天津地区13例新型冠状病毒肺炎复阳病例中医病证特点及典型病案分析

Analysis on traditional Chinese medicine syndrome characteristics and typical cases of 13 re-positive cases of COVID-19 in Tianjin area

关键词:  天津地区  新型冠状病毒肺炎  复阳  病证特点  典型病案

Key words:  Tianjin area  COVID-19  patients rebounded positivity  disease characteristics  typical case

摘要:

[目的]初步分析天津地区新型冠状病毒肺炎复阳病例中医病证特点及辨治方法。[方法]对收治于天津市海河医院的13例新型冠状病毒肺炎复阳患者开展中医证候学调查，并进行典型病案的辨治分析。[结果]相比较天津地区整体的病证特征，复阳患者以男性更多见，平均年龄较小，轻型或普通型患者居多；接近半数患者无症状，症状种类较首次发病时明显减少，程度明显减轻；舌苔厚腻等湿浊之象明显改善，但较多出现咳嗽、咽干等气阴两虚之征，治法上建议应用益气养阴配合化湿祛浊、活血通络，取得了良好疗效。[结论]天津地区新型冠状病毒肺炎复阳病例中医病证特点的把握及典型病例的辨治思路为临床实践提供了参考。

Abstract:

[Objective] To preliminarily analyze the characteristics of traditional Chinese medicine(TCM)syndromes and treatment methods of re-positive cases for coronavirus disease 2019(COVID-19) in Tianjin.[Methods] The TCM syndromes of 13 patients with re-positive cases for COVID-19 in Tianjin Haihe Hospital were investigated and the typical cases were analyzed.[Results] Compared with the universal characteristics and syndromes of COVID-19 in Tianjin,patients who rebounded positivity more were male,patients with younger age and mild or ordinary symptoms were more common. Nearly half of the patients were asymptomatic,the types of symptoms were significantly reduced compared with the first onset. The symptoms of dampness and turbidity such as thick and greasy tongue coating were significantly improved,but cough,dry throat and other symptoms of deficiency of both qi and yin were more common. It is suggested to use supplementing qi and nourishing yin combined with removing dampness and turbidity,promoting blood circulation and removing blood stasis,and the good curative effect has been achieved.[Conclusion] The grasp of the characteristics of TCM syndromes and the differentiation and treatment of re-positive cases of COVID-19 in Tianjin provide a reference for clinical practice.