新型冠状病毒感染胃肠功能紊乱中医诊疗专家共识

Expert consensus on clinical diagnosis and treatment by Traditional Chinese Medicine on the gastrointestinal disorders caused by novel coronavirus infection

新型冠状病毒感染患者中胃肠功能紊乱症状普遍存在,包括食欲减退、味觉障碍、恶心、呕吐、腹痛、腹胀、腹泻、便秘等,这些症状的出现影响患者的营养状况和生活质量,部分可能与重症转化及不良预后相关。中医药在诊疗胃肠症状方面具有特色和优势。本共识针对新型冠状病毒感染患者的发病特点及胃肠表现,结合中医诊疗的特点,在总结研究证据和专家意见的基础上制定形成。本共识提出了新型冠状病毒感染胃肠功能紊乱的中医认识、病因病机、西医诊断、证候诊断、中医药治疗、调摄康复等内容。本共识适用于新型冠状病毒感染轻型、中型及恢复期患者,重型/危重型患者出现相关症状也可参考使用,适用于中医医师、中西医结合医师、西医医师使用,指导其临床规范诊断及中医治疗。

Symptoms of gastrointestinal dysfunction are common in patients infected with the COVID-19,including loss of appetite,taste disorders,nausea,vomiting,abdominal pain,bloating,diarrhea,constipation,et al.The presence of these symptoms deteriorate the nutritional status and quality of life of patients,and may be related to severe transformation and poor prognosis.Traditional Chinese Medicine has obvious advantages in the diagnosis and treatment of gastrointestinal symptoms.This consensus was formulated on the basis of summarizing research evidence and expert opinions based on the pathogenesis characteristics and gastrointestinal manifestations of patients infected with COVID-19,combined with the characteristics of Traditional Chinese Medicine diagnosis and treatment.This consensus puts forward the understanding of Traditional Chinese Medicine,etiology and pathogenesis,Western medicine diagnosis,syndrome differentiation,Traditional Chinese Medicine treatment,and health caring.This consensus will be applied to the patients with mild,medium and convalescent patients infected with COVID-19.Severe or critical patients with related symptoms also can use it as a reference.This consensus also applies to the use of Traditional Chinese Medicine physicians,Integrative Medicine physicians,and Western medicine physicians to guide their clinical standard diagnosis and Traditional Chinese Medicine treatment.