湖南省部分新型冠状病毒肺炎中医证候分布规律分析

目的通过运用现代信息网络流行病学调查方法,总结湖南省部分新冠肺炎中医证候分布规律,为精准辨证作出指导方向。方法对定点医院收治的湖南省新冠肺炎病例,运用网络信息流行病学调查方法,设计新冠肺炎中医证候问卷表,统计2020年2月4日-10日收治的患者共77例,进行数据整理及统计学分析。结果1.重症患者发热、恶寒、身痛卫表证较为明显,轻症患者不明显,两组比较差异有统计学意义(P<0.05);2.两组患者咳嗽均以干咳为主,重症患者咳嗽、气急症状较轻症患者严重(P<0.05);两组胸闷症状比较,差异有统计学意义(P<0.05);3.重症患者有明显的口干、口苦、恶心呕吐、腹胀、纳差、乏力、便溏等湿浊困脾症状,而轻症组不明显,两组比较差异有统计学意义(P<0.05);4.重症组黄腻苔、白腻苔明显多于轻症组(P<0.05),舌尖少苔所占比例亦多。结论本次湖南省新冠肺炎病机为温毒所致,夹浊毒之气,与《湖南省新型冠状病毒感染的肺炎中医药诊疗方案》病机辨治认识基本一致,故清热解毒,化浊利湿为基本治疗原则,结合分期论治,三因制宜,个体化治疗,取得较好效果。

Analysis of the Distribution Law of Traditional Chinese Medicine Syndrome of Some COVID-19 in Hunan Province

Objective To summarize the distribution law of traditional Chinese medicine(TCM)syndrome of COVID-19 in Hunan province by modern information network epidemiological survey method,and to point out the direction of guiding the precise syndrome differentiation.Methods COVID-19 patients admitted in designated hospitals in Hunan province were analyzed by using network information epidemiology survey method.The questionnaire of TCM syndrome of COVID-19 was designed.A total of 77 COVID-19 patients admitted from February 4 to February 10,2020 were collected and analyzed by data collation and statistical analysis.Results 1.The symptoms of fever,chills and body pain defensive exterior syndrome in severe patients were more obvious than those in light patients,and the distribution difference between the 2 groups was statistically significant(P<0.05);2.The cough in both groups was mainly dry cough,and the symptoms of cough and shortness of breath in severe patients were more serious than those in light patients(P<0.05),but the symptoms of chest distress in both groups were not obvious,and there was no significant difference(P>0.05);3.The severe patients had clear symptoms of dampness and turbid disturbing spleen,such as dry mouth,bitter mouth,nausea and vomiting,abdominal distention,poor appetite,fatigue,loose stools and so on,while not obvious in the light group.The distribution difference between the 2 groups was statistically significant(P<0.05);4.The yellow greasy fur and white greasy fur in the severe group were significantly more than those in the light group(P<0.05),and the proportion of little fur at the tip of the tongue was also large.Conclusion The pathogenesis of COVID-19 in Hunan is warm toxin,combined with Qi of turbidity and toxin,which is basically consistent with the pathogenesis and syndrome differentiation treatment of COVID-19 TCM Treatment Plan of Hunan Province.Therefore,clearing away heat and detoxifying,transforming turbidity and removing dampness are the basic treatment principles.Combined with the treatment by stages,and treating with three cases,as well as individualized treatment,good effects will be achieved.