[1]刘辉 郑帅 陈静 李香闺 井光壮 李凤英 白云峰 任晓梅 张志刚 韩元平张荣强.陕西省新型冠状病毒肺炎的流行特征及中医药防治策略分析[J].陕西中医药大学学报,学报20,(预出版):015-23.
 LIU Hui,ZHENG Shuai,CHEN Jing,et al.Analysis of EpidemioLogical Characteristics of New Coronavirus Pneumonia in Shaanxi Province and Thoughts on Prevention and Treatment of Traditional Chinese Medicine[J].Journal of Shaanxi University of Traditional Chinese Medicine,学报20,(预出版):015-23.
点击复制

陕西省新型冠状病毒肺炎的流行特征及中医药防治策略分析
分享到:

《陕西中医药大学学报》[ISSN: 2096-1340/CN: 61-1501/R]

卷:
期数:
学报20年预出版
页码:
015-23
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Analysis of EpidemioLogical Characteristics of New Coronavirus Pneumonia in Shaanxi Province and Thoughts on Prevention and Treatment of Traditional Chinese Medicine
作者:
刘辉1 郑帅1 陈静2 李香闺1 井光壮2 李凤英3 白云峰4 任晓梅1 张志刚1 韩元平1张荣强1
1.陕西中医药大学公共卫生学院,陕西咸阳712046;2.兰州大学公共卫生学院,甘肃兰州730000;3.咸阳市疾病预防控制中心,陕西咸阳712046;4.陕西中医药大学研究生院,陕西咸阳712046
Author(s):
LIU Hui 1 ZHENG Shuai 1 CHEN Jing 2 LI Xianggui 1 JING Guangzhuang 2 LI Fengying 3 BAI Yunfeng 4 REN Xiaomei 1 ZHANG Zhigang 1 HAN Yuanping 1 ZHANG Rongqiang 1
1. School of Public Health, Shaanxi University of Chinese Medicine, Xianyang, China, 712046; 2. School of Public Health, Lanzhou University, Lanzhou, China, 730000;3. Xianyang Center for Disease Control and Prevention, Xianyang, China , 712046;4. Graduate College, Shaanxi University of Chinese Medicine, Xianyang, China, 712046
关键词:
新型冠状病毒肺炎流行特征中医药
Keywords:
novel coronavirus pneumonia epidemiological characteristics Chinese medicine
摘要:
目的采用描述性流行病学研究方法探讨陕西省新型冠状病毒肺炎(novel coronavirus pneumonia,NCP)流行趋势及流行病学特征,明确其接触史,以加快遏制陕西省NCP疫情?方法从陕西省卫生健康委员会官网收集陕西省所有NCP确诊病例的个案信息,录入EXCEL,进行整理;借助EXCEL?Origin等软件进行分析和可视化处理?结果截至2020年3月2日,共收集245例NCP患者?人群分布中男性患者居多,年龄集中在20-70岁(88.57%)?地区分布中西安市病例数最多,为120例(48.95%),杨凌示范区与韩城市最少,为1例(0.41%)?时间分布中,2020年1月23日至2月20日期间,均有新增病例出现,2月21日至3月2日期间未出现新增病例?接触史方面,输入性病例共有116例(47.35%),114例(46.53%)因与确诊病例密切接触而发病,15例(6.12%)无明确接触史?家庭聚集性方面,共涉及105例病例,占比42.88%?出现症状时间与首次就诊时间之差的平均值为2.48d?首次就诊与确诊时间的平均差值为5.16d?截至2020年3月2日,陕西省NCP治愈率为85.31%,死亡率为0.41%?结论NCP男性比女性高发,存在人际传播和家庭聚集性;NCP潜伏期仍可能是2019-nCoV传染源;陕西省疫情形势有了显著好转,但NCP疫情尚未结束,企业复工复产之际,应加强重点人群监测和医学观察,严格落实各项防控措施?应充分发挥中医药优势以积极应对NCP疫情?
Abstract:
Objective A descriptive epidemiological research was conducted to investigate the epidemic trends and epidemiological characteristics of novel coronavirus pneumonia( NCP) in Shaanxi Province, to clarify its contact history, and to provide reference for accelerating the containment of NCP cases . Methods The case information of all NCP confirmed cases in Shaanxi Province was collected from the official website of the Shaanxi Provincial Health and Health Committee, and entered into EXCEL for collation; analysis and visualization were performed with the help of software such as EXCEL and Origin. Results As of March 2, 2020, a total of 245 NCP patients were collected. The majority of the male patients are in the population distribution, and the age is concentrated in the 20 -70 years ( 88. 57%) . In the regional distribution, Xi'an has the largest number of cases, with 120 cases ( 48. 95%) , and Yangling Demonstration Area and Hancheng have the fewest cases, with 1 case ( 0. 41%) . In the time distribution, there were new cases from January 23 to February 20, 2020, and no new cases occurred from February 21 to March 2. In terms of contact history, a total of 116 imported cases ( 47. 35%) , 114 ( 46. 53%) developed disease due to close contact with confirmed cases, and 15 cases ( 6. 12%) had no clear contact history. In terms of family clustering, 105 cases were involved, accounting for 42. 88%. The average difference between the time of onset of symptoms and the time of first visit was 2. 48 days. The mean difference between the first visit and the confirmed time was 5. 16 days. As of March 2, 2020, the cure rate of NCP in Shaanxi Province was 85. 31%, and the mortality rate was 0. 41%. Conclusions The incidence of NCP is higher in men than in women, and there is interpersonal transmission and family clustering. The incubation period of NCP may still be the source of 2019 - nCoV infection. The epidemic situation in Shaanxi Province has improved significantly, but the NCP epidemic is not over yet. When enterprises resume work and resume production, key population monitoring and medical observation should be strengthened, and various prevention and control measures should be strictly implemented. Give full play to the advantages of Chinese medicine to actively respond to the NCP epidemic.

参考文献/References:

[1] Vincent J. Munster, Marion Koopmans, Neeltje van Doremalen, et al. A Novel Coronavirus Emerging in China —Key Questions for Impact Assessment[ J] . The New England Journal of Medicine. 2020, January 24. DOI: 10.1056/ NEJMp2000929
[2]《新型冠状病毒感染的肺炎诊疗方案(试行第六版)》http://www.nhc.gov.cn/yzygj/ s7653p/202002/8334a8326dd94d329df351d7da8aefc2.shtml.
[3]陕西省卫生健康委员会.陕西启动突发公共卫生事件Ⅰ级应急响应.[EB/OL](2020-01-25).http://sxwjw.shaanxi.gov.cn/art/2020/1/25/ art_9_67421. html.
[4]陕西省卫生健康委员会.关于调整我省新冠肺炎疫情应急响应级别的公告.[EB/OL].(2020-02-27).http://sxwjw.shaanxi.gov.cn/art/2020/2/27/art_9_68401.html.
[5]欧阳芬,吴荷玉,杨英,等.基于武汉新型冠状病毒肺炎快速传播的应对措施[J].全科护理,2020,18(3):311-312.
[6]谭春梅.SARS流行病学研究现况[J].广西预防医学,2003,9(3):182-185.
[7]曾文霞,戴应基.2004年SARS流行特征[J].现代预防医学,2005,32(10):1270-1273.
[8] Qun Li, Xuhua Guan, Peng Wu, et al. Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus Infected Pneumonia [ J] . The New England Journal of Medicine. 2020, January 29. DOI: 10. 1056/ NEJMoa2001316.
[9]Jasper Fuk - Woo Chan, Shuofeng Yuan, Kin – Hang Kok, et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person - to -person transmission: a study of a family cluster[ J] . The Lancet. 2020, January 24.
[10]Lan T. Phan, Thuong V. Nguyen, Quang C. Luong, etal. Importation and Human - to - Human Transmission of a Novel Coronavirus in Vietnam[ J] . The New England Journal of Medicine. 2020, January 28. DOI: 10. 1056/NEJMc2001272.
[11]林君芬,吴梦娜,吴昊澄,等.浙江省新型冠状病毒肺炎病例流行特征分析[J].预防医学.http://kns.cnki.net/kcms/detail/33.1400.R.20200302.0955.002.html.
[12]欧剑鸣,叶雯婧,郑奎城,等.福建省新型冠状病毒肺炎流行病学特征分析[J].中国人兽共患病学报.http://kns.cnki.net/kcms/detail/35.1284.R.20200302.1320.004.html.
[13]罗伟康,唐涛,罗杰坤,等.中医药防治2019冠状病毒病优势解析[J].中国中西医结合杂志.http://kns.cnki.net/kcms/detail/11.2787.R.20200226.1705.002.html.
[14]蒋鹏飞,李书楠,刘培,等.全国各地区新型冠状病毒肺炎中医防治方案分析[J].中医学报.http://kns.cnki.net/kcms/detail/41.1411.R.20200302.1856.010.html
[15]赵晓平,昝强,范小璇,等.陕西中医药大学附属医院抗击新冠肺炎疫情“4+4”模式[J].陕西中医药大学学报.http://kns.cnki.net/kcms/detail/61.1501.R.20200302.1218.004.html.
[16]陕西省卫生健康委员会.陕西省新型冠状病毒感染的肺炎中医药治疗案.[EB/OL].http://sxwjw.shaanxi.gov.cn/art/2020/1/23/art_10_67378.html.
[17]苏捷,杨贤海,付大清,等.运用“十味清瘟汤”防治新型冠状病毒肺炎临证思路撮要[J].中国中医基础医学杂志.http://kns.cnki.net/kcms/detail/11.3554.r.20200226.1151.002.html.
[18]张燕.从中医“治未病”理论谈新型冠状病毒肺炎(NCP)的中医预防[J].中医药信息.http://kns.cnki.net/kcms/detail/23.1194.R.20200228.2050.002.html.

相似文献/References:

[1]郭亚男 毛靓瑶 鱼涛 *.关于2019新型冠状病毒肺炎的几点思考[J].陕西中医药大学学报,学报20,(预出版):032.
 GUO Ya-nan,MAO Jing-yao,YU Tao *.Theoretical Consideration of Corona Virus Disease 2019(COVID-19)[J].Journal of Shaanxi University of Traditional Chinese Medicine,学报20,(预出版):032.
[2]赖逸贵李甜英 王强 叶参 范慧婕 张为 杨芳华胡业建.运用《温热病指南集》风温理论诊治新型冠状病毒肺炎[J].陕西中医药大学学报,学报20,(预出版):048.
 LAI Yigui,LI Tianying,WANG Qiang,et al.Study on treatment of novel coronavirus pneumonia by wind – warm theory from Guide To Warm - heat Diseases[J].Journal of Shaanxi University of Traditional Chinese Medicine,学报20,(预出版):048.
[3]杨薇杨华升 指导:姜良铎.解表法在新型冠状病毒肺炎中的应用分析[J].陕西中医药大学学报,学报20,(预出版):054.
 Yang Wei,Yang Huasheng,Jiang Liangduo ..Application of Relieving Exterior Syndrome in the treatment of Coronavirus Disease 2019[J].Journal of Shaanxi University of Traditional Chinese Medicine,学报20,(预出版):054.
[4]陈扬苏同生宋琴琴.新型冠状病毒肺炎非药物干预方案汇总分析[J].陕西中医药大学学报,学报20,(预出版):067.
 Chen Yang,Su Tongsheng,Song Qinqin.Summary analysis of non - drug intervention programs for COVID -19[J].Journal of Shaanxi University of Traditional Chinese Medicine,学报20,(预出版):067.
[5]罗丹 张海明 于兆民 陈瑞*.中医“治未病”理论指导新型 冠状病毒 肺炎防治的思考[J].陕西中医药大学学报,学报20,(预出版):089.
[6]罗丹张海明sup>于兆民陈瑞.中医“治未病”理论指导新型冠状病毒肺炎防治的思考[J].陕西中医药大学学报,2020,(02):005.[doi:10.13424/j.cnki.jsctcm.2020.02.002]
 Luo Dan,Zhang Haiming,Yu Zhaoliang,et al.Thoughts on Prevention and Treatment of COVID -19 by TCM Theory of “ Preventive Treatment of Disease”[J].Journal of Shaanxi University of Traditional Chinese Medicine,2020,(预出版):005.[doi:10.13424/j.cnki.jsctcm.2020.02.002]
[7]肖玮 安兴 谢春光 唐健元 黄青松 曾珠 孙增涛.36例新型冠状病毒肺炎(COVID-19)患者舌象观察[J].陕西中医药大学学报,2020,(02):016.[doi:10.13424/j.cnki.jsctcm.2020.02.005]
 Xiao Wei,An Xing,Xie Chunguang,et al.Observation of the Tongue Manifestation of 36 Cases of COVID -19[J].Journal of Shaanxi University of Traditional Chinese Medicine,2020,(预出版):016.[doi:10.13424/j.cnki.jsctcm.2020.02.005]

备注/Memo

备注/Memo:
基金项目:陕西省卫生健康委员会卫生健康科研项目(2018A017);陕西省教育厅重点科学研究计划项目(19JS015) 通讯作者:张荣强,博士,副教授,主要研究方向为重大传染病的防控策略研究?E-mail:zhangrqxianyang@163.com
更新日期/Last Update: 2020-03-11