北京市41例境外输入新型冠状病毒肺炎患者的临床特征及中医证候分布

原庆 马家驹 汪正芳 付渊博 翟军鹏 冯耀辉 郑悦 郭玉红 刘清泉

摘要 目的：探讨北京市境外输入新型冠状病毒肺炎患者中医临床证候特点，为中医干预和辨证论治提供参考。方法：采用中医证候量表收集2020年3月14日至2020年4月3日北京市小汤山定点医院收治的北京市境外输入轻型及普通型患者41例作为研究对象，包括患者基本信息、中医症状、体征、舌象、脉象、中医证型，采用描述性分析方法，观察不同性别、年龄、发病时间的新冠病毒肺炎患者的中医证候特点，分析其病机演变规律。结果：41例患者中医临床证候表现依次为咳嗽、发热、流涕、咽痛、鼻塞、胸闷、乏力、脘痞、头痛、咳痰。舌质主要见红舌和淡红舌为主;舌苔主要见白腻苔、黄腻苔、薄白苔;脉象主要见滑脉、数脉、濡脉。中医证型依次为疫毒袭肺证、湿邪郁肺证、风热犯卫证、湿阻肺胃证。结论：北京市境外输入新型冠状病毒肺炎患者的中医证候分布具有一定规律性，疫毒袭肺证最为常见，病邪以湿邪为主体，但易化热。

关键词 新型冠状病毒肺炎;北京市;境外输入病例;中医学;证候规律

Abstract Objective：To explore the characteristics of TCM clinical syndromes in patients with COVID-19 imported to Beijing and provide reference for TCM intervention and syndrome differentiation and treatment. Methods：A total of 41 patients with light and common type imported to Beijing were collected from march 14，2020 to april 3，2020. TCM syndrome scale was used to collect basic information， TCM symptoms， signs， tongue， pulse， TCM syndrome type. Descriptive analysis was used to observe the characteristics of TCM syndromes of COVID-19 patients with different sex， age and onset time， and to analyze the evolution of its pathogenesis. Results：The clinical syndromes of 41 patients were cough， fever， runny nose， sore throat， stuffy nose， chest tightness， fatigue， abdominal distention， headache and expectoration. The tongue was mainly red tongue and light red tongue; the tongue coating was mainly white greasy fur， yellow greasy fur， thin white fur; the pulse was mainly slippery pulse， rapid pulse， soft pulse. TCM syndrome types were epidemic poison attack lung syndrome， dampness stagnation in the lung syndrome， wind-heat invading Wei syndrome， dampness obstruction in the lung and stomach syndrome. Conclusion：The distribution of TCM syndromes of COVID-19 imported to Beijing has certain regularity. Among 41 patients， epidemic virus attacks lung syndrome is the most common， the pathogen was mainly dampness， but it is easy to transform into heat.

Keywords COVID-19; Beijing; Imported cases; TCM; Syndrome pattern

中图分类号：R241.3;R254.2;R256.1文献标识码：Adoi：10.3969/j.issn.1673-7202.2020.13.031

2019年12月以来，我国湖北省武汉市陆续发现了多例新型冠状病毒肺炎患者，随着疫情蔓延，我国其他地区也发现了此类病例，我国政府在第一时间投入了大量人力物力进行疫情的防控。就在国内疫情逐渐得到控制，曙光即将出现之时，全球疫情却持续蔓延，国外输入性病例成为国内疫情控制的新矛盾。……