甲型流感患者中医体质特点分析

The Analysis of TCM Constitution in Cases of Influenza A

目的探讨甲型流感患者的中医体质特点。方法对151例甲型流感确诊患者(103例病毒核酸检测显示87.4%为甲型H3N2流感)应用中华中医药学会2009年发布的"中医体质分类与判定自测表"进行中医体质问卷调查,判定其中医体质类型。结果 9种中医体质类型出现比例由高到低依次为:痰湿质(73例,48.34%)>湿热质(69例,45.70%)>气虚质(66例,43.70%)>阳虚质(59例,39.07%)>气郁质(57例,37.75%)>阴虚质(53例,35.10%)>血瘀质(26例,17.22%)>平和质(19例,12.58%)>特禀质(17例,11.26%)。体质类型组合方式以单一、2种、3种的组合最为多见,其次为4种、5种、6种之组合,7种、8种组合十分少见。男性阳虚质、血瘀质出现比例明显低于女性,而平和质出现比例高于女性;有鼻炎史者出现阳虚质比例显著低于无鼻炎史者;有高血压史者的血瘀质出现比例明显高于无高血压病史者(均P<0.05)。结论甲型流感患者多为偏颇体质,以单一、2种、3种的体质组合最为多见;性别、鼻炎病史、高血压病史等是甲型流感患者体质类型的常见影响因素。

Objective： To discuss the characteristics of TCM Constitution in Case of influenza A. Methods： Ac- cording to Chinese constitution classification and decision table of self testing published in 2009 by Chinese Med- ical Association, 151 cases with Influenza A,among which there were 103 cases whose Virus nucleic acid detec- tion showed that 87.4% was H3N2,were given Questionnaire investigation and their TCM Constitution Type were identified. Results： There were 9 TCM Constitution types ： phlegm-dampness （73 cases, 48.34% ） 〉damp-heat （69 cases, 45.70% ） 〉qi asthenia （66 cases,43.70% ） 〉yang asthenia （59 cases, 39.07% ） 〉qi stagnation （57 cases, 37.75%）〉yin asthenia（53 cases,35.10%）〉blood stasis（26 cases, 17.22%）〉yin-yang har/nony（19 cases, 12.58%） 〉allergic constitution（ 17 cases, 11.26%）. The way of Constitution type combination was mainly single, two combi- nation,three combination ;4,5,6 combinations were fewer;7,8 combinations were very rare. The Proportion of yang asthenia and blood stasis in male were lower than those of female ,while The Proportion of yin-yang harmony was higher than that of female. The Proportion of yang asthenia in patients with Rhinitis history was obviously lower than that without Rhinitis history. The Proportion of blood stasis in patients with History of hypertension was obviously higher than that withoutHistory of hypertension. Conclusion： Most of the patients with Influenza A have BiaSed constitution. The way of Constitution type combination is mainly single,two combination, three combination. gender,Rhinitis history,History of hypertension are common influence factors of the patients with Influenza A.