摘要
目的旨在探讨病毒病原学明确的流感样病例患者的中医证候分型。方法对流感样病例患者进行了病原学检测,分析其病原学分布特点,并对病原学明确的患者进行中医证候要素资料的收集,并将所有中医四诊信息进行聚类分析,提炼出流感样疾病的基本证候,参照中医辨证分型标准赋予适当证型名称,分析其中医证候分布情况。结果在531例病毒病原学结果中,普通甲型流感病毒感染221例(41.62%),新型H1N1甲型流感病毒感染135例(25.42%),乙型流感病毒感染152例(28.63%),其他感染23例(4.33%)。531例病毒病原学证实的流感样病例经聚类分析得出4个证型:外感风邪证94例,外感风寒化热证80例,外感风热证125例,外感风热夹湿证232例。结论岭南流感样病例中,以感染甲、乙型流感病毒为主,岭南流感样病例证候以风热夹湿证最为多见,与岭南多湿的特点一致。
Objective： To investigate the syndrome patterns of Traditional Chinese Medicine in cases of influenza with definite viral etiology.Methods： Through detection etiology of the influenza cases,analysis of the distribution characteristics,collectting syndrome elements of the patients with definite viral etiology and cluster analysis of the four diagnostic information,we refined the basic syndrome patterns of influenza,gave them appropriate names and then syndromes distribution was carried out.Results： In the 531 cases of influenza illness,ordinary flu A virus occured in 135 cases（41.62%）.The new type HINI flu A virus accounted for 135 cases（25.42%）.Flu B virus accounted for 152 cases（28.63%） and the other flu viruses accounted for 23 cases（4.33%）.As for TCM syndrome patterns,4 types of syndromes were presented： the exogenous wind syndrome accounted for 94 cases,the syndrome of heat transformed from wind cold accounted for 80 cases,the syndrome of superficies attacked by wind-heat accounted for 125 cases,the syndrome of superficies attacked by wind-heat with dampness accounted for 232 cases.Conclusion： In the caese of influenza illnesses in Lingnan area,flu A virus and B virus play the most important part.The syndrome of superficies attack by wind-heat with dampness takes the largest amount which is consistent with dampness—the characteristic of Lingnan area.
出处
《中国中医急症》
2013年第8期1303-1305,共3页
Journal of Emergency in Traditional Chinese Medicine
基金
广东省中医药管理局项目(20111211)
关键词
流感样病例
流感病毒
中医证候
Influenza illness
Influenza virus
TCM syndrome pattern
