基于风湿疫毒理论探讨Omicron变异株感染的新型冠状病毒肺炎中医证候及病机特点

目的分析Omicron变异株感染的新型冠状病毒肺炎患者中医证候及病因病机。方法收集103例Omicron变异株感染的新型冠状病毒肺炎患者的临床资料,分析流行病学史、实验室检查、肺部影像学报告、中医证候特征、舌象。结果Omicron变异株感染的新型冠状病毒肺炎患者年龄(35.85±17.09)岁;半数以上患者有咽干咽痛(54.37%)、咳嗽(58.25%)等症状;多数患者实验室指标基本正常,部分患者C反应蛋白升高(10.68%)、白介素6升高(28.16%)、葡萄糖升高(35.92%)、肌酐降低(38.83%);舌质多为淡红舌或红舌,舌苔多为白腻苔或黄腻苔;半数以上患者胸部CT基本正常,少数患者提示有病毒性炎症改变。结论杭州市Omicron变异株感染的新型冠状病毒肺炎初步分析以风邪侵犯肺卫为主,兼有夹湿、夹寒、夹热,符合中医疫病的特点。

Objective To analyze the Traditional Chinese Medicine(TCM)syndrome characteristics and pathogenesis characteristics of patients with Omicron variant of COVID-19.Methods The epidemiological history,laboratory examination,pulmonary imaging report,TCM syndrome characteristics,tongue image and other data from 103 patients who infected with Omicron variant of COVID-19 were analyzed.Results The average age of patients with Omicron variant of COVID-19 was(35.85±17.09)years old.More than half of the patients had symptoms such as dry throat,sore throat(54.37%)and cough(58.25%).Most patients had normal laboratory indexes,C reactive protein increased(10.68%),IL-6 increased(28.16%),glucose increased(35.92%),creatinine(38.83%)decreased in some patients.The tongue was mostly light red or red,and the tongue coating was mostly white greasy coating or yellow greasy coating.More than half of the patients'chest CT was basically normal,and a few patients suggested viral inflammatory changes.Conclusion The preliminary analysis of Omicron variant of COVID-19 in Hangzhou is mainly based on wind evil invades the lung,both with wet,cold or hot,which is in line with the characteristics of TCM epidemic disease.