126例SARS患者恢复期病状调查

Symptoms of 126 SARS patients in recovering period

目的 :调查出院严重急性呼吸综合征 (SARS)患者残留病状 ,为康复治疗提供依据。方法 :对东城区所辖社区及本市其他区域患者 SARS出院后来北京中医医院门诊的患者进行问卷调查或诊查 ,记录症状、舌脉、理化检查等情况 ,并进行归纳总结。结果 :共调查病例 12 6例 ,其中接受理化检查 89例 ,临床症状中气短、乏力、胸闷、汗出、口干苦、五心烦热等症状占 4 7%以上 ,舌红、苔厚腻、脉滑细数较常见 ,尤其多见于用过激素的患者中 ;理化检查中 ,仍有 10 %～ 2 0 %的患者有淋巴细胞计数、转氨酶、心肌酶、尿素氮、血糖等的异常 ,不到 10 %的患者有心电图异常 ,X线检查中 5 5例遗留肺部阴影吸收不全 (包括炎性病变、间质病变及纤维化 )。结论 :SARS患者康复期仍有接受治疗及医学观察的必要。

Objective: To gather the information of SARS patients who were out of hospital and find their symptoms in order to provide the reasons to treat SARS in recovery period. Methods: The patients of the community in Beijing were inspected, their symptoms, tongue and pulse condition, laboratorial test of blood, result of Xray and CT were gathered and sumed up. Results: A total of 126 cases were researched, 89 patients were inspected at all. Breathe hard, easy tired, sweat more, dry mouth or bitter taste, feverish sensation , tongue body red, coating thick and greasy, pulse slippery thin and rapid were appeared in more than 47% patients. In about 10 percent20 percent patients, the results of laboratorial test of blood were abnormal . In 10 percent patients, electrocardiogram were abnormal. Fiftyfive cases were found remained shadow in Xray film. Conclusion: It is necessary to be treated and observed in recovering period in the patients with SARS.