[1] CAO Xue PU Xiuling LIU Xiaoying PENG Hongxia GUO Tuanmao ZHANG Xiaoni,.Clinical Characteristics of COVID-19 Patientsin Xianyang District of Shaanxi [J]. Journal of Shaanxi University of Traditional Chinese Medicine, 2021, 44(04): 1-4. [doi: 10.13424/j.cnki.jsctcm.2021.04.001]
Clinical Characteristics of COVID-19 Patients
in Xianyang District of Shaanxi
- Article number:
- 2096-1340(2021)04-0001-04
- Keywords:
- COVID-19; TCM clinic; Cold dampness stagnates the lung; Xianyang
- ZTFLH:
- R259
- Code:
- A
- Abstract:
- Objective To analyze COVID-19 in Shaanxi Xianyang area，especially the clinical characteristics of TCM，and provide scientific basis for prevention and treatment of this disease.Methods 17 patients with COVID-19 admitted in our hospital from January 21，2020 to March 4，2020 were selected as the subjects.The general situation，clinical characteristics，blood biochemical indices and CT of lung were collected and analyzed，and the syndrome was diagnosed according to the diagnosis and treatment plan of COVID19 infection (trial version fourth，fifth).Results Among the 17 patients，the age of onset was older，most of them were male，most of them had the history of living in Hubei area and close contact with the diagnosed patients，and the common type was more common (82.35%); The total number of white blood cells and lymphocyte count were more normal，C-reactive protein and serum amyloid protein were more increased.94.12% of the patients had obvious lung lesions，while 64.71% of the patients had bilateral lung lesions.Single lung lesions and patchy exudation accounted for 58.82% respectively; The first symptom was fever (76.47%); The clinical features of TCM included fever (82.35%)，dry throat (76.47%)，fatigue (70.59%)，cough (64.71%)，nausea and vomiting，redness of tongue (52.94%)，greasy fur (88.24%) and moistening pulse (76.47%)，etc.The main syndrome type was cold dampness stagnation of lung (94.12%).Conclusion The disease is highly infectious and spreads rapidly.In the early stage，the main location of the disease is in the lung，involving the spleen and stomach.
References:
［1］国家卫生健康委员会.新型冠状病毒肺炎诊疗方案（试行第六版）［EB/OL］(2020-02-18)［2020-02-20］.http://www.satcm.http://www.nhc.gov.cn/yzygj/s7653p/202002/8334a8326dd94d329df351d7da8aefc2.shtml.
［2］国家卫生健康委员会.新型冠状病毒肺炎诊疗方案（试行第七版）［EB/OL］(2020-03-3)［2020-03-4］.http://www.satcm.http://www.nhc.gov.cn/yzygj/s7653p/202003/ 46c9294a7dfe4cef80dc7f5912eb1989.shtml.
［3］咸阳市卫生健康委员.截至２月21日２４时新型冠状病毒感染的肺炎疫情最新情况［EB/OL］.(2020-02-21)［2020-02-22］.http://wjj.xys.gov.cn/xwdt/wjyw/707106.htm.
［4］国家卫生健康委员会.关于印发新型冠状病毒感染的肺炎诊疗方案（试行第四版）［EB/OL］(2020-01-27)［2020-01-28］.http://www.nhc.gov.cn/yzygj/s7653p/202001/4294563ed35b43209b31739bd0785e67.shtml.
［5］国家卫生健康委员会.关于印发新型冠状病毒感染的肺炎诊疗方案（试行第五版）［EB/OL］(2020-02-05)［2020-02-05］.http://www.nhc.gov.cn/yzygj/s7653p/202002/3b09b4204a79db5b8912d4440.shtml.
［6］张登本.中医学基础［M］.北京：中国中医药出版社,2017.
［7］马健.温病学［M］.上海：上海科技出版社,2008：14.
［8］韩雪梅.论温疫学派学术特色在SARS治疗中的作用［J］.河南中医，2003,23(12):14-15.
［9］吴宇峰，于琦,王燕平，等.中医温疫类疾病认识的继承与发展［J］.中国中医基础医学杂志,2013,19(7):736738.
［10］郑榕,陈琴,黄铭涵.从“寒湿疫毒”辨治新型冠状病毒感染肺炎［J／OL］.中国中医药信息杂志.（2020-02-13）［2020-02-18］.http://kns.cnki.net/kcms/detail/11.3619.r.20200213.2205.002.html.
［11］范逸品，王燕平，张华敏，等.试析从寒疫论治新型冠状病毒（2019-NCOV）感染的肺炎［J／OL］.中医杂志.（2020-02-06）［2020-02-18］.http://kns.cnki.net/kcms/detail/11.2166Ｒ.20200６.1519.007.html.
［12］冯全生,张之文.传承瘟疫学理论,构建中医疫病防治新体系［J］.成都中医药大学学报,2009,32(4)：11-13.
［13］叶天士.温热论［M］.北京：人民卫生出版社，2007：18.
［14］黄帝内经素问校释［M］.北京：人民卫生出版社，2006：489.
［15］吴又可.瘟疫论［M］.于伯海.伤寒金匮温病名著集成.北京：华夏出版社，1997：668.
［16］薛生白.湿热论［M］.北京：人民卫生出版社，2007：47.
［17］LI Q，GUAX,WU P,et al.Early Transmission Dynamics in Wuhan,china,of Nowel coronaviruslnfected Pneumonia［J］.N Engl J Med,2020.
［18］王玉光，齐文升，马家驹，等.新型冠状病毒（2019nCoV）肺炎中医临床特征与辨证治疗初探［J］.中医杂志，2020，61（4）：281-285.
［19］HUANG C，WANG Y，LI X,et al CIinical features of patients infected with 2019 novel coronavirus in Wuhan,China［J］.Lancet，2020.
［20］张侠，李柳，戴广川，等.南京地区42例新型冠状病毒肺炎临床特征及中医症候初探［J/OL］.南京中医药大学学报.(2020-02-18)［2020-02-19］.http://kns.cnki.net/kcms/detail/32.1247.r.20200219.0801.002.html.
Memo
基金项目：陕西省2020年度中医药防治新冠肺炎项目（2020-YJ004）