【摘要】：目的:探討流行性感冒中醫(yī)證型分布特點。旨在通過調(diào)查北京地區(qū)東方醫(yī)院流感樣病例特征數(shù)據(jù),在證實病原學(xué)證據(jù)基礎(chǔ)上,分析流感樣病例中醫(yī)證型分布特點。目的為進一步開展本病的長期大樣本、多中心的中醫(yī)證候規(guī)范化研究打下基礎(chǔ)。為臨床工作者預(yù)防、診斷及治療過程中提供科學(xué)的依據(jù)。方法:通過對300例發(fā)熱門診的流行性感冒病例的臨床調(diào)查,分析流行性感冒在不同年齡、性別下中醫(yī)證型的分布情況。通過篩查從2016年2月至2017年2月期間,在北京中醫(yī)藥大學(xué)東方醫(yī)院發(fā)熱門診就診的流感患者進行臨床流行病學(xué)問卷調(diào)查,并確診所調(diào)查流感樣病例作咽拭子檢查后,取得病毒病原學(xué)證實,通過對其年齡、性別、發(fā)病誘因、體溫以及相關(guān)癥狀、體征、實驗室檢查等方面進行調(diào)查統(tǒng)計分析,將所得到的數(shù)據(jù)整理歸納,利用SPSS 21.0軟件建成數(shù)據(jù)庫進行分析。結(jié)果:通過臨床收集,整理得到經(jīng)病毒病原學(xué)證實的流感患者的資料進行總結(jié)如下:①調(diào)查患者中年齡多居中于19-44歲,以青壯年多見,性別比例相差不大。②患者體溫大多低于39℃,處于發(fā)病初期。③大多患者屬于青中年,既往基礎(chǔ)病史少,不良嗜好少。④患者病原學(xué)證據(jù)提示:感染甲型流感病毒明顯多于乙型流感病毒。⑤多數(shù)患者臨床癥狀有特異性,血常規(guī)檢查多提示異常,可能與流感初期血常規(guī)多有異常有關(guān)。根據(jù)提供的四診相關(guān)信息的可歸納出5種中醫(yī)證候,辨證為風(fēng)熱犯肺證的有138例,占總數(shù)46%,其中甲型流感病毒感染117例,占39%,乙型流感病毒感染21例,占7%;風(fēng)寒襲肺證的有67例,占總數(shù)22.3%,其中甲型流感病毒感染43例,占14.3%,乙型流感病毒感染24例,占8%;表寒里熱證的有52例,占總數(shù)17.3%,其中甲型流感病毒感染28例,占9.3%,乙型流感病毒感染24例,占8.0%;風(fēng)寒夾濕證的有26例,占總數(shù)8.7%,其中甲型流感病毒感染8例,占2.7%,乙型流感病毒感染18例,占6.0%,可見乙型流感病毒多侵襲素體有濕邪者,這與單個癥狀調(diào)查結(jié)果一致;風(fēng)燥傷肺證的有9例,占總數(shù)3%,其中甲型流感病毒感染3例,占1.0%,乙型流感病毒感染6例,占2.0%;邪入少陽證的有8例,占總數(shù)2.7%,其中甲型流感病毒感染6例,占2.0%,乙型流感病毒感染2例,占0.7%。北京地區(qū)以風(fēng)熱犯肺證居多。結(jié)論:通過對300例秋冬季節(jié)流感患者進行觀察,發(fā)現(xiàn)流感發(fā)病人群以中青年為主,據(jù)統(tǒng)計,本次調(diào)查主要以甲型流感病原體感染為主;根據(jù)所觀察記錄的中醫(yī)相關(guān)表現(xiàn)可見:統(tǒng)計頻數(shù)較高的癥狀依次有咳嗽、流涕、頭痛頭暈、咽癢。所有調(diào)查人群均來自發(fā)熱門診,均可見不同程度發(fā)熱,通過相關(guān)臨床表現(xiàn)分析可見,中醫(yī)證候以風(fēng)熱犯肺證居多。通過本觀察分析流感病毒流行特征,總結(jié)患者中醫(yī)病證證候,為臨床診斷及治療提供思路,以便更好地指導(dǎo)臨床實踐。
[Abstract]:Objective: to study the distribution of TCM syndrome types of influenza. The purpose of this study was to investigate the characteristic data of influenza like cases in Dongfang Hospital of Beijing area and to analyze the distribution characteristics of TCM syndromes of influenza like cases on the basis of confirmed etiological evidence. Objective to lay a foundation for the long-term, multi-center study on the standardization of TCM syndromes. To provide a scientific basis for the prevention, diagnosis and treatment of clinical workers. Methods: through the clinical investigation of 300 cases of influenza in fever outpatient clinic, the distribution of TCM syndromes of influenza in different age and sex was analyzed. During the period from February 2016 to February 2017, a clinical epidemiological questionnaire survey was conducted on influenza patients in the fever clinic of Oriental Hospital of Beijing University of traditional Chinese Medicine, and a throat swabbing test was made to confirm the influenza like cases investigated. Through the investigation and analysis of age, sex, cause of onset, body temperature and related symptoms, signs, laboratory examinations, etc., the obtained data were collated and summarized. Using SPSS 21 1.0 software to build the database to carry on the analysis. Results: through clinical collection, the data of influenza patients confirmed by virus etiology were summarized as follows: the majority of the patients in the survey were at the age of 19-44 years, and most of them were young and mature. The sex ratio was not different between the two groups. 2. The body temperature of the patients was less than 39 鈩，

本文編號：2188246