| 李秀惠,胡建华,杨宇,郭彩平,梁连春,胡中杰,勾春燕,叶军.63例SARS中医症候群的动态分析[J].中国中西医结合杂志,2003,(8):569-571 |
| 63例SARS中医症候群的动态分析 |
| Dynamic Analysis of TCM Syndrome in 63 Patients of SARS |
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| DOI： |
| 中文关键词: 严重急性呼吸综合征 中医症候 舌象 T淋巴细胞 |
| 英文关键词:severe acute respiratory syndrome TCM syndrome tongue figure T-lymphocyte |
| 基金项目:北京市中医药防治SARS研究课题 (京中科SARS 0 1 ) |
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| 中文摘要: |
| 目的 :观察严重急性呼吸综合征 (SARS)患者的症候及舌象动态特征及与实验室检查的关系。方法 :观察 2 0 0 3年 3月 11日— 4月 30日在我院感染科住院 6 3例SARS患者的症候、舌象及实验室指标的动态变化。结果 :(1)早期最常见的症状为发热 (5 6例 )、咳嗽 (4 1例 )、四肢乏力或困重 (4 0例 ) ;中期 (极期 )最常见的症状为咳嗽 (5 3例 )、四肢乏力或困重 (4 3例 ) ;恢复期患者临床症状多不典型 ,偶可见四肢乏力或困重(17例 )、胸闷胸痛 (13例 )、低热 (11例 )、咳嗽 (12例 )、咳痰 (11例 )。 (2 )舌象 :早期多舌淡红或舌尖红 ,舌苔薄白、白腻或黄腻 ;中期多舌质红 ,舌苔白腻或黄厚腻 ;恢复期多舌质淡红或舌尖红 ,偶有舌质暗紫 ,苔薄白或白腻 ,偶有苔黄腻。 (3)SARS患者早期白细胞、血小板及CD4 + 、CD8+ T淋巴细胞均低于正常 ,至恢复期均显著升高 ,与早期比较 ,差异均有显著性 (P <0 0 1)。结论 :SARS不同病期的中医症状有其特点和变化规律 ,与实验室检查结果有一致性。 |
| 英文摘要: |
| Objective:To observe the dynamic characteristics of symptoms and tongue figure in SARS patients, and the relationship between them and laboratory indexes. Methods:The dynamic changes of 63 patients, who were hospitalized in authors′ hospital from March 11 to April 30,2003, were observed. Results:The symptoms mostly often revealed in patients of early stage were fever in 56 patients, cough in 41 and weakness or heaviness of limbs in 40, which in patients of middle or crisis stage were cough in 53 and weakness or heaviness of limbs in 43. The clinical symptoms in patients of recovery stage were atypical, they occasionally manifested as limb weakness or heaviness in 17, chest stuffiness or pain in 13, low fever in 11, cough in 12 and expectoration in 11. In the early stage, patients′ tongue was pink or red in tongue tip, with thin-white, white-greasy or yellow-greasy coating; in middle stage, tongue in most patients were red, with white-greasy or yellow-thick-greasy coating; in recovery stage, tongues of patients were mostly pink or red in tongue tip, few were dark purple, with thin -white or white-greasy, occasionally yellow-greasy coating. Conclusion:TCM syndrome of SARS patients has its characteristics and regularity of changes, which was in accordance with the laboratory findings. |
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