107例成人病毒性肺炎中医证型分布的的特点.docVIP

107例成人病毒性肺炎中医证型分布的的特点 　　摘要：目的 探讨成人病毒性肺炎的临床特点及证型分布规律。方法 回顾性分析本院2009-2012年107例经PCR、ELISA、IF法检测病毒抗原、血清病毒抗体IgM阳性的成人病毒性肺炎患者的临床资料，并对临床症状、血清学检查及中医证型分布规律进行分析。结果 成人病毒性肺炎患者平均年龄（34.78±11.4）岁；临床症状以发热、咳嗽、咽痛为主，且头痛、全身酸痛等卫表症状突出；中医证型分布以风热犯肺、痰热阻肺、风热夹湿、风寒化热为主，占92.52%（99/107）；病程≤7 d以风热犯肺证多见，7 d以痰热阻肺证多见；病毒以甲型流感病毒、乙型流感病毒、副流感病毒为主；107例中，单一病毒感染者86例（80.37%）。不同病原体的证型分布差异无统计学意义（P0.05）。结论 成人病毒性肺炎中医证型分布具有一定特点，与病程存在相关性。 　　关键词：成人病毒性肺炎；中医证型；流感病毒 　　DOI：10.3969/j.issn.1005-5304.2013.07.008 　　中图分类号：R259.631 文献标识码：A 文章编号：1005-5304（2013）07-0018-03 　　Distribution Characteristic of TCM Syndrome in 107 Cases of Adult Viral Pneumonia LIAO Hui-li， DONG Hong-zhen （The First Affiliated Hospital of Guangzhou University of Chinese Medicine， Guangzhou 510405， China） 　　Abstract：Objective To discuss the distribution of TCM syndromes and clinical characteristics in adult viral pneumonia. Methods Retrospective analysis was carried out during 2009-2012 in 107 cases of adult viral pneumonia with virus antigen and serum virus IgM antibody positive detected with PCR， ELISA and IF method. The clinical symptoms， serology and TCM syndrome type distribution were analyzed. Results The average age of the patients with adult viral pneumonia was 34.78±11.4. The clinical symptoms were mainly fever， cough and sore throat， and defense phase symptoms such as headache and general aching were outstanding. TCM syndromes distribution accounted for 92.52% （99/107） of syndrome of wind-heat invading lung， syndrome of phlegm-heat congesting lung， syndrome of wind-heat with dampness， and syndrome of wind-cold to heat. Syndrome of wind-heat invading lung was commonly seen in disease course ≤7 d， and syndrome of phlegm-heat congesting lung in course 7 d. The viruses were mainly influenza A and B， parainfluenza virus. Among the 107 cases， 86 cases （80.37%） were infected with single virus. There were no significant difference among different pathogens in the distribution of type （P0.05）. Conclusion TCM syndrome distribution of adult viral