472例新型甲型H1N1流感的分期辨证与病因病机规律探讨

目的：通过对472例新型甲型H1N1流感患者的证候学分期调查,总结新型甲型H1N1流感的分期辨证模式,使其辨证论治根据符合临床实际。方法：参考卫生部甲型HINI流感诊疗方案为诊断标准,选择深圳市第三人民医院2009年5月-2010年3月期间住院隔离并确诊的患者472例。采用横断面调查方法回顾性分析甲型H1N1流感确诊病例472例,分别按照表证期、里证期和恢复期三个阶段的各自临床症状、体征,以及各期相关证素等对346例轻症以及126例重症患者的发病年龄,体重,住院天数,发热情况（包括发病中最高体温,发热持续时间以及治疗-体温正常时间）,进行统计学分析。结果：根据472例甲型H1N1流感患者的临床特征,表证期表达频数超过50%的症状、体征有：发热90.46%,疲乏68.21%,咳嗽50.29%,咽充血72.83%,扁桃体肿大83.53%等;里证期表达频数超过50%的症状、体征有：发热100%、咳嗽100%、小便黄100%、口渴100%、胸痛76.98%、咽痛81.75%等;恢复期相对高频的有：疲乏30.29%、纳差17.58%、脘痞17.58%、小便黄17.16%、咳嗽11.23%等。结论：新型甲型H1N1流感患者表证期以风热袭表、正气受损为特点,里证期类似于＂风温病＂的＂热郁胸膈证＂和＂邪热壅肺证＂的组合,恢复期以正气受损（气虚、阴虚、阳虚）、余邪未净为病机特点。

Investigation on Laws of Dialectical Staging and Etiology and Pathogenesis of 472 Cases Neotype HIN1 Influenza A

Objective To observe the syndrome characteristics of neotype HINI influenza A patients and explain its etiology and pathogenesis,so as to summarize the staging dialectical model according with clinicalpractice..Methods 472 cases of influenza H1N1 were confirmed in line with the diagnostic criteria of Ministry of Public Health,who were isolated and hospitalized in Shenzhen Third People's Hospital during March 2009 to March 2010.They were retrospectively analyzed using cross-sectional survey methods and stati...