2017年冬季北京单中心68例乙型流感中医病证分析

Analysis of TCM Syndrome of 68 Cases of Influenza B in Beijing Single Center in Winter of 2017

目的:观察2017年冬季北京单中心乙型流感病例的中医病证特征。方法:采用横断面调查方法回顾2017年11、12月首都医科大学附属北京朝阳医院68例乙型流感病例,通过分析其流行病学、临床症状及实验室检查特点,总结北京地区2017年冬季乙型流感病例的中医病证特征。结果:临床表现:68例乙型流感病例起病即发热(100%),Tmax(38.6±0.43)℃,发热持续不退,恶寒、咳嗽、咽痛、肌肉酸痛、头痛等症状明显,中医证候以表寒里热证(39.7%)为主,其次风热证(14.7%)。流行病学:68例乙型流感病例人群年龄(39.5±15.9)岁,男女比例0.54∶1,有基础病者(0.8%),就诊前用药者(54.4%);未接种流感疫苗者(100%),接触流感样患者(48.5%)。实验室检查:乙型流感病毒病毒株为Yamagata系,中性粒细胞百分比不高,余未见异常。结论:2017年冬季北京单中心68例乙型流感病例属中医学"时行感冒"范畴,临床表现以发热恶寒、咳嗽,咽痛,肌肉酸痛,头痛的表寒里热证为特征。

Objective： To observe the cases of TCM syndrome characteristics of single center influenza B in Beijing in the winter of2017. Methods： A total of 68 cases of influenza B in Beijing Chaoyang Hospital Affiliated to Capital Medical University from January to December in 2017 were retrospectively analyzed by cross-sectional survey. The epidemiology,clinical symptoms and laboratory features of 68 cases of influenza B were retrospectively analyzed,which summarized the symptoms of influenza B of TCM syndromes in winter of 2017. Results： The clinical manifestations of 68 cases of influenza B were fever onset（ 100%）,Tmax（ 38. 6 ±0. 43） ℃,and the fever persisted,with the aversion to cold,cough,sore throat,muscle soreness,headache and other symptoms appeared significantly. Syndrome was based on cold in the Exterior and Heat in the Interior（ 39. 7%）,followed by external wind-heat syndrome（ 14. 7%）. Epidemiology： 68 cases of influenza B were（ 39. 5 ± 15. 9） years old,male female ratio was 0. 54∶ 1,with basic disease（ 0. 8%）,the rate of drug users before treatment（ 54. 4 %）,patients without vaccinating against influenza（ 100%）,patients with flu-like illness（ 48. 5%）. Laboratory tests： Type B influenza virus strain was Yamagata series,the percentage of neutrophils was not high,and no abnormal situation was seen. Conclusion： 68 cases of type B influenza in Beijing single center in winter of 2017 were classified as ＂Epidemic colds＂in TCM. And the clinical manifestations were characterized by cold-heat syndrome of fever,aversion to cold,cough,sore throat,muscle ache and headache.