摘要
目的:探讨新型冠状病毒德尔塔变异株感染的患者舌象与临床分型、病程、性别、年龄、症状的关系及其在辨证论治中的意义。方法:采用回横断面研究方法,纳入2021年5月21日一6月16日来自广州市第八人民医院的133例新型冠状病毒肺炎(新冠肺炎)患者,收集并描述性分析其基本资料、中医症状、舌象,并对舌象与临床分型、病程、性别、年龄、症状的关系进行统计分析。结果:不同临床分型间舌形分布差异具有统计学意义(P<0.05),随病情进展,胖大舌、瘦薄舌比例有所增加,从轻型到普通型,齿痕舌、苍老舌、芒刺舌比例增加,不同临床分型间苔质分布差异具有统计学意义(P<0.05),从轻型到普通型,腻苔比例增加。腻苔是最常见的苔质,腻苔分布在不同病程、性别差异无统计学意义,年龄61~75岁的患者腻苔的可能性是<18岁的患者的5.143倍(P<0.05),腻苔更不易咳嗽。结论:舌象能反映新冠肺炎患者病情轻重,是临床判断患者预后的重要客观因素。
Objective:To explore the relationship between tongue manifestation and clinical subtype,course of disease,gender,age and symptoms in Delta variants of SARS-CoV-2 carriers and its significance in syndrome differentiation and treatment.Methods:A total of 133 cases of Corona Virus Disease 2019(COVID-19)patients,were collectd and analyzed,which was studied with cross-sectional study from May 21,2021 to June 16,2021 in Guangzhou Eighth People's Hospital Guangzhou Medical University.The basic informations,descriptive on TCM symptoms,tongue,and the relationship between the tongue and clinical subtype,gender,age,duration of symptoms were analyzed.Results:There were significant differences in the distribution of tongue shape nature among different clinical subtypes.With the aggravation of the disease,the proportion of fat tongue and thin tongue increased;from light type to common type,the proportion of tooth mark tongue,old tongue and awn thorn tongue increased,the difference of coating nature distribution among different clinical types was statistically significant(P<0.05);from light type to common type the proportion of greasy fur increased(P<0.05).Greasy fur is the most common coating nature,and there was no significant difference in the distribution of greasy fur in different course of disease and sex.Patients aged 61-75 years old had 5.143 times the probability of greasy fur than patients<18 years old(P<0.05),and the greasy fur was more difficult to cough.With tongue combining disease.Conclusion:The changes of tongue manifestation can reflect the severity of the disease in patients with COVID-19 Delta variant strain,and it is an important objective factor for the prognosis of patients in clinical judgment.
作者
周袁申
林琳
颜芳
李际强
郭建文
何泽慧
刘译丹
蔡彦
温万鑫
张清华
邹旭
张忠德
ZHOU Yuan-shen;LIN Lin;YAN Fang;LI Ji-qiang;GUO Jian-wen;HE Ze-hui;LIU Yi-dan;CAI Yan;WEN Wan-xin;ZHANG Qing-hua;ZOU Xu;ZHANG Zhong-de(The Second Affliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510120,China;Guangzhou University of Chinese Medicine,Guangzhou 510006,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2022年第12期7002-7006,共5页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
广东省中医药局应急专项(No.YJXM202101)
国家中医药管理局新型冠状病毒感染肺炎中医药应急专项(No.2021ZYLCYJ03-4)。
关键词
新型冠状病毒肺炎
德尔塔变异株
舌象
湿毒疫
Corona Virus Disease 2019(COVID-19)
Delta variants
Tongue manifestation
Dampness toxin epidemic
