|本期目录/Table of Contents|

[1]叶庆,周晓飞,李林华,等.甲型H1N1流行性感冒47例的中医诊疗与临床证候分析[J].环球中医药,2012,5(04):250-0.
　YE Qing,ZHOU Xiao fei,LI Lin hua,et al.Analysis of the diagnosis and treatment and clinical syndrome of TCM of 47 cases with A H1N1 influenza[J].,2012,5(04):250-0.
点击复制

甲型H1N1流行性感冒47例的中医诊疗与临床证候分析()
     
分享到：

《环球中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
第5卷
期数:
2012年04期
页码:
250-0
栏目:
中医防治传染病研究
出版日期:
2012-04-06

文章信息/Info

Title:
Analysis of the diagnosis and treatment and clinical syndrome of TCM of 47 cases with A H1N1 influenza
作者:
叶庆; 周晓飞; 李林华; 陈红; 刘亚玲; 温贤敏; 曾义岚; 杨铭;
Author(s):
YE Qing;  ZHOU Xiaofei;  LI Linhua;  et al.
The State Administration of Traditional Chinese Medicine Key Laboratory of Controlling Infectious Diseases of Chengdu Infectious Disease Hospital. Chengdu 610061, China
关键词:
甲型H1N1流行性感冒;  中医证型;  风温袭表证;  湿温证;  邪入气分、热毒壅盛证;  辨证论治
Keywords:
A H1N1 influenza; TCM syndrome type; Fengwen syndrome; Shiwen syndrome; Evil into the gas phases/abundance of toxic heat syndrome; Syndrome differentiation and treatment
分类号:
R511.7
DOI:
-
文献标志码:
A
摘要:
目的 通过分析甲型H1N1流行性感冒病例的中医临床证型特征和治疗特点,探索其最佳治疗措施。方法 对2009年5月至7月成都地区收治的47例甲型H1N1流行性感冒确诊病例进行中医动态观察和辨证论治并总结其中医证型特征和治疗特点。其中30例给予奥司他韦抗病毒联合中医辨证治疗; 13例采用单纯中医辨证治疗,未使用奥司他韦; 2例患者单用奥司他韦治疗; 另2例患者仅给予对症治疗,未使用奥司他韦或中药。结果 47例患者临床表现局限于中医"温病"卫气分阶段,分风温袭表证(36例/76.6%),湿温证(8例/17%),邪入气分、热毒壅盛证(3例/6.4%)三种证型。所有患者痊愈出院。结论 成都地区夏季甲型H1N1流行性感冒病例病情较轻,无重症患者; 单纯中医治疗和(或)奥司他韦治疗均有效,中西医结合疗法具有优势。
Abstract:
ObjectiveThrough analyzing TCM clinical syndrome type feature and treatment characteristics of 47 A H1N1 influenza cases, to explore the best treatment measures. Methods In May to July 2009 chengdu area 47 confirmed cases of A H1N1 influenza accepted TCM syndrome differentiation and dynamic observation, and the TCM syndrome type feature and treatment characteristics were sumed up. 30 cases gived oseltamivir antiviral joint Chinese medicine therapy; 13 cases by the pure Chinese medicine therapy, did not use oseltamivir; Two patients with oseltamivir treatment; The other two patients were limited to symptomatic treatment, did not use oseltamivir or traditional Chinese medicine. Results47 patients with clinical manifestations confined to the TCM "WenBing" defensive and qi phases,divided into three types, include fengwen syndrome (36 cases/ 766%), shiwen syndrome (8 cases/ 17%)and evil into the gas phasesabundance of toxic heat syndrome (3 cases/ 64%). All patients recovered from the hospital. Conclusion Chengdu area A H1N1 influenza cases’ illness in summer is lighter, no serious patients; Pure Chinese medicine treatment and (or) oseltamivir treatment are valid, combine traditional Chinese and western medicine therapy has advantage.

参考文献/References:

[1]中华人民共和国卫生部.甲型H1N1流感诊疗方案（2009年试行版第一版）[EB/OL].（20090509）
[20090811].http://www.moh.gov.cn/publicfiles/business/htmlfiles/mohyzs/s3585/200905/40478.htm.
[2]四川省中医药管理局.四川省中医药防治甲型H1N1流感技术方案（2009年试行版第一版）[EB/OL].(20090514)
[2009814].http://www.sctcm.gov.cn/Detail.php?tid=1025.
[3]Dr Margaret Chan.World now at the start of 2009 influenza pandemic[EB/OL].(2009611)
[2009829].http://www.who.int/mediacentre/news/statements/2009/h1n1_pandemic_phase6_20090611/en/index.html.

相似文献/References:

[1]孙青,梁晓春,张倩,等.糖尿病周围神经病变中医证型分析及其与交感神经皮肤反应的关系[J].环球中医药,2012,5(05):337.
　SUN Qing,LIANG Xiao chun,ZHANG Qian,et al.Clinical study on relationship between syndrome of traditional Chinese medicine and sympathetic skin response in diabetic peripheral neuropathy[J].,2012,5(04):337.
[2]李蕾.中学生经行口糜中医证型与催乳素变化相关性研究[J].环球中医药,2014,7(07):544.
[3]王苏 樊永平 张永超等.不同中医证型视神经脊髓炎患者临床特点比较[J].环球中医药,2014,7(11):833.
　WANG Su,FAN Yong-ping,ZHANG Yong-chao,et al.Comparison of clinical features of Neuromyelitis Optica patients with different TCM syndrome types[J].,2014,7(04):833.
[4]王淑丽 王阶 冯玲等.冠脉临界病变的中医证候文献回顾与分析[J].环球中医药,2014,7(11):896.
　WING Shu-li,WANG jie,FENG ling,et al.Literature reviewing and analyzing the patterns of traditional Chinese medicine for borderline coronary lesions[J].,2014,7(04):896.
[5]赵晓丹,孙静晶,周斌.慢性萎缩性胃炎中医证型分布规律[J].环球中医药,2015,8(01):18.[doi:10.3969/j.issn.1674-1749.2015.01.005]
　ZHAO Xiao-dan,SUN Jing-jing,ZHOU Bin..Distribution of traditional Chinese medicine syndromes of chronic atrophic gastritis[J].,2015,8(04):18.[doi:10.3969/j.issn.1674-1749.2015.01.005]
[6]王林,杨惠民,李贞玉,等.类风湿关节炎中医证型与血浆D-二聚体水平的临床观察[J].环球中医药,2015,8(02):134.[doi:10.3969/j.issn.1674-1749.2015.02.002]
　WANG Lin,YANG Hui-min,LI Zhen-yu,et al.Clinical observation of relationship between traditional Chinese medidcine syndromes of rheumatoid arthritis and the level of serum D-dimer[J].,2015,8(04):134.[doi:10.3969/j.issn.1674-1749.2015.02.002]
[7]李贞玉,杨惠民,郭杨志,等.血脂异常患者中医证型及血清sICAM-1、sVCAM-1水平与幽门螺旋杆菌感染的相关性研究[J].环球中医药,2015,8(02):137.[doi:10.3969/j.issn.1674-1749.2015.02.003]
　LI Zhen-yu,YANG Hui-min,GUO Yang-zhi,et al.Correlation study between the TCM syndromes of dyslipidemia, the level of serum sICAM-1,sVCAM-1 and helicobacter pylori infection[J].,2015,8(04):137.[doi:10.3969/j.issn.1674-1749.2015.02.003]
[8]王冬梅 庞瑞 茹明芳 黄艳春 王莹 杨格娟 谢丹.晚期卵巢癌中医证型与血栓前状态的关系[J].环球中医药,2015,8(08):921.[doi: doi:10.3969/j.issn.1674-1749.2015.08.007]
　WANG Dong-mei,PANG Rui,RU Ming-fang,et al.Study on the relations of TCM syndrome types of advanced ovarian cancer with the prethrombotic state[J].,2015,8(04):921.[doi: doi:10.3969/j.issn.1674-1749.2015.08.007]
[9]扶伟,徐立然,马秀霞,等.艾滋病合并肺部感染中医证型研究进展[J].环球中医药,2015,8(12):1524.[doi:10.3969/j.issn.1674.1749.2015.12.033]
　FU Wei,XU Li-ran,MA Xiu-xia,et al.Research progress in traditional Chinese medicine syndrome of acquired immune deficiency syndrome complicated with pulmonary infection[J].,2015,8(04):1524.[doi:10.3969/j.issn.1674.1749.2015.12.033]
[10]张国良 王玲玲 詹森林 曹廷智 汪文斐 张红梅 邓群益 聂广.不同中医证型肺结核患者外周血CD14+单核细胞IL-1β、IL-1Ra表达水平的差异[J].环球中医药,2016,9(10):1170.[doi:10.3969/j.issn.1674-1749.2016.10.003]
　ZHANG Guo-liang,WANG Ling-ling,ZHAN Sen-lin,et al.Discrepancy between IL-1β and IL-1Ra expression in CD14+ monocytes of different TCM syndrome types of pulmonary tuberculosis patients[J].,2016,9(04):1170.[doi:10.3969/j.issn.1674-1749.2016.10.003]

备注/Memo

备注/Memo:
基金项目：财政部、国家中医药管理局2009年中医药行业科研专项（2009070011）
作者单位：610061成都市传染病医院中医药防治传染病重点研究室（叶庆、李林华、温贤敏、曾义岚），科教科（周晓飞），内科（陈红、刘亚玲），医务科（杨铭）
作者简介：叶庆（1970- ），硕士，副主任医师。研究方向：传染病的中医药防治。Email：llwy_hy@sina.com
更新日期/Last Update: 1900-01-01