ZHU Miao, LYU Qingquan, GU Minghua, CHEN Yongchang, WANG Jing, HUANG Ziqiang, JIAO Hongxia, ZHU Hong, LIN Hua. Clinical diagnosis and integrated treatment of traditional Chinese and western medicine for confirmed patients with coronavirus disease 2019 in Yangzhou area of Jiangsu Province[J]. Journal of Clinical Medicine in Practice, 2020, 24(5): 1-5. DOI: 10.7619/jcmp.202005001
Citation: ZHU Miao, LYU Qingquan, GU Minghua, CHEN Yongchang, WANG Jing, HUANG Ziqiang, JIAO Hongxia, ZHU Hong, LIN Hua. Clinical diagnosis and integrated treatment of traditional Chinese and western medicine for confirmed patients with coronavirus disease 2019 in Yangzhou area of Jiangsu Province[J]. Journal of Clinical Medicine in Practice, 2020, 24(5): 1-5. DOI: 10.7619/jcmp.202005001

Clinical diagnosis and integrated treatment of traditional Chinese and western medicine for confirmed patients with coronavirus disease 2019 in Yangzhou area of Jiangsu Province

More Information
  • Received Date: March 11, 2020
  • Available Online: August 26, 2020
  • Objective To summarize and evaluate the epidemiological characteristics, clinical symptoms, laboratory tests, treatment options and prognosis of novel coronavirus pneumonia(Coronavirus Disease 2019, COVID-19)in Yangzhou. Methods The clinical data of 23 COVID-19 hospitalized patients in Yangzhou Infectious Disease Hospital were collected and analyzed. Results (1) Case characteristics: nucleic acid tests(oropharyngeal swabs)were positive in 23 patients, including 1 severe case and 22 common cases, aged 23 to 72 years, with 10 males and 13 females. There were 21 cases(91.3%)with contact history, among which familial clustering occurred in 7 cases. The average incubation period was 5 days. (2) Clinical symptoms mainly included cough, fever(78.3%), followed by sputum symptoms(26.1%), chest tightness and asthma(26.1%), and digestive tract symptoms(8.7%). (3) Hematological examination: the total number of white blood cells was normal, with low lymphocytes occurring in 16 patients, abnormal liver function in two patients at admission; - triglycerides and cholesterol increased, and C reactive protein(CRP)decreased at discharge. (4) Imaging examinations: CT scan of the chest showed that multiple ground glass shadows was seen under the pleura, complicating with interstitial thickening. (5) Treatments: all the patients were treated by antiviral, anti-infective, and oxygen inhalation treatments. Only one severe patient was given non-invasive ventilation. All patients were discharged after negative results of the nucleic acid test. Conclusions Positive nucleic acid test and multiple ground-glass shadows complicating with interstitial thickening by chest CT are important evidence for diagnosis of novel coronary pneumonia, and contact history of susceptible people, cough as well as fever symptoms, and low lymphocytes are important clinical manifestations of novel coronavirus pneumonia. In clinic, comprehensive treatment of Chinese and western medicine is an effective treatment for COVID-19.
  • 中华人民共和国国家卫生健康委员会. 关于印发新型冠状病毒肺炎诊疗方案(试行第七版)的通知[EB/OL]. http: //www.nhc.gov.cn/yzygj/s7653p/202003/46c9294a   7dfe4cef80dc7f5912eb1989.shtml.
    Wang W, Tang J, Wei F. Updated understanding of the outbreak of 2019 novel coronavirus(2019-nCoV)in Wuhan[J/OL]. J Med Virol, 2020, 92(4), 441-447.
    Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study[J]. Lancet, 2020, 395(10223): 507-513.
    闵瑞, 刘洁, 徐焱成, 等. 新型冠状病毒肺炎发病机制及临床研究进展[J/OL]. 中华医院感染学杂志. http: //kns.cnki.net/kcms/detail/11.3456.R.20200304.1653.002.html.
    中国疾病预防控制中心新型冠状病毒肺炎应急响应机制流行病学组. 新型冠状病毒肺炎流行病学特征分析[J]. 中华流行病学杂志, 2020, 41(2): 145-151.
    Song Z, Xu Y, Bao L, et al. From SARS to MERS, thrusting coronaviruses into the spotlight[J]. Viruses, 2019, 11(1): 59-86.
    Kuba K, Imai Y, Rao S, et al. A crucial role of angiotensin converting enzyme 2(ACE2)in SARS coronavirus-induced lung injury[J]. Nature Medicine, 2005, 11(8): 875-879.
    Zou X, Chen K, Zou J W, et al. The single-cell RNA-seqdata analysis on the receptor ACE2 expression reveals the potential risk of different human organs vulnerable to Wuhan 2019-nCoV infection[J/OL]. Frontiers of Medicine. http: //journal.hep.com.cn/fmd/EN/10.1007/s11684-020-0754-0.
    施斌斌, 傅剑雄, 孙骏. 等. 扬州地区23例新型冠状病毒肺炎患者的CT影像分析[J]. 实用临床医药杂志, 2020, 24(4): 10-12.
    王玉光, 齐文升, 马家驹, 等. 新型冠状病毒(2019-nCoV)肺炎中医临床特征与辨证治疗初探[J/OL]. 中医杂志. https: //kns.cnki.net/KCMS/detail/11.2166.R.20200129.   1258.002.html.
    李天志, 徐国纲. 新型冠状病毒肺炎诊治研究进展[EB/OL]. http: //kns. cnki. net/kcms/detail/11.1056.R.20200306.1432.002.html.
  • Related Articles

    [1]YANG Yanjun, BAI Zixing, CAO Xuhan, SUN Chengyi, CHEN Si, ZHAO Haocheng, WEN Jianmin, SUN Weidong. Effect of modified minimally invasive surgery of integrated traditional Chinese and western medicine combined with Akin osteotomy in treatment of patients with moderate to severe hallux valgus[J]. Journal of Clinical Medicine in Practice, 2022, 26(17): 81-86. DOI: 10.7619/jcmp.20214852
    [2]CHI Wencheng, GENG Xue, JIANG Jiakang, JIANG Qinghui, ZHOU Yunbo, ZOU Xiangni. Research progress on integrated therapy of traditional Chinese and western medicine in treatment of adverse reactions after tumor chemotherapy[J]. Journal of Clinical Medicine in Practice, 2022, 26(8): 126-130. DOI: 10.7619/jcmp.20214971
    [3]LIU Jingyang, DING Qiang, ZHANG Yuan. Application of clinical pathway of integrated traditional Chinese and western medicine in treatment of children with bronchopneumonia[J]. Journal of Clinical Medicine in Practice, 2020, 24(21): 105-107. DOI: 10.7619/jcmp.202021030
    [4]LYU Guoqin. Establishment of a standardized prevention systemof orthopedic venous thromboembolism based on integrated traditional Chinese and western medicine[J]. Journal of Clinical Medicine in Practice, 2019, 23(23): 37-39. DOI: 10.7619/jcmp.201923011
    [5]WANG Zhuo, GU Jun, LIU Wentian. Efficiency observation of traditional Chinese and westernmedicines combined with fiberoptic bronchoscope flushing in treating patients with pulmonary abscess[J]. Journal of Clinical Medicine in Practice, 2019, 23(18): 58-60, 64. DOI: 10.7619/jcmp.201918017
    [6]LI Ling, CHEN Dan. Effect of integrated treatment of traditional Chinese and western medicine on improvement of gross motor function and quality of life in children with cerebral palsy[J]. Journal of Clinical Medicine in Practice, 2017, (13): 83-87. DOI: 10.7619/jcmp.201713022
    [7]SUN Xiaoqing, ZUO Guangliang, CUI Zhongshan, ZHANG Chao, BI Wenjun. Clinical observation on effects of integrated traditional Chinese medicine with western medicine in treatment of senile osteoporosis[J]. Journal of Clinical Medicine in Practice, 2015, (Z1): 102-103.
    [8]ZHANG Ying. Nursing of integrated Chinese and western medicine of insulin pumptherapy in the intensified treatment of patients with first onset type 2 diabetes[J]. Journal of Clinical Medicine in Practice, 2014, (2): 21-22,34. DOI: 10.7619/jcmp.201402008
    [9]HE Hui. Influence of nursing of integrated Traditional Chinese and Western medicine on nerve conduction function of patients with diabetic peripheral neuropathy[J]. Journal of Clinical Medicine in Practice, 2013, (18): 82-85. DOI: 10.7619/jcmp.201318034
    [10]ZHANG Ying, YANG Jinfen, ZHOU Wentao, TIAN Ping. Therapeutic observation and nursing of integrated traditional Chinese and western medicine in the treatment of chronicpelvic inflammation[J]. Journal of Clinical Medicine in Practice, 2013, (14): 184-186. DOI: 10.7619/jcmp.201314068
  • Cited by

    Periodical cited type(3)

    1. 朱淼,张晶,耿平,王靖,刘延庆,曹柳兆,李田田,孙梅. 江苏省扬州市德尔塔毒株新型冠状病毒肺炎患者早期临床特征分析. 实用临床医药杂志. 2021(23): 4-8 . 本站查看
    2. 刘清,景阳,潘岁月,黄咏可,施宇佳,孙志琴. 28例新型冠状病毒肺炎患者的早期康复护理. 实用临床医药杂志. 2020(11): 125-128 . 本站查看
    3. 陈晶晶,张念志,韩明向,周静,陈炜,董梅,刘玲,胡蝶,李允栋,朱笑笑,李晶,汪诗清. 基于六经辨证理论浅析新型冠状病毒肺炎的治疗. 云南中医学院学报. 2020(03): 24-28 .

    Other cited types(0)

Catalog

    Article views (407) PDF downloads (10) Cited by(3)

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return