XUE Honghao, ZHANG Huiyong, LU Zhenhui, et al. Analysis on TCM clinical characteristics of 66 COVID-19 cases in the recovery period. [J]. Shanghai Journal of Traditional Chinese Medicine 54(5):46-49(2020)
DOI:
XUE Honghao, ZHANG Huiyong, LU Zhenhui, et al. Analysis on TCM clinical characteristics of 66 COVID-19 cases in the recovery period. [J]. Shanghai Journal of Traditional Chinese Medicine 54(5):46-49(2020) DOI: 10.16305/j.1007-1334.2020.05.096.
Analysis on TCM clinical characteristics of 66 COVID-19 cases in the recovery period
Objective:To analyze the distribution characteristics of TCM syndromes in convalescent patients with coronavirus disease 2019 (COVID-19) in Shanghai. MethodsSixty-six convalescent patients with COVID-19 who had been treated in Shanghai Public Health Clinical Center were included. Data collection was completed within 24 hours after the patient was discharged from hospital, including basic information (gender, age, past medical history, smoking history, epidemiological data and medication during hospitalization), TCM syndrome information, tongue image characteristics and course of disease, and analysis and differentiation were carried out according to the “COVID-19 Diagnosis and Treatment Program (Trial Implementation of the Sixth Edition)”. Results:①The main symptoms of convalescent patients with COVID-19 were short yellow urine, thirst, sweating, bitter mouth, fatigue, chest tightness and shortness of breath with red or dark red tongue (77.3%) and greasy coating (53.0%); The proportion of patients with dual deficiency of qi and yin was 81.8%, and that of patients with deficiency of lung and spleen qi was 18.2%. ②There were 20 cases (37.0%) with damp-heat syndrome in patients with dual deficiency of qi and yin and 10 cases (83.3%) with phlegm-dampness syndrome in patients with lung and spleen qi deficiency (P<0.05). The incidence rate of dampness syndrome in patients with lung and spleen qi deficiency was higher than that in patients with dual deficiency of qi and yin (P<0.05). ③The disease course in patients with dual deficiency of qi and yin was longer than that in patients with lung and spleen qi deficiency (P<0.05), but there was no significant correlation between the course of disease and whether the dampness syndrome was combined (P>0.05). Conclusion:Dual deficiency of qi and yin is the main syndrome of patients with COVID-19 in the recovery period with a longer course of disease. Patients with deficiency of lung and spleen qi are more prone to be complicated with dampness syndrome.
关键词
新型冠状病毒肺炎新型冠状病毒普通型恢复期中医证候气阴两虚肺脾气虚
Keywords
COVID-19SARS-CoV-2moderate typerecovery periodTCM syndromedual deficiency of qi and yinlung and spleen qi deficiency
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Department of Traditional Chinese Medicine, Fudan University of Children’s Hospital
Department of Intensive Care Unit, Fudan University of Children’s Hospital
Department of Infectious Disease, Fudan University of Children’s Hospital
Department of Respiratory, Fudan University of Children’s Hospital
Department of Pediatrics, Shanghai Municipal Hospital of Traditional Chinese Medicine Affiliated to Shanghai University of Traditional Chinese Medicine