通化市儿童COVID‐19临床特征及中医辨证治疗分析

An analysis of the clinical characteristics and TCM syndrome diff erentiation and treatment of children with COVID-19 in Tonghua city

结合中医学对儿童生理病理特性的认识,为探讨儿童新型冠状病毒感染患者的流行病学特点、病因病机、临床特征及中医辨证治疗等方面的规律,回顾分析2021年1月19日-2月1日通化市中心医院收治的21例儿童新型冠状病毒感染的病例资料,提示家庭聚集发病为儿童感染本病的重要途径,临床分型以轻型(13例)为主,全部21例患儿无一例转重症,至2021年3月3日均已治愈出院。患儿首发多无明显症状,有临床表现者以发热、咳嗽为主,中医辨证以寒湿郁肺证(9例)为主,多因“寒湿疫毒”侵袭,直接损伤“肺脾”两脏,渐而累及他脏、他腑所致,整体病情程度及临床表现较轻,病程中易出现“化热、伤津、损心”等特点。患儿机体调节及修复能力强,早期治疗干预利于疾病迅速向愈,但仍需注意儿童“脏腑娇弱”特征下疾病易传变,避免出现轻症转重症的情况。

Based on the understanding of the physiological and pathological characteristics of children in traditional Chinese medicine,the paper made a retrospective analysis on the data of 21 cases of children with the novel coronavirus infection admitted to Tonghua Central Hospital from January 19 to February 1,2021 in order to explore the epidemiological characteristics,etiology,pathogenesis,clinical characteristics and the laws of TCM syndrome diff erentiation and treatment of the novel coronavirus infection in children.It was suggested that family aggregation was an important way for children to contact this disease.The clinical classifi cation was mainly mild(13 cases),and none of the 21children became severe,and they were all cured and discharged from the hospital on March 3,2021.Most children had no obvious symptoms at first,and those with clinical manifestations had mainly fever and cough.They were mainly diff erentiated as having the syndrome of cold-damp stagnated in the lung(9 cases),mostly caused by the invasion of the pestilent toxin of cold-damp,which directly damaged the lung and spleen and gradually involved other zang-viscera and fu-viscera.The overall degree of the illness and the clinical manifestation were relatively mild,and the characteristics of“transforming into heat,damaging the body fl uid and heart”tended to appear in the course of the disease.It was found that children’s bodies had a stronger adjustment and repair ability,and an early treatment and intervention was conducive to the rapid healing of the disease,but it was still necessary to pay attention to the potential transmission of the disease under the characteristics of children’s“delicate viscera”so as to avoid the transition from a mild disease to a severe one.