甲型H1N1流行性感冒47例的中医诊疗与临床证候分析

目的 通过分析甲型H1N1流行性感冒病例的中医临床证型特征和治疗特点,探索其最佳治疗措施。方法 对2009年5月至7月成都地区收治的47例甲型H1N1流行性感冒确诊病例进行中医动态观察和辨证论治并总结其中医证型特征和治疗特点。其中30例给予奥司他韦抗病毒联合中医辨证治疗;13例采用单纯中医辨证治疗,未使用奥司他韦;2例患者单用奥司他韦治疗;另2例患者仅给予对症治疗,未使用奥司他韦或中药。结果 47例患者临床表现局限于中医"温病"卫气分阶段,分风温袭表证(36例/76.6%),湿温证(8例/17%),邪入气分、热毒壅盛证(3例/6.4%)三种证型。所有患者痊愈出院。结论 成都地区夏季甲型H1N1流行性感冒病例病情较轻,无重症患者;单纯中医治疗和(或)奥司他韦治疗均有效,中西医结合疗法具有优势。

Analysis of the diagnosis and treatment and clinical syndrome of TCM of 47 cases with A H1N1 influenza

ObjectiveThrough analyzing TCM clinical syndrome type feature and treatment characteristics of 47 A H1N1 influenza cases,to explore the best treatment measures.Methods In May to July 2009 chengdu area 47 confirmed cases of A H1N1 influenza accepted TCM syndrome differentiation and dynamic observation,and the TCM syndrome type feature and treatment characteristics were sumed up.30 cases gived oseltamivir antiviral joint Chinese medicine therapy;13 cases by the pure Chinese medicine therapy,did not use oseltamivir;Two patients with oseltamivir treatment;The other two patients were limited to symptomatic treatment,did not use oseltamivir or traditional Chinese medicine.Results47 patients with clinical manifestations confined to the TCM ＂WenBing＂ defensive and qi phases,divided into three types,include feng-wen syndrome（36 cases/76.6%）,shi-wen syndrome（8 cases/17%）and evil into the gas phases／ abundance of toxic heat syndrome（3 cases/6.4%）.All patients recovered from the hospital.Conclusion Chengdu area A H1N1 influenza cases＇ illness in summer is lighter,no serious patients;Pure Chinese medicine treatment and（or） oseltamivir treatment are valid,combine traditional Chinese and western medicine therapy has advantage.