92例流感病毒性肺炎住院患者的中医证候分析

TCM syndrome analysis of 92 cases of hospitalized patients with influenza viral pneumonia

目的:探讨流感病毒性肺炎患者的中医临床特征与证候分布规律。方法:采用横断面调研的方法,采集92例流感病毒性肺炎住院患者的临床资料,通过描述性分析和聚类分析,同时结合专家意见探讨中医证候分布规律。结果:流感病毒性肺炎患者以发热、咳嗽、咯痰、恶寒、鼻塞、咽痛、流涕为主要临床表现。中医证候分为风热袭卫证(55.44%)、风热夹湿犯肺证(23.91%)和湿热壅肺证(20.65%),病程在5-7d以风热袭卫证和风热夹湿犯肺证较为多见,病程>7d以湿热壅肺证为主。甲型流感病毒性肺炎患者以风热袭卫证最为常见。结论:流感病毒性肺炎患者的中医证候分布具有一定的规律性,以风热袭卫证最为常见,证候分布与病程长短和流感病毒的类型有关。

Objective： To investigate the clinical characteristics and distribution regularity of TCM syndrome in patients with influenza virus pneumonia. Methods： By cross-sectional investigation method, collecting the clinical data of 92 cases of hospitalized patients with influenza virus pneumonia, through descriptive analysis and clustering analysis, combining the expert opinion to discuss the distribution regularity of TCM syndromes. Results： Some symptoms that fever, cough, expectoration, aversion to cold, stuffy nose, sore throat and runny nose were the main clinical manifestations of patients with influenza virus pneumonia. Its TCM syndrome types included syndrome of wind-heat invading lung（55.44%）, syndrome of wind-heat-dampness invading lung（23.91%） and syndrome of dampness-heat stagnating in the lung（20.65%）. When the course of disease in 5d to 7d, the syndrome of wind-heat invading lung and syndrome of wind-heat-dampness invading lung were common, but when the course of disease in more than 7d, the syndrome of dampness-heat stagnating in the lung was common. The syndrome of windheat invading lung was common in the patients with influenza A virus pneumonia. Conclusion： The distribution of TCM syndrome types in patients with influenza virus pneumonia has certain regularity. The syndrome of wind-heat invading lung is the most common, and syndrome distribution is related to the length of the disease course and the type of flu virus.