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題 名 | 從衛、氣、營、血辨證分析SARS疾病傳變臺灣本土證型分析(臺北醫院病例)=The Wei, Qi, Ying, and Blood Identification to Illuminate the SARS Disease |
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作 者 | 許中華; 黃焜璋; 趙崇良; 林昭庚; 周碧瑟; 陳建中; 何彥頤; 謝抒玲; 張恆鴻; 鄭振鴻; 高尚德; 陳忠仁; 王繼榮; 徐蔚泓; 蔡坤儒; 鄭玉琴; | 書刊名 | 臺灣中醫醫學雜誌 |
卷 期 | 3:1 2004.03[民93.03] |
頁 次 | 頁68-80 |
分類號 | 413.34 |
關鍵詞 | 嚴重急性呼吸道症候群; 衛氣營血證型; 溫病; SARS; Wei, Qi, Ying and blood identification; Warm disease; |
語 文 | 中文(Chinese) |
中文摘要 | 嚴重急性呼吸道症候群(SARS)仍是由冠狀病毒所引起(1,2),以飛沫傳染為主要傳染途徑所造成之急性呼吸道感染,發病昧常伴隨高燒、咳嗽、腹瀉、呼吸困難,甚而呼吸衰竭之嚴重傳染病,此病和古書記載之溫病近似(3),現今對SARS之定義,乃依據世界衛生組織(WHO)於2003年5月29日最新修正之版本,界定為疑似病例、可能病例(4)。 設計衛、氣、營、血症狀之問卷,以2003年4月25日至6月30日期間住於衛生署臺北醫院負壓隔離病房之SARS病患為對象,同一位中醫師,每1-2天以電話訪問SARS病患病情,並參考臨床症狀、試驗室檢查、胸部X光之變化,分析SARS疾病傳變,是否可以溫病衛、氣、營、血誤型解釋。 共27人符合WHO SARS診斷標準(5),平均年齡39.3±11.7歲,男性13人,女性14人,平均發病後3.2±1.6天住院治療,初發病時以術(77.8%)、氣(37.1%)證型為主,29.6%兼具衛、氣分證型,初發病平均分數衛分(5.2±2.5)、氣分(3.1±1.4),營分(0.1±0.3)、血分(0±0);最後有兩位病患走向營、血分之傳變(7.4%),並接受插管呼吸器治療,最後死亡,其餘25名病患痊癒出院,出院前16%病患仍有衛、氣分證型,其中8%兼具衛、氣分證型,最後症狀平均分數衛分(1.5±1.9)、氣分(1.0±1.7)、營分(0.3±0.8)、血分(0.3±0.8),平均住院天數為15.3±6.1天。 由溫病之衛、氣、營、血辨證觀點來看SARS 疾病傳變,SARS病患初期症狀以衛、氣分為主,少部份病患轉入營、血分,若轉入營、血分,則預後較差,以衛氣營血證型,分析SARS病人是可行且較易掌握病情之方法之一。 |
英文摘要 | As of august 15, 2003, the cumulative SARS cases reported to the WHO from 32 countries were 8098, with 774 deaths. A novel coronavirus is considered to be associated with this disease. The purpose of this study is to illuminate the SARS disease with the model of the defense, qui, constructions, and blood identification in the theory of warm disease. The subjects were recruited from April 25, 2003 to June 30, 2003. They were admitted via the outpatient department and emergency service of our hospital, or transferred from other hospitals. All the patients met the WHO inclusion criteria. The Chinese-medicine doctor communicated with SARS patients with the special questionmare every one or two days. In the end, 27 patients, mean age 39.3±11.7 years old, (44.4% positive SARS-CoV PCR and 66.7%)completed the study. The initial symptomatic dignosis of our subjects are wei-aspect and qi-aspect patterns. 7.4% of the patients developed the ying-aspect and blood-aspect patterns means the poor prognosis. There are some residual wei-aspect and qi-aspect symptoms at last. With the wei, qi ying, and blood identification to illuminate the SARS disease is proper. It offers the role to understand the course of SARS. |
本系統中英文摘要資訊取自各篇刊載內容。