环球中医药
環毬中醫藥
배구중의약
Global Traditional Chinese Medicine
2015年
11期
1350-1353
,共4页
郭亚丽%马月霞%刘建%马家驹%王玉光
郭亞麗%馬月霞%劉建%馬傢駒%王玉光
곽아려%마월하%류건%마가구%왕옥광
甲型流感%中医证候%流行病学
甲型流感%中醫證候%流行病學
갑형류감%중의증후%류행병학
Influenza A virus%TCM Syndrome%Epiclemiology
目的:探讨2014年北京地区冬季甲型流感病例的流行病学、中医证候学特点。方法采用横断面调查方法分析北京地区2014年11月23日至30日收集的151例甲型流感病例的流行病学特点,结合其中医证候学资料,总结中医证候分布规律。结果2014年甲型流感患者就诊时症状以中高度发热、咳嗽、乏力等症常见,证候以表寒里热证为主,占36.4%,而既往有基础病者表寒里热证比例高达55.0%。证候分布其次为风热犯表证、邪热郁肺证,分别占23.8%、23.2%,风寒束表证较少见,仅占6.6%。其中风寒束表证、表寒里热证更易兼夹湿邪,分别占80.0%、54.5%。发病24小时内就诊的患者上述四证均可见,以表寒里热证为主,随着病程发展,邪热郁肺证比例渐增,其它证候比例减少。结论北京地区2014年冬季甲型流感初起表证突出,以表寒里热证为主,既往有基础病者多见,可能与素体因素有关。流感有表寒证者易兼夹湿邪。流感邪气在表时间短暂,随着病程发展,邪热郁肺证多见。
目的:探討2014年北京地區鼕季甲型流感病例的流行病學、中醫證候學特點。方法採用橫斷麵調查方法分析北京地區2014年11月23日至30日收集的151例甲型流感病例的流行病學特點,結閤其中醫證候學資料,總結中醫證候分佈規律。結果2014年甲型流感患者就診時癥狀以中高度髮熱、咳嗽、乏力等癥常見,證候以錶寒裏熱證為主,佔36.4%,而既往有基礎病者錶寒裏熱證比例高達55.0%。證候分佈其次為風熱犯錶證、邪熱鬱肺證,分彆佔23.8%、23.2%,風寒束錶證較少見,僅佔6.6%。其中風寒束錶證、錶寒裏熱證更易兼夾濕邪,分彆佔80.0%、54.5%。髮病24小時內就診的患者上述四證均可見,以錶寒裏熱證為主,隨著病程髮展,邪熱鬱肺證比例漸增,其它證候比例減少。結論北京地區2014年鼕季甲型流感初起錶證突齣,以錶寒裏熱證為主,既往有基礎病者多見,可能與素體因素有關。流感有錶寒證者易兼夾濕邪。流感邪氣在錶時間短暫,隨著病程髮展,邪熱鬱肺證多見。
목적:탐토2014년북경지구동계갑형류감병례적류행병학、중의증후학특점。방법채용횡단면조사방법분석북경지구2014년11월23일지30일수집적151례갑형류감병례적류행병학특점,결합기중의증후학자료,총결중의증후분포규률。결과2014년갑형류감환자취진시증상이중고도발열、해수、핍력등증상견,증후이표한리열증위주,점36.4%,이기왕유기출병자표한리열증비례고체55.0%。증후분포기차위풍열범표증、사열욱폐증,분별점23.8%、23.2%,풍한속표증교소견,부점6.6%。기중풍한속표증、표한리열증경역겸협습사,분별점80.0%、54.5%。발병24소시내취진적환자상술사증균가견,이표한리열증위주,수착병정발전,사열욱폐증비례점증,기타증후비례감소。결론북경지구2014년동계갑형류감초기표증돌출,이표한리열증위주,기왕유기출병자다견,가능여소체인소유관。류감유표한증자역겸협습사。류감사기재표시간단잠,수착병정발전,사열욱폐증다견。
[Abstact] Objective To investigate the epidemiology and TCM (Traditional Chinese Medicine) Syndrome characteristics of patients infected with influenza A virus in Beijing in 2014 winter. Method 151 patients infected with influenza A virus were respectively observed during November 23,2014 to November 30, 2014 in Beijing. Epidemiological features and the characteristics of TCM syndromes were summarized. Results In 2014 winter, moderate- high fever, cold and fatigue were the most common symptoms. Cold-heat type was the major syndrome, accounted for 36. 4% . Followed with wind-heat type (23. 8% ) and pathogenic-heat invading lung type ( 23. 2% ). Wind-cold type only accounted for 6. 6% . And the proportion of cold-heat type could be up to 55% in patients who had underling diseases. Among those syn-dromes, wind-cold type and cold-heat type were more tend to combine with dampness, proportioned of 80. 0% and 54. 5% . Patients who visited hospital within 24 hours, syndromes above all could appear, with cold-heat type being dominant. Along with the development of the course, the proportion of pathogenic-heat invading lung type was increasing, while the others decreased. Conclusions At the beginning of influenza in Beijing in 2014 winter, exterior syndrome was prominent, and the major type was cold-heat. Patients with underling diseases were easier to see this type, this might be associated with constitution factors. Besides, patients of exterior cold were apt to combine with dampness. And the duration of exterior syndrome was very short. With the development of the course, pathogenic-heat invading lung type was in-creasing.