基础医学与临床 ›› 2021, Vol. 41 ›› Issue (4): 558-561.

• 临床研究 • 上一篇    下一篇

52例COVID-19患者出院后核酸复检阳性的中医证型分析

陈云坤, 刘煌, 张文斌, 王杰*   

  1. 重庆市中医院 呼吸与危重症医学科, 重庆 400021
  • 收稿日期:2020-07-09 修回日期:2020-08-29 出版日期:2021-04-05 发布日期:2021-04-05
  • 通讯作者: *wangjie1898@sina.com
  • 基金资助:
    重庆市卫生健康委员会新冠肺炎防控应急科研专项(2020NCPZX20)

Analysis of Traditional Chinese Medicine syndrome types in 52 COVID-19 patients with positive nucleic acid retest after discharge

CHEN Yun-kun, LIU Huang, ZHANG Wen-bin, WANG Jie*   

  1. Department of Respiratory and Critical Care Medicine, Chongqing Hospital of Traditional Chinese Medicine,Chongqing 400021,China
  • Received:2020-07-09 Revised:2020-08-29 Online:2021-04-05 Published:2021-04-05
  • Contact: *wangjie1898@sina.com

摘要: 目的 探讨孝感地区普通型COVID-19出院后核酸复检阳性患者中医四诊信息、中医证型分布规律,为总结经验及制定科学、高效的救治方案提供依据。方法 收集分析来自湖北省孝感市第一人民医院收治的52例普通型COVID-19患者出院后核酸复检阳性的临床资料,主要包括患者基本信息、基础疾病、中医四诊信息、中医证型分布规律。结果 52例普通型COVID-19患者出院后核酸复检阳性以及临床表现异常者共22例(42.31%),主要表现为咳嗽17例(32.69%),其次还有便秘、胸闷、腹泻、纳差、乏力、气促等症状。舌质主要为暗红(50.00%),其次为舌质淡红、舌质红。舌苔主要为黄腻(53.85%),其次为白腻、薄白、薄黄、少苔。临床证型分属为湿毒郁肺证24例(46.15%),其次为寒湿阻肺证、肺脾气虚证、气阴两虚证。结论 普通型COVID-19患者出院后核酸复检阳性根据辨证主要为湿毒郁肺型,“湿”“毒”为主要致病因素,治宜以祛湿为则。

关键词: 新型冠状病毒肺炎, 中医证型, 病机

Abstract: Objective To explore the four diagnostic information of Traditional Chinese Medicine and the distribution profile of syndrome types of common COVID-19 patients with positive nucleic acid retest after discharge in Xiaogan area, so as to provide basis for collecting experience and formulating scientific and efficient treatment regimen. Methods The clinical data of 52 cases of common COVID-19 patients with positive nucleic acid re-examination after discharge were collected from the First People's Hospital of Xiaogan City, Hubei Province with the basic information of patients, under lying diseases, four diagnosis information of Traditional Chinese Medicine and the distribution of syndrome types of Traditional Chinese Medicine. Results There were 22 cases (42.31%) showed abnormal clinical manifestations in 52 cases of common COVID-19 positive nucleic acid recheck after discharge, including 17 cases of cough (32.69%), followed by constipation, chest tightness, diarrhea, poor appetite, weakness, shortness of breath and other symptoms. The tongue was mainly dark red (50.00%), followed by light red and red. The tongue coating was mainly yellow greasy (53.85%), followed by white greasy, thin white, thin yellow and less coating. Clinical syndrome types were classified as 24 cases (46.15%) of dampness toxin stagnation lung syndrome, followed by cold dampness obstruction lung syndrome, lung spleen Qi deficiency syndrome and Qi Yin deficiency syndrome. Conclusions The syndrome differentiation of common COVID-19 patients with positive nucleic acid re-examination after discharge is mainly damp toxin stagnation of lung syndrome. The main pathogenic factors are damp and toxin, so the treatment should focus on dispelling dampness.

Key words: COVID-19, Traditional Chinese Medicine syndrome type, pathogenesis

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