[논문]COVID-19 임상표현에 대한 한의학적 접근 -국내외 논문을 중심으로-

김종현; 안진희; 김상현

doi:10.14369/jkmc.2022.35.1.001

COVID-19 임상표현에 대한 한의학적 접근 -국내외 논문을 중심으로-
Clinical features of COVID-19 as presented in journal articles : A Korean Medical Approach 원문보기

大韓韓醫學原典學會誌 = The journal of Korean medical classics, v.35 no.1, 2022년, pp.1 - 32

김종현 (가천대학교 한의과대학 원전의사학교실) , 안진희 (경희대학교 한의과대학 원전학교실) , 김상현 (한국한의학연구원 한의약데이터부)

Abstract ▼ AI-Helper

Objectives : This paper examines major symptoms representation in COVID-19 patients as groundwork for development of an effective clinical data collection format in Korean Medicine. Methods : Major symptoms representation in COVID-19 related papers published worldwide were collected. Corresponding symptoms in Korean Medicine were then examined, followed by discussion of symptomatic features that require further consideration in regards to a more systematic clinical data collection. Results : Of 256 papers, most papers listed fever and cough while symptoms such as difficulty breathing, diarrhea, muscle pain, headache, nausea, fatigue, chest pain, phlegm, nasal discharge were also mostly listed. Clinical representations could be categorized into general symptoms, throat symptoms, chest symptoms, head and facial symptoms, gastrointestinal symptoms, musculo-skeletal and cutaneous symptoms, psychiatric symptoms and sensory problems. Conclusions : Although each clinical representation could be likened to certain clinical representations of Korean Medicine, the variety of symptoms were too limiting and lacking in detail to be applied in the pattern identification[辨證] of Korean Medicine. For effective clinical data collection and analysis in the future, symptom change according to time, comparison between location, climate and ethnicity, existence of interior symptoms when diagnosing exterior symptoms, deficiency-excessiveness of blood patterns, consciousness levels, etc., need to be considered in establishing criteria for symptom evaluation.

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표/그림 (17)

그림 그림 1. 기간 별 발표 논문 수
표 표 1. 연구 대상 지역 별 논문 수(국가)
표 표 2. 연구 대상 지역 별 논문 수(중국)
그림 그림 2. 시기별 평균 증상 표현 수
표 표 3. 임상 증상 표현 - 전신
표 표 4. 임상 증상 표현 - 인후
표 표 5. 임상 증상 표현 - 흉부
표 표 6. 임상 증상 표현 - 두면부
표 표 7. 임상 증상 표현 – 소화기
표 표 8. 임상 증상 표현 – 근, 골, 피부
표 표 9. 임상 증상 표현 – 정신, 감각 이상
그림 그림 3. 대륙별 COVID-19 증상 발현 비율 비교 (MEX=Mexico, BRA=Brazil, AUS=Australia, UK=United Kingdom, IRA=Iran, ETH=Ethiopia, KOR=Korea. Korea와 Ethiopia의 논문에서는 각각 Anosmia와 Fatigue가 조사 항목에서 제외되었음.)
그림 그림 4. 아시아 3개 지역(대구, 우한, 자카르타)의 COVID-19 증상 발현 비율 비교
그림 그림 5. SARS과 COVID-19의 증상 발현 비율 비교
그림 그림 6. MERS와 COVID-19의 증상 발현 비율 비교
표 표 10. 六經辨證에 따른 임상 표현 분류 및 증상 발현 비율
표 표 11. 衛氣營血辨證에 따른 임상 표현 분류 및 증상 발현 비율

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