224例流感样病例中医证候学特点观察

目的观察流感样病例中医证候学分布特点及与体质因素的关系。方法采用横断面调查方法回顾224例流感样病例流行病学资料并分析其中医证候学资料,总结中医证候学分布特点及与体质因素的相关性。结果224例流感样病例发病前多有与疾病发生相关的因素存在,如受凉、劳累、与发热患者接触及饮食等因素;发病前多有“火热上炎”的表现;发病时普遍出现恶寒发热汗出、咽痛咽痒等邪犯肺卫之象;发病人群以正常型体质及阴虚型体质为主,临床有典型的风寒或风热表现者,同时也有一部分患者出现寒热错杂的表现。结论流感样病例发病前及发病时中医证候学分布特点明显,发病与体质因素具有一定的相关性,提示其证候学分布特点在预防及早期诊治时有重要意义。

Characteristics of TCM symptomatology in 224 influenza-like cases

Objective To observe the distribution characteristics of TCM symptomatology in influenza-like cases and the relationship between these characteristics and constitutional factors. Methods The epidemiological materials of 224 influenza-like cases were reviewed by applying cross-sectional study and their materials of TCM symptomatology were analyzed. The distribution characteristics of TCM symptomatology and the relationship between the characteristics and constitutional factors were summed up. Result Before the onset there were factors related to the disease, such as catching cold, tiredness, contacting with fever patient and diet, in 224 influenza-like cases. The patients had the manifestations of heat-fire flaming upper before the onset, and during the course of the disease the patients had the symptoms including aversion to cold, fever, sweating, sore throat and itching, which were the manifestations of pathogenic qi invading lung-wei. The patients had normal or yin-deficiency constitution mostly. In the clinic the patients had typical symptoms of wind-cold or wind-heat, and some of them had the symptoms of simultaneous occurrence of cold and heat. Conclusion The influenza-like cases have typical distribution characteristics of TCM symptomatology before and after disease onset, which relate to the constitutional factors. The distribution characteristics of TCM symptomatology are important to the prevention, early diagnosis and treatment of the disease.