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成人轻型乙型流感不同脉息比值的中医证型观察

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目的 观察轻型乙型流感患者不同脉息比的中医证型特点,为中医辨证客观化、数字化提供临床支持。方法 采用回顾性研究方法选择2021年11月—2022年3月首都医科大学附属北京佑安医院130例诊断为轻型乙型流感的病例,根据长桑君脉法脉息术理论,根据脉息比值将患者分为少气组(<4)、平人组(4~5)和脉躁组(>5),分别观察各组的临床症状、舌脉特征,初步观察比较各组中医证型的特点。结果 脉躁组与其他两组比较体温明显高于其他两组,差异有统计学意义(P=0。000);少气组女性多于男性,而平人组与脉躁组男性多于女性,差异有统计学意义(x2=6。293,P=0。043);从中医证型上来看,少气组以风寒袭肺为多见;平人组及脉躁组均以表寒里热多见;脉躁组更易出现热毒袭肺的证型,差异有统计学意义(x2=19。09,P=0。001)。结论 不同脉息比的乙流患者,中医证型表现是有差异的;在临床中关注脉搏与呼吸比值,结合体温情况,或可使流感中医辨证客观化,提高流感中医辨证的准确性,有利于流感中医辨证的数字化。
Observation on TCM Syndrome Types of Different Pulse Conditions to Breath Ratios in Adult Patients with B-flow
Objective To observe the characteristics of TCM syndrome types in patients with mild influenza B with the different rations of pulse to breath and to provide clinical support for objectification and digitization of TCM syndrome differentiation.Meth-ods A retrospective study method was used to select 130 cases of mild influenza B diagnosed in Beijing Youan Hospital Affiliated to Capital Medical University from November 2021 to March 2022.According to the theory of Changsangjun pulse method,the pa-tients were divided into Qi deficiency(<4),healthy person(4~5)and rapid and restless pulse(>5).The clinical symptoms and tongue pulse characteristics of each group were observed respectively,and the characteristics of TCM syndrome types of each group were preliminarily observed and compared.Results Compared with that of the other two groups,the body temperature of the rapid and restless pulse group was significantly higher than that of the other two groups(P=0.000).There were more women in the Qi deficiency group,and more men in the healthy person group and the rapid and restless pulse group and the difference was statistically significant(x2=6.293,P=0.043).From the perspective of TCM syndrome types,the wind cold attacking lung is more common in the Qi deficiency group.In the healthy person group and rapid and restless pulse group,exterior cold and interi-or heat syndrome was common.The rapid and restless pulse group was more prone to the syndrome type of heat toxin attacking lung and the difference was statistically significant(x2=19.09,P=0.001).Conclusion There are differences in the manifesta-tions of TCM syndrome types in patients with B-flow with different ratios of pulse to breath.Paying attention to the ratio of pulse to breath in clinical practice,combined with body temperature,may make the TCM syndrome differentiation of influenza objective,improve the accuracy of TCM syndrome differentiation of influenza and be conducive to the digitization of TCM syndrome differen-tiation of influenza.

influenza Bration of pulse to breathTCM syndrome types

刘增利、李侗曾、梁连春、牟丹蕾、吉珊、张龙玉、汪晓军

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首都医科大学附属北京佑安医院,北京 100069

乙型流感 脉息比 中医证型

国家中医药管理局中医药科学技术研究专项北京中医药科技发展基金项目

2020ZX50798YJ2020-02

2024

中华中医药学刊
中华中医药学会 ,辽宁中医药大学

中华中医药学刊

CSTPCD北大核心
影响因子:1.007
ISSN:1673-7717
年,卷(期):2024.42(7)