongue(46.53%),some patients had dentate tongue(19.44%),and the color of coating was mostly white(86.81%),with thin white coating as the most(50.69%),followed by thin white greasy coating(29.86%).The pulse condition was mainly floating pulse(70.92%),among which floating rapid pulse(24.31%)and floating tight pulse(23.61%)were more common.The most common syndromes were wind-cold-dampness-toxin-exposed syndrome,and a few syn⁃dromes could be seen as dampness obstructing the spleen and lung,cold-dampness stagnation in the lung and spleen deficiency(children).Conclusion:The distribution of TCM syndromes in patients with COVID-19 in Su⁃zhou area is mainly based on the symptoms of the spleen-stomach system in the early stage,and a small number of symptoms in the spleen and stomach of the middle jiao."Dampness and poison"are the main causes,and the more common syndromes are wind-cold-dampness syndrome,dampness obstructing the spleen and lungs,etc.
作者
张金荣
闵翼
时翠林
孙刚
刘义安
Zhang Jinrong;Min Yi;Shi Cuilin;Sun Gang;Liu Yi′an(Suzhou Fifth People′s Hospital,Jiangsu,Suzhou 215000,China)
出处
《中国中医急症》
2022年第8期1156-1158,1183,共4页
Journal of Emergency in Traditional Chinese Medicine
基金
江苏省中医药管理局新型冠状病毒肺炎中医药防治应急研究专项(JSZYJ202201)。
