文章摘要
陈如平,包剑锋,许远,等.杭州地区77例普通型新型冠状病毒肺炎中医证候及病机特点初探[J].浙江中医药大学学报,2020,44(6):507-513.
杭州地区77例普通型新型冠状病毒肺炎中医证候及病机特点初探
A Preliminary Study on TCM Syndromes and Pathogenesis Characteristics of 77 Cases with Ordinary Type of COVID-19 in Hangzhou
投稿时间:2020-03-15  
DOI:10.16466/j.issn1005-5509.2020.06.003
中文关键词: 新型冠状病毒肺炎  湿毒疫  中医证候  病机  湿毒郁肺  疫毒闭肺  疫病  杭州地区
英文关键词: Corona Virus Disease 2019  wet poison epidemic  TCM syndromes  pathogenesis  dampness-toxicity stagnation in the lung  plague-toxicity blocking the lung  epidemic disease  Hangzhou area
基金项目:杭州市新型冠状病毒感染的肺炎防治科研攻关项目(第一批)(20202013A01)
作者单位E-mail
陈如平 杭州市西溪医院 杭州 310023  
包剑锋 杭州市西溪医院 杭州 310023 zjbjf1972@aliyun.com 
许远 杭州市西溪医院 杭州 310023  
邱宇洁 杭州市西溪医院 杭州 310023  
武瑞 杭州市西溪医院 杭州 310023  
吴宝亮 杭州市西溪医院 杭州 310023  
陈海平 杭州市西溪医院 杭州 310023 chhping@163.com 
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中文摘要:
      [目的]分析杭州地区普通型新型冠状病毒肺炎确诊患者中医证候特点及病因病机,为临床诊疗提供依据。[方法]对符合普通型新型冠状病毒肺炎诊断标准的77例患者,收集人口学资料、流行病学资料、血液检查数据、胸部CT平扫报告、中医证候特征、舌象和脉象等信息进行研究分析。[结果]普通型新型冠状病毒肺炎患者平均年龄(44.13±13.62)岁;74.03%的患者有新冠肺炎患者密切接触史或湖北地区旅居史,29.87%的患者为聚集性病例;多数患者白细胞计数正常或减低(93.51%),淋巴细胞计数减低(40.25%),C反应蛋白升高(46.75%),胸部CT提示病毒性炎症改变(90.91%);半数以上患者有咳嗽(61.04%)、发热(50.65%)等症状;舌质以淡红舌或红舌为主(83.12%),舌苔以白腻苔(46.75%)多见,脉象以濡脉较多(45.45%);证型以湿毒郁肺型(72.73%)为主,少数患者为疫毒闭肺型(27.27%)。[结论]杭州地区普通型新型冠状病毒肺炎初步分析以湿毒郁肺型为主,属“湿毒疫”,符合中医湿疫的特点。
英文摘要:
      [Objective] To investigate the traditional Chinese Medicine(TCM) syndrome characteristics and pathogenesis characteristics of patients with ordinary type of Corona Virus Disease 2019(COVID-19) in Hangzhou, so as to provide basis for clinical diagnosis and treatment.[Methods] The demographic data, epidemiological data, blood test data, chest CT plain scan report, TCM syndrome characteristics, tongue image, pulse image and other information from 77 patients who met the diagnostic criteria of ordinary type of COVID-19 were collected and analyzed.[Results] The average age of patients with ordinary type of COVID-19 was(44.13±13.62) years old; 74.03% of the patients had a history of close contact with patients with COVID-19 or a history of sojourn in Hubei, 29.87% of the patients were clustered cases. The number of leukocytes in peripheral blood of patients was normal or decreased(93.51%), lymphocytes decreased(40.25%), C reactive protein increased(46.75%) in most patients and most of patients had chest CT imaging features of viral pneumonia(90.91%); more than half of the patients had symptoms such as cough (61.04%) and fever (50.65%); the tongue quality was mainly light red tongue or red tongue (83.12%), the tongue coating was more common with white greasy coating(46.75%), and the pulse pattern was mostly soggy pulse (45.45%); The main type of TCM syndromes was dampness-toxicity stagnation in the lung(72.73%), a small number of patients was presented with syndrome of plague-toxicity blocking the lung(27.27%).[Conclusion] The preliminary analysis of the ordinary type of COVID-19 in Hangzhou is mainly based on dampness-toxicity stagnation in the lung, and the cause is "wet poison epidemic", which is in line with the characteristics of traditional Chinese medicine wet epidemic.
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