209例新型冠状病毒肺炎恢复期患者中医证型分布及其证治思考

Thoughts on the Distribution and Treatment of TCM Syndromes in 209 Convalescent COVID-19 Patients

摘要: 目的：探索普通型新型冠状病毒肺炎(COVID-19)恢复期患者中医证型分布特点，为COVID-19恢复期患者诊治提供证治参考。方法：纳入2020年2月14日~2020年3月31日武汉江夏方舱医院(86例)、武汉黄石有色医院(67例)、武汉江夏区中医院(20例)、淮安市中医院(20例)、扬州市中医院(10例)、镇江市第三人民医院(6例)，总计209例均符合出院标准处于恢复期的普通型COVID-19患者，收集患者基本特征(年龄、性别、来源)、四诊信息，分析患者的中医证型分布特点。采用SPSS 26.0统计软件进行数据分析。结果：209例符合出院标准处于恢复期的普通型COVID-19患者，男女比例为0.86:1，年龄11~79岁，平均年龄(48.90 ± 14.02)岁。中医证型分布以肺脾不足证占65.1%，气阴两虚证占34.9%，兼夹证以湿热证最常见(14.4%)，肝气郁结与心神失养证也可见到。结论：肺脾不足证为普通型新型冠状病毒肺炎恢复期患者主要证型，气阴两虚证次之，可以兼夹湿热证，也可出现肝气郁结与心神失养证。

Abstract: Objective: To explore the distribution characteristics of TCM syndromes in convalescent COVID-19 patients, so as to provide a reference for the diagnosis and treatment of convalescent COVID-19 patients. Methods: From February 14, 2020 to March 31, 2020, Wuhan Jiangxia Fangcang Hospital (86 cases), Wuhan Huangshi Youse Hospital (67 cases), Wuhan Jiangxia District Hospital of Tradi-tional Chinese Medicine (20 cases), Huai’an City Hospital of Traditional Chinese Medicine (20 cases), Yangzhou City Hospital of Traditional Chinese Medicine (10 cases), Zhenjiang Third People’s Hospital (6 cases) were included. A total of 209 patients with common COVID-19 who met discharge standards and were convalescent were collected. The basic characteristics (age, gender, source) and four diagnostic information of the patients were collected to analyze the distribution characteristics of TCM syndromes. SPSS26.0 statistical software was used for data analysis. Results: 209 convalescent COVID-19 patients were discharged from the hospital, the ratio of male to female was 0.86 to 1, 11~79 years old, and the average age was (48.90 ± 14.02) years old. The syndromes of TCM were 65.1% for the deficiency of lung and spleen, 34.9% for the deficiency of Qi and Yin, and 14.4% for the deficiency of dampness and heat. Conclusion: The deficiency of lung and spleen was the main syndrome type in convalescent COVID-19 patients, followed by deficiency of both vital Qi and Yin syndrome, can also clip dampness-heat syndrome, and can also appear liver-qi stagnation and heart loss syndrome.