【摘要】 [目的]分析传染性非典型肺炎(SARS)患者入院时中医证候特点,为中医药的临床辨证治疗提供参考依据。[方法]对确诊的61例SARS患者入院时的中医证候(卫气营血辨证)资料进行回顾性分析,将病历资料建立数据库,对计数资料采用相对数(比、率)进行描述及统计。[结果]本组SARS病例入院时均以发热为首发症状,中、高热型共43例(70.49％);咳嗽80.33％。恶寒57.38％;倦怠乏力67.21％、脘痞纳呆59.02％,疼痛53例(86.89％),其中头痛32.79％、肌肉关节酸痛47.54％、咽痛27.87％;舌质淡红29.51％、舌红52.46％、舌尖红8.20％、舌暗红8.20％;苔白22.95％、苔黄75.41%;脉象浮数40.98％、滑数21.31%、濡数24.59%;病情处于卫气分阶段者共60例(98.36%);有挟湿表现者38例(62.30%),挟湿在卫分、卫气同病、气分三阶段的分布无显著性差异(x~2=3.85,P>0.05)。【结论】SARS病例多以发热为首发症状,并以中、高热型为主;肺系症状咳嗽、恶寒、咽痛多见,而胸闷、胸痛、气促等出现率较低;中焦湿热证候与疼痛表现常见;早期绝大多数病例尚处于卫、气分阶段,各阶段均多有挟湿表现。更多还原

【Abstract】 【Objective】 To work out the features of syndrome patterns in cases of severe acute respiratory syndrome(SARS) at admission and to supply evidence of clinical diagnostic standard in the practice of traditional Chinesemedicine. 【Methods】Syndrome differentiation of weifen, qifen, yingfen and xuefen was performed in 61 confirmed casesof SARS at admission. Database of case history was established and then descriptive analysis was carried out. 【Results】Fever was the initial symptom and medial fever and high fever occurred in 43 cases (70.47%). Cough accounted for 80. 33% and aversion to cold accounted for 57. 38%. Lassitude accounted for 67. 21%, and epigastric oppression andpoor appetite 59.02%. Fifty-three cases (86.89%) suffered from pain, and among them headache accounted for32.79%, myalgia and arthralgia 47. 54% and sore throat 27. 87%. Light-reddish tongue accounted for 29. 51%, red-dish tongue 52.64%, reddish tongue-tip 8.20% and dark-reddish tongue 8.20%. White tongue fur accounted for22. 95%, and yellowish fur 75.41%. Floating-rapid pulse accounted for 40.98%, slippery-rapid pulse 21.31% andsluggish-rapid pulse 24.95%. As for the differentiation of syndrome patterns, 60 (98.36%) cases were in weifen stage;38 (62.30%) were complicated with dampness syndrome. Complicated dampness involved weifen, weifen-qifen orqifen, the differences being insignificant (X~2 = 3.85, P > 0.05). 【Conclusion】 Fever is the initial symptom and ischaracterized as medial fever and high fever in SARS patients at admission. Lung disease is marked with cough, aversionto cold and sore throat; the incidence of distention and pain in the chest and dyspnea is low. Damp-heat syndrome andpain frequently occur. Most of the cases at admission are classified as weifen or qifen syndromes and are complicated withdampness syndrome.更多还原