岭南地区流行性感冒中医证候研究

Research on TCM Syndromes of Influenza in South of the Five Ridges

目的:探讨岭南地区流行性感冒中医证候分型,为中医诊治提供依据。方法:通过回顾性分析广东省中医院1 143例流行性感冒患者的中医证候及流行性病学资料,了解流行性感冒中医证候分布情况,并分析中医证候与病原学及兼夹证的关系。结果:1 143例患者中,男性559例(占51.1%),女性584例(占48.9%),甲型流感流病毒789例(69.0%),乙型流感流病毒354例(31.0%)。中医证型以风热犯卫证为主,具体如下:风热犯卫证947例(82.9%),风寒束表证83例(7.3%),热毒袭肺证113例(9.9%)。甲型流感流病毒及乙型流感流病毒患者中医证型以风热犯卫证为主,其次是热毒袭肺证及风寒束表证。夹杂湿证211例(18.46%),其中风热犯卫证156例,占73.9%,风寒束表证52例,占14.7%,热毒袭肺证89例,占11.4%,组间比较差异有统计学意义(P<0.05)。结论:岭南地区流行性感冒中医证候以风热犯卫证为主,部分兼夹湿邪为患,与岭南多湿的特点一致。

Objective： To explore the TCM syndromes of influenza in south of the Five Ridges and provide evidences for the diagnosis and treatment of influenza in Chinese medicine. Methods： The TCM syndromes and epidemiological data of totally 1143 patients with influenza in Guangdong Provincial Hospital were collected to analyze the distribution of TCM syndromes and the relation between TCM syndromes and complicated syndromes. Results： Among the 1143 patients,559 patients were male（ accounting for51. 1%）,584 patients were female（ accounting for 48. 9%）,789 patients were with influenza A（ accounting for 69. 0%）,354 patients were with influenza B（ accounting for 31. 0 %）. For TCM syndromes,wind heat attacking defensive phase was the main syndrome. Specifically,947 cases were with syndrome of wind heat attacking defensive phase（ accounting for 82. 9%）,83 cases were with syndrome of wind cold tightening superficies（ accounting for 7. 3%）,113 cases were with syndrome of heat toxicity attacking the lung（ accounting for 9. 9）. The syndrome of wind heat attacking defensive phase was the main syndrome of influenza A and influenza B,then was the syndrome of heat toxicity attacking the lung and the syndrome of wind cold tightening superficies.There were 211 cases with intermingling cold syndrome（ 18. 46%）,among which syndrome of wind heat attacking defensive phase was 156 cases（ accounting for 73. 9%）,syndrome of wind cold tightening superficies was 52 cases（ accounting for14. 7%） and syndrome of heat toxicity attacking the lung was 89 cases（ accounting for 11. 4%）. There was statistical significance between different groups（ P〈0. 05）. Conclusion： The syndrome of wind heat attacking defensive phase was the main syndrome of influenza in south of the Five Ridges and some complicated with damp pathogen,which conforms to the damp feature of this area.