新冠奥密克戎持续阳性患者的相关调查及体质分析

Relevant Investigation and Physical Analysis of Patients with Persistently Positive of COVID-19 Omicron Variant

目的探讨新型冠状病毒(简称新冠)奥密克戎变异株患者的临床特征和中医体质,为患病后的干预治疗提供依据。方法设计调查表,收集53例新冠奥密克戎核酸正常转阴的患者和46例核酸持续阳性患者的一般信息、患病时的症状及持续时间,并对患者的体质进行判定,将两组的相关信息进行比较分析。结果新冠奥密克戎核酸持续阳性的患者平均年龄较正常组大,中年人所占比例较高,差异有统计学意义(P<0.05)。基础疾病方面,持续阳性组患者有基础病的比例达39.13%,明显高于正常转阴组的7.54%,另外发现持续阳性组的慢性鼻炎患病率19.57%较正常组的3.77%明显增高,差异均有统计学意义(P<0.05)。体质方面,持续阳性组以偏颇体质为主,正常组以平和体质为主,其中阳虚质、气虚质在持续阳性组比例较正常组显著增高(P<0.05),持续阳性组多重(偏颇)体质的比例较正常组显著增高(P<0.05)。结论较大年龄仍然是新冠奥密克戎核酸持续阳性的关键因素,慢性鼻炎可能与核酸持续阳性有关,阳虚质、气虚质的人群患病时核酸更易持续阳性,在恢复期的中医治疗上应重视扶正祛邪。

Objective:To preliminarily explore the clinical characteristics and TCM constitution of patients with COVID-19 Omicron Variant,so as to provide a basis for intervention and treatment after the disease.Methods:A questionnaire was designed to collect the general information,symptoms and duration of illness when 53 patients with COVID-19 Omicron Variant nucleic acid turned negative and 46 patients with persistently positive COVID-19 Omicron Variant were collected according to the relevant inclusion and exclusion criteria.The physique was judged,and the relevant information of the two groups was compared and analyzed.Results:The age of patients with persistently positive COVID-19 Omicron Variant was older than that of the normal group,and the proportion of middle-aged people was higher,and the difference was statistically significant(P<0.05).In terms of underlying diseases,39.13%of patients in the persistently positive group had underlying diseases,which was significantly higher than 7.54%in the normal-to-negative group.In addition,it was found that the prevalence of chronic rhinitis in the persistently positive group was 19.57%,compared with 3.77%in the normal group,and the difference was statistically significant(P<0.05).In terms of physique,the persistently positive group was dominated by a biased constitution,while the normal group was dominated by a peaceful constitution.The proportions of the yangdeficiency constitution and qi-deficiency constitution persistently positive group were significantly higher than those of the normal group(P<0.05),and the persistently positive group had multiple(biased)constitutions.The proportion was significantly higher than that of the normal group(P<0.05).Conclusion:Older age is still the key factor for the persistently positive COVID-19 Omicron Variant.Chronic rhinitis may be related to the continuous positive nucleic acid.People with yang deficiency and qi deficiency are more likely to have persistently positive nucleic acid when they are sick.Attention should be paid to strengthening the righteousness and eliminating the evil spirits.