甲型H1N1流感43例临床治疗分析

目的分析扬州地区甲型H1N1流行性感冒(流感)轻型的临床特征,观察中药治疗甲型H1N1流感临床疗效及不良反应。方法对苏北人民医院新区分院2009年8月11日至10月26日收治确诊的43例甲型H1N1流感患者临床特征进行回顾性分析,对使用双黄连颗粒、三九感冒灵颗粒、痰热清治疗患者进行总结分析。结果 43患者中男28例,女15例,年龄8～54岁,学生占40例。临床主要表现为流感样症状,包括发热、咽痛、咳嗽、咳痰、鼻塞、流涕等,体征有咽部充血等。外周血白细胞总数正常或偏低。胸片检查部分表现为肺纹理增粗,均为轻型病例。使用双黄连颗粒、三九感冒灵颗粒、痰热清治疗的患者均治愈出院,未见明显不良反应。结论新型甲型H1N1流感传染性强,临床表现与普通季节性流感类似,以青少年学生为主,轻型病例使用双黄连颗粒、三九感冒灵颗粒、痰热清抗病毒治疗均可以治愈。

Clinical analysis of 43 confirmed cases of influenza A(H1N1)

Objective To investigate the clinical features of slightly influenza A（H1N1）,and to observe the clinical effect and adverse reaction of Chinese medicine in the treatment of influenza A（H1N1）.Methods A total of 44 patients with influenza A（H1N1） hospitalized in new area branch of Subei people＇s hHospital of Jiangsu province from August 11 to October 26 in 2009 were analyzed retrospectively,and to analyze the patients treated with shuanghuanliankeli,sanjiuganmaolingkeli and tanreqing.Results There were 29 males and 15 females in the total of 44 patients.The range of age was from 8 years to 54 years,and the number of students was 40.The main symptoms were influenza-like symptoms including fever,sore throat,cough,expectoration,nasal obstruction,nasal discharge and so on.The main physical sign was pharyngeal portion congestion.The number of leukocytes in the peripheral blood was normal or low.Abnormal appearance of chest X-ray increased bronchovascular shadows in some cases.There were all slightly cases.There were no obviously adverse reaction of the patients who used shuanghuanliankeli,sanjiuganmaolingkeli,tanreqing,and all patients recovered.Conclusion The infectivity of the new influenza is high,and the clinical features are similar to those of sessonal influenza.Most of the patients are adolescences.The patients can recover with shuanghuanliankeli,sanjiuganmaolingkeli and tanreqing treatment.