225例新型冠状病毒肺炎的临床特征及中医药应用分析
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

基金项目:

中央高校基本科研业务费资助项目(2020CDJYGRH-YJ03);重庆大学“新冠肺炎”应急科研专项资助医工融合项目(2020CDJYGRH-1002)


The Clinical Characteristics and Medication Analysis of Corona Virus Disease 2019
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:分析重庆市万州区集中救治点普通型、重型新型冠状病毒肺炎患者225例的临床特征及用药情况。方法:提取HIS系统患者流行病史、症状、检查指标、中医药数据,构建数据库,分析相关指标频数及相关性。结果:新型冠状病毒肺炎,以输入型病例为主,占比89.33%。最常见的症状是咳嗽(64.89%)、发热(59.11%)、不寐(29.78%)、咳痰(23.56%)、纳差(21.34%)、乏力(18.67%)。淋巴细胞计数减少、CD4+和CD8+计数减少、白蛋白降低、超敏CRP升高,以重型病例较为明显,其中淋巴细胞计数、CD4+和CD8+计数,与疾病严重程度呈负相关,超敏C反应蛋白与疾病严重程度呈正相关。白蛋白在患者入院后1周内有下降趋势,约50%病例胸部CT在1周内出现不同程度进展,与白蛋白水平呈正相关。中药干预195例,参与率87%,中药干预345例次,主要选方主要选方麻杏石甘汤(20.29%)、沙参麦冬汤(13.62%)、三仁汤(10.14%)、千金苇茎汤(9.85%)、藿朴夏苓汤(8.4%),与症状学表现基本符合。结论:新型冠状病毒普遍易感,以中老年人居多,万州片区治疗点以输入型病例为主。淋巴细胞计数、CD4+和CD8+计数、超敏C反应蛋白可作为新型冠状病毒肺炎疾病严重程度的评价指标,白蛋白、胸部CT可作为新型冠状病毒肺炎病情进展预测指标。新型冠状病毒肺炎的中医核心病机归纳为“湿、热、毒、虚”,采用“宣肺化湿、清热解毒、益气养阴”为主要治疗原则。

    Abstract:

    To analyze and summarize the clinical characteristics and medication patterns of common and severe COVID-19 patients in centralized treatment base of Wanzhou District of Chongqing.Methods:The epidemiology, symptomatology, auxiliary examination index and traditional Chinese medicine data of HIS were extracted, the database was built, relevant indicator frequency and correlation were analyzed.Results:The new coronavirus pneumonia is dominated by imported cases, accounting for 89.33%.The most common symptoms are cough (64.89%), fever (59.11%), insomnia (29.78%), expectoration (23.56%), anorexia (21.34%), and fatigue (18.67%).Decreased lymphocyte count, decreased CD4+ and CD8+ counts, decreased albumin, and increased hypersensitivity CRP, especially in severe cases.Among them, lymphocyte count, CD4+, and CD8+ counts are negatively correlated with disease severity.Hypersensitive C-reactive protein is positively correlated with the severity of the disease.Albumin has a declining trend within 1 week after admission.About 50% of cases have chest CT progress to varying degrees within 1 week, which is positively correlated with albumin levels.195 cases of Chinese medicine intervention, 87% participation rate, 345 cases of Chinese medicine intervention, the main forum were Maxing Shigan Decoction(20.29%), Shashen Maidong Decoction(13.62%), Sanren Decoction(10.14%), Qianjing Weijing Decoction(9.85%), Huopo Xialing Decoction(8.4%), the usage were basically consistent with symptomatic performance.Conclusion:COVID-19 is generally susceptible, mostly in the elderly, and the centralized treatment base in Wanzhou is mainly imported.lymphocyte count,CD4,CD8,and high sensitive CRP can be used as disease severity indicators, and albumin and chest CT can be used as disease progression prediction indicators.COVID-19 core pathogenesis of traditional Chinese medicine is summarized as “dampness, heat,toxin and deficiency”, and the main treatment principle is “ventilating lung Qi for dissipating dampness, clearing heat and removing toxicity ,supplementing Qi and nourishing Yin”.

    参考文献
    相似文献
    引证文献
引用本文

龚雪,牟方政,魏大荣,窦露,龚新月,汪潭,胡雪松,刘柳,王楠楠,邓敏灵,吕敬龙.225例新型冠状病毒肺炎的临床特征及中医药应用分析[J].世界中医药,2020,(06).

复制
相关视频

分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2020-03-02
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2020-04-16
  • 出版日期:
文章二维码