登革热发热期中医证型与客观炎症指标相关性分析

Analysis of correlation between TCM syndrome type and objective inflammatory index in fever period of dengue fever

目的:探讨登革热发热期中医证型与客观炎症指标的关系,为中医中药治疗登革热提供参考。方法:通过对114例登革热发热期患者进行血常规、血沉、C反应蛋白、降钙素原等炎症指标的检测,分析与中医证型的相关性。结果:以毒瘀交结、扰营动血(47.4%)最多见;温热郁湿、卫气同病证(35.9%)次之;暑湿伤阳、气不摄血(7.9%),余邪未尽、气阴两伤(8.8%)再次之。各种证型的WBC、PLT、NEU%、LYN%、ESR、CRP、PCT均呈现一定的发展规律。结论:各种客观炎症指标有助于登革热患者中医证型识别,为指导辨证论治提供理论依据。

Objective:To explore the relationship between TCM syndromes and objective inflammatory index during in Acute Fever of Dengue Fever,and to provide reference for TCM treatment of dengue fever.Methods:The 114 patients with dengue fever were tested for inflammation,such as blood routine,erythrocyte sedimentation rate,C-reactive protein and procalcitonin,analysis of the correlation between them and TCM Syndromes.Results:The most common disturbance was the du yu jiao jie and rao dong ying xue syndrome(47.4%),the second was the syndrome of the wen re yu shi and wei qi tong bing(35.9%),and the shu shi shang yang and qi bu she xue(7.9%),and yu xie weijin and qi yin liang shang(8.8%). Conclusion:Various objective inflammatory indexs contribute to the identification of TCM syndromes in patients with dengue fever,and provide a theoretical basis for guiding dialectical treatment.