11例儿童2019冠状病毒病的中医证候分析

Distribution of Traditional Chinese Medicine Syndromes in Children with Coronavirus Disease 2019:An Analysis of 11 Cases

【目的】分析儿童2019冠状病毒病(COVID-19)的中医证候特征,为中医药的临床辨证治疗提供参考依据。【方法】采用一般描述性分析方法,动态观察11例2019冠状病毒病住院患儿发病后的中医证候特征。【结果】儿童患者的临床证候表现与成人患者不完全一致,患儿多以发热、干咳、或/和伴鼻塞流涕、咽痛为主要证候,11例患儿均无乏力、身痛表现。病位早期主要在肺,恢复期主要在脾。早期证型表现为湿邪郁肺证或湿热蕴肺证,恢复期证型表现为气虚湿滞证或余热未清证。【结论】2019冠状病毒病属于中医瘟疫范畴,儿童的中医临床证候表现与成人不完全相同,本研究通过对临床动态演变过程的分析,初步反映该病儿童的中医证候及病因病机特点,在辨证论治方面有一定的指导价值。

Objective To investigate the distribution of traditional Chinese medicine(TCM)syndromes in children with coronavirus disease 2019(COVID-19),so as to provide reference for the clinical syndrome differentiation and treatment of COVID-19 with Chinese medicine. Methods The general descriptive method was used for the dynamic observation of TCM syndromes in 11 cases of hospitalized children with COVID-19. Results The clinical symptoms of pediatric patients were not completely consistent with those of the adult patients. Fever,dry cough,or/and complicated with nasal obstruction, runny nose and pharyngeal pain were the predominant symptoms in most of the COVID-19 children. None of the cases had the manifestations of weakness or body pain. COVID-19 in the early stage was mainly located in the lung,and COVID-19 in the convalescence stage was mainly located in the spleen. The early syndromes of COVID-19 children were dampness stagnation in lung or damp-heat accumulation in lung, and the convalescence period of COVID-19 was manifested as the syndrome of qi deficiency with dampness retention or the syndrome of lingering heat. Conclusion COVID-19 can be classified into the category of pertilence in the field of TCM,and the clinical manifestations of COVID-19 children are not exactly the same as those of the adult COVID-19. This paper preliminarily reflects the characteristics of TCM syndromes,etiology and pathogenesis of COVID-19 children through the dynamic observation of the clinical evolution process,and the conclusion has certain significance in guiding the syndrome differentiation and treatment with Chinese medicine.