Analysis Of Syndrome Characteristics Of 130 Patients With Novel Coronavirus Pneumoni

Purpose:This study was conducted by observing and collecting information on the general conditions,clinical symptoms,tongues,laboratory tests and features of chest images of patients with COVID-19,we describe and analyse the distribution of syndrome,disease location and concurrent syndrome of COVID-19.And we explored the relationship between laboratory tests or chest image features with syndrome to provide reference for the prevention and treatment of viral respiratory infectious diseases.Method:This study collected clinical records of inpatients eligible for COVID-19 diagnosis from January 28,2020 to March 20,2020 at Jinyintan Hospital,Wuhan.Patients’ general condition,laboratory tests such as blood routine test,lactate dehydrogenase,C-reactive protein,sedimentation,serum ferritin,D-Dimer,coagulation function,chest CT signs and extent of lesions were collected and CT score were calculated.The distribution of evidence and general conditions,laboratory tests and chest CT of the included patients were statistically analysed.Statistical analysis was performed using SPSS 25.0.Rustle:The ratio of men to women in the 130 patients with COVID-19 included in this study was 1.24,with more men than women.Patients were predominantly older than 40 years of age,with 62 cases of combined co-morbidities.Distribution of patient admission syndrome:syndrome of epidemic toxin blocked lung(40.00%)>syndrome of healthy qi deficiency and toxin excessiveness(20.77%)>spleen-lung qi deficiency syndrome(19.23%)>damp pathogen depressed the lung(11.54%)>dampness-heat of Shaoyang(8.46%)Extra-pulmonary location of diseases in patient on admission:spleen(32.31%)>stomach(17.69%)>liver(12.31%)>kidney(6.92%)>heart(6.15%)Syndrome factor without dampness and toxic in patient admitted:blood stasis(49.23%)>qi deficiency(39.23%)=heat(39.23%)>yin deficiency(16.92%)>phlegm(9.23%)>yang deficiency(0.77%)There is a correlation between 5 types of syndrome and age(P=0.017<0.05).Continuing with the two-by-two comparison,there is a difference between the age of damp pathogen depressed the lung and the age of syndrome of healthy qi deficiency and toxin excessiveness.(Adjusted P=0.021<0.05)There is a correlation between the 5 types of syndrome and the length of hospital stay.(P=0.016<0.05).Continuing with the two-by-two comparison,no result<0.05.No significant correlation was found between the distribution of patients’ syndrome and the size of their chest CT lesions and the composition of their specific signs.Conclusion:1.Distribution of patient admission syndrome are syndrome of epidemic toxin blocked lung,syndrome of healthy qi deficiency and toxin excessiveness,spleen-lung qi deficiency syndrome,damp pathogen depressed the lung,dampness-heat of Shaoyang.The locations of diseases mostly are lung,closely related to the spleen and stomach,and next to the liver,heart and kidneys.The disease is mainly characterized by dampness,heat and epidemic toxicity,A combination of stasis,qi deficiency,yin deficiency and phlegm are predominant,with stasis and qi deficiency being the most common.2.There was a correlation between patient syndrome and age,with the age of the group with damp pathogen depressed the lung being lower than that of the group with syndrome of healthy qi deficiency and toxin excessiveness.There was a correlation between patient syndrome and length of hospital stay.3.No correlation was found between the patient’s syndrome and the result of lab or chest CT score as well as the specific CT presentation composition ratio.