宁夏回族自治区新型冠状病毒肺炎中医体质类型与临床特征分析

Analysis of TCM Physique Types and Clinical Characteristics of COVID-19 in Ningxia

目的:研究宁夏回族自治区新型冠状病毒肺炎感染者的中医体质类型与临床特征。方法:回顾性研究自疫情爆发以来截至2020年3月24日宁夏的75例新型冠状病毒肺炎感染者的病例资料,分析患者的中医体质类型和临床特征规律。结果:75例COVID-19新型冠状病毒肺炎的患者中男性41例,女性34例,男女比例为1.21∶1。平均年龄(39.9±17.8)岁。病情轻重分型中以普通型居多,占55例(73.33%),轻型10例(13.33%),重型7例(9.33%),危重型3例(4%)。有基础疾病的患者14例,占总人数的14.67%。患者的主要症状按频数高低排序:发热40例(53.33%)、咳嗽咳痰38例(50.67%)、乏力28例(37.33%)、胸闷23例(30.67%)、气短23例(30.67%)、干咳17例(22.67%)、咽痛12例(16%)、头痛12例(16%)、肌肉酸痛12例(16%)、腹泻8例(10.67%)、口干咽干6例(8%)。患者的中医体质类型中,气虚质29例(38.67%),阳虚质22例(29.33%),阴虚质10例(13.33%),平和质8例(10.67%),痰湿质3例(4%),湿热质1例(1.33%),血瘀质1例(1.33%),其中气虚质和阳虚质的总和占总人数的68%。证型中属于疫毒闭肺证的患者63例,占总人数的84%,寒湿郁肺证12例(16%)。结论:宁夏回族自治区感染新型冠状病毒肺炎的患者以气虚质和阳虚质占大绝多数,中医证型以疫毒闭肺证为主。

ObjectiveTo study the TCM physique types and clinical characteristics of COVID-19 infection in Ningxia.Methods The data of 75 cases of COVID-19 infection in Ningxia from the outbreak to March 24,2020 were studied retrospectively,and the TCM physique types and clinical characteristics of the patients were analyzed.ResultsAmong the 75 patients with COVID-19COVID-19,there were 41 males and 34 females,with a male-to-female ratio of 1.21 to 1.The average age was(39.9±17.8)years.Most of the patients were of common type,accounting for 55 cases(73.33%),10 cases of mild type(13.33%),7 cases of severe type(9.33%)and 3 cases of severe type(4%).There were 14 patients with underlying diseases,accounting for 14.67%of the total.The main symptoms of the patients were in the order of frequency:fever in 40 cases(53.33%),cough and sputum in 38 cases(50.67%),fatigue in 28 cases(37.33%),chest tightness in 23 cases(30.67%),shortness of breath in 23 cases(30.67%),dry cough in 17 cases(22.67%),sore throat in 12 cases(16%),headache in 12 cases(16%),muscle soreness in 12 cases(16%),diarrhea in 8 cases(10.67%).Dry mouth and pharynx were found in 6 cases(8%).Among the TCM constitution types of patients,there were 29 cases of qi deficiency(38.67%),22 cases of yang deficiency(29.33%),10 cases of yin deficiency(13.33%),8 cases of harmony(10.67%),3 cases of phlegm-dampness(4%),1 case of dampness-heat(1.33%)and 1 case of blood stasis(1.33%).The sum of qi deficiency and yang deficiency accounted for 68%of the total.Among the syndrome types,there were 63 patients with epidemic toxin blocking the lung syndrome,accounting for 84%of the total population,and 12 cases(16%)with cold-dampness stagnant lung syndrome.ConclusionThe majority of patients infected with COVID-19 in Ningxia are qi deficiency and yang deficiency,and the syndrome type of TCM is mainly epidemic toxin blocking lung syndrome.