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377例登革热中医症候特点分析

Analysis on syndrome characteristic of traditional Chinese medicine of 377 dengue fever patients

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【作者】 张沛谭行华张复春单西云李丽华马得宏王健洪文昕

【Author】 ZHANG Pei;TAN Xing-hua;ZHANG Fu-chun;SHAN Xi-yun;LI Li-hua;MA De-hong;WANG Jian;HONG Wen-xin;Guangzhou Eighth People’s Hospital;Guangzhou University of Chinese Medicine;The People’s Hospital of Xishuangbanna Dai Autonomous Prefecture;

【机构】 广州市第八人民医院广州中医药大学西双版纳傣族自治州人民医院

【摘要】 目的:探讨登革热的中医症候特点。方法:对377例住院登革热病例临床资料进行分析。结果:377例登革热主要表现为发热(100.0%)、乏力(92.3%)、畏寒(74.5%)、头痛(78.5%)、肌肉/关节疼痛(82.0%)、皮疹/出血点(72.7%),白细胞(WBC)减少者占82.2%,血小板(PLT)减少者占82.0%,丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶(AST)、肌酸激酶(CK)、乳酸脱氢酶(LDH)升高者分别占57.6%、80.1%、42.6%、87.9%。377例登革热病例的主要证型为气血(营)两燔(33.4%)和瘀毒交结(34.5%)。结论:本次登革热住院病例的中医证型分布相对集中。

【Abstract】 Objective: To analyze the syndrome characteristics of traditional Chinese medicine of dengue fever. Methods: Clinical and laboratorial data of 377 patients with dengue fever was analyzed. Results: The common manifestations of 377 patients with dengue fever included fever(100.0%), fatigue(92.3%), fear of cold(74.5%), headache(78.5%), pain of myalgia/arthralgia(82.0%), skin rash/hemorrhagic spot(72.7%). Patients with reduced white blood cells accounted for 82.2%, and patients with reduced platelet accounted for 82.0%. Patients with elevated alanineaminotransferase(ALT), aspartateaminotransferase(AST), creatinekinase(CK) and lactatedehydrogenase(LDH) accounted for 57.6%, 80.1%, 42.6% and 87.9% respectively. The main syndromes of 377 dengue fever patients were syndrome of flaring heat in qifen and xuefen(33.4%) and syndrome of intermingled toxicity and blood stasis(34.5%). Conclusion: The distribution of TCM syndromes in patients with dengue fever is centralized.

【基金】 “十二五”国家科技重大专项(No.2012ZX10004301-003)~~
  • 【文献出处】 中华中医药杂志 ,China Journal of Traditional Chinese Medicine and Pharmacy , 编辑部邮箱 ,2015年07期
  • 【分类号】R259
  • 【被引频次】15
  • 【下载频次】263
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