摘要：
目的:观察2017年冬季北京单中心乙型流感病例的中医病证特征.方法:采用横断面调查方法回顾2017年11、12月首都医科大学附属北京朝阳医院68例乙型流感病例,通过分析其流行病学、临床症状及实验室检查特点,总结北京地区2017年冬季乙型流感病例的中医病证特征.结果:临床表现:68例乙型流感病例起病即发热(100%),Tmax(38.6 ± 0.43)°C,发热持续不退,恶寒、咳嗽、咽痛、肌肉酸痛、头痛等症状明显,中医证候以表寒里热证(39.7%)为主,其次风热证(14.7%).流行病学:68例乙型流感病例人群年龄(39.5 ±15.9)岁,男女比例0.54:1,有基础病者(0.8%),就诊前用药者(54.4%);未接种流感疫苗者(100%),接触流感样患者(48.5%).实验室检查:乙型流感病毒病毒株为Yamagata系,中性粒细胞百分比不高,余未见异常.结论:2017年冬季北京单中心68例乙型流感病例属中医学"时行感冒"范畴,临床表现以发热恶寒、咳嗽,咽痛,肌肉酸痛,头痛的表寒里热证为特征.%Objective:To observe the cases of TCM syndrome characteristics of single center influenza B in Beijing in the winter of 2017.Methods:A total of 68 cases of influenza B in Beijing Chaoyang Hospital Affiliated to Capital Medical University from Janu -ary to December in 2017 were retrospectively analyzed by cross-sectional survey.The epidemiology,clinical symptoms and laborato-ry features of 68 cases of influenza B were retrospectively analyzed,which summarized the symptoms of influenza B of TCM syn-dromes in winter of 2017.Results:The clinical manifestations of 68 cases of influenza B were fever onset(100%),Tmax(38.6 ± 0.43)°C,and the fever persisted,with the aversion to cold,cough,sore throat,muscle soreness,headache and other symptoms ap-peared significantly.Syndrome was based on cold in the Exterior and Heat in the Interior(39.7%),followed by external wind-heat syndrome(14.7%).Epidemiology:68 cases of influenza B were(39.5 ±15.9)years old,male female ratio was 0.54:1,with bas-ic disease(0.8%),the rate of drug users before treatment(54.4%),patients without vaccinating against influenza(100%),pa-tients with flu-like illness(48.5%).Laboratory tests:Type B influenza virus strain was Yamagata series,the percentage of neutro-phils was not high,and no abnormal situation was seen.Conclusion:68 cases of type B influenza in Beijing single center in winter of 2017 were classified as"Epidemic colds"in TCM.And the clinical manifestations were characterized by cold-heat syndrome of fever,aversion to cold,cough,sore throat,muscle ache and headache.
