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目的 报道广东省中医院出院后随访的严重急性呼吸综合征(SARS)患者的健康状况及相关的检测指标结果,为探讨和制订该人群康复治疗的中西医结合措施提供科学依据。方法 采用随访问卷和血常规、肝肾功能、免疫功能、肺功能、胸部螺旋CT、心脏彩色B超检测,运用描述性及推断性分析进行处理。结果 69例随访对象中,5例有肝功能损害,18例显示免疫功能有一定程度降低;肺功能检测提示SARS对患者的大气道通气功能影响不大,而15例小气道通气功能障碍,40例残气容积增加,14例轻度肺弥散功能障碍,24例患者遗留肺炎吸收不全、局灶或多发性间质病变、肺间质纤维化、胸膜粘连等,34例出现肺循环阻力升高、或轻度肺动脉高压、或左心空心肌节段性缺血。2例视力下降。中医证候分类:气阴两虚证24例,心脾两虚证8例,肝部脾虚证37例;夹湿热证18例,夹血瘀证7例。部分患者存在精神心理影响。结论 部分SARS患者出院后仍见心、肺、肝功能损害,免疫功能降低,精神心理影响。提示下一步应结合中医证候类型进行康复治疗。
Objective To report the health status of severe acute respiratory syndrome (SARS) patients who were discharged from Guangdong Provincial Hospital of Traditional Chinese Medicine after hospital discharge and related test results, so as to provide a scientific basis for exploring and formulating the integrated traditional Chinese and western medicine for rehabilitation of this population. Methods Follow-up questionnaire and blood routine test, liver and kidney function, immune function, pulmonary function, chest spiral CT, and cardiac color B ultrasound were used to analyze the results of descriptive and inferential analysis. Results Of the 69 follow-up cases, 5 cases had liver dysfunction and 18 cases showed some reduction in immune function. Pulmonary function tests showed that SARS had little effect on airway ventilation, while 15 cases had small airway dysfunction, 40 34 cases of mild pulmonary dysfunction, residual pneumonia in 24 patients with incomplete, focal or multiple interstitial lung disease, interstitial fibrosis, pleural adhesions, 34 cases of pulmonary vascular resistance increased, Or mild pulmonary hypertension, or left ventricular myocardial ischemia. 2 cases of vision loss. TCM Syndromes: 24 cases of Qi and Yin Deficiency Syndrome, 8 cases of heart and spleen Deficiency Syndrome, 37 cases of spleen deficiency in the liver; 18 cases of damp-heat syndrome, and 7 cases of blood stasis syndrome. Some patients have mental and psychological impact. Conclusions Some patients with SARS still have heart, lung and liver dysfunction, decreased immune function and mental and psychological impact after discharge. Prompt the next step should be combined with traditional Chinese medicine syndrome type of rehabilitation.