51例甲型H1N1流感轻症的证候分析

Analyses of TCM syndrome of 51cases of H1N1 virus patients with mild case

目的:归纳和探讨甲型H1N1流感患者的中医症候、证型及实验室检验特点。方法:回顾分析51例确诊的甲型H1N1流感患者,根据患者临床症状,按照中医辨证理论归纳甲型H1H1流感的中医症候、证型及实验室检查特点。结果:甲型H1N1流感患者中,51例患者100%患者发热超过2-4h,以咳嗽、咽痛/咽痒、咽喉红肿及舌尖红为主要主症,57%患者舌苔腻或湿滑;80%患者白细胞正常,63%患者出现淋巴细胞比例下降。结论:甲型H1N1流感属于中医温病风热范畴,在卫分症上,证型大多属于风热表证、风热犯肺、风热夹湿,实验室检查血常规、T淋巴细胞亚群无特异性表现。

Objective：To summarize and explore characteristics of swine-origin influenza A （H1N1） virus patients＇ traditional Chinese medicine （TCM） syndrome and laboratory tests.Methods：Retrospective analysis of 51 cases of the confi rmed new type H1N1 influenza,the clinical symptoms,syndrome type,and laboratory features were summarize according to the TCM theory.Results：All patients with H1N1 influenza had a fever more than 24 hours,and with cough,pharyngodynia/pharyngeal itching,pharyngitis,tongue red.57% Patients had greasy or slippery fur on tongue;80% of patients had normal WBC,63% patients had decreased lymphocytes.Conclusion：The new type of influenza H1N1 disease belonged to warm disease with wind-heat characteristics,the main syndrome types were exterior syndrome of wind-heat,syndrome of wind and heat invading lung,syndrome of wind-heat with dampness.Laboratory tests including blood routine examination and T lymphocyte subsets were in the normal performances.