The new version of influenza diagnosis and treatment plan was released and Chinese medicine was included in the treatment of influenza

Why is the flu coming? The national health and Family Planning Commission responded: the epidemic dominant strains have changed since last winter, respiratory diseases have entered the season of high incidence, and hospitals in Hangzhou have ushered in the peak of medical treatment Many people in Hangzhou have a feeling that there are many people with cold and fever around this winter In addition to the common cold and fever, the flu also comes to the party Why is this wave of flu coming? Jiao Yahui, deputy director of the medical administration of the national health and Family Planning Commission, said yesterday in response that the dominant strain prevalent this winter has not become the dominant strain for many years, leading to the lack of immune barrier and the increase of susceptible population, which is one of the reasons for the high incidence of this winter's epidemic At the same time, the national health and Family Planning Commission officially released the influenza diagnosis and treatment plan (2018 version), and the treatment of influenza with traditional Chinese medicine was also absorbed by the plan This winter's epidemic strains have changed, but still dominated by influenza B before that, Zhejiang CDC released authoritative news that since 2017, the epidemic intensity of influenza in our province has been rising rapidly According to the influenza monitoring data released by Hangzhou CDC, the proportion of influenza cases in 2017 was basically stable, and the number of influenza cases and the positive rate of laboratory pathogens in December showed a trend of gradually increasing with the continuous drop of temperature, but the ratio was basically the same as that of the same period in previous years The laboratory pathogen monitoring showed that the recent epidemic strains were B, and a (H3N2) and a (H1N1) were also detected The surveillance system in China has not found any variation that affects the transmission, severity and drug resistance of influenza virus, and the overall influenza epidemic level in China is still within the expected range According to the latest data from the National Influenza Center of China, in the 52nd week of 2017, influenza activities in the southern and northern provinces of China are still at the peak level in winter, and still showing an upward trend At present, the main influenza virus detected is Yamagata B virus Jiao Yahui said at a news conference of the national health and Family Planning Commission held on the same day that no variation affecting the transmission capacity, disease severity and drug resistance of influenza virus was found in the influenza virus prevalent this winter Existing neuraminidase inhibitors, such as oseltamivir (Tamiflu), are still effective Experts from the provincial centers for Disease Control and Prevention said that since winter is the active season of influenza virus and January is the coldest month of the year, it is expected that the influenza epidemic intensity will continue to increase in the next period of time At the same time, haze often appears in winter in recent years Although haze is not the cause of influenza, it will weaken the human body's resistance to influenza virus Therefore, the haze weather should try to reduce going out, but in case of haze weather, the indoor air circulation should still be properly maintained In specific practice, the window can be opened for ventilation in the period of relatively weak haze at noon and afternoon The new version of influenza diagnosis and treatment plan was released and the traditional Chinese medicine treatment of influenza was included in the plan seven years later The national health and Family Planning Commission renewed the influenza diagnosis and treatment plan, and the influenza diagnosis and treatment plan (2018 version) has been officially released The new program requires that the elderly, children, pregnant women and key groups with basic diseases should be treated and used antiviral drugs in a timely manner Anti influenza drugs, only neuraminidase inhibitors (NAI) are recommended, which are effective for influenza A and B Among the neuraminidase inhibitors (NAI), three drugs are recommended: oseltamivir, zanamivir and palamivir Among them, oseltamivir, which ranks first, is most commonly used in clinical antiviral treatment As is well known in China, dangshutamiflu (oseltamivir phosphate capsule) At present, there has been a rush to buy Tamiflu in many places in China, and even there is a shortage of goods However, some experts remind that if there is no virus, do not eat Tamiflu to prevent, not only can not talk about the inhibition effect, but also may appear nausea, vomiting and other adverse reactions In addition, traditional Chinese medicine treatment of influenza also appears in the new version of the program In addition to the prescriptions, the list of Chinese patent medicines that can be used to treat influenza includes Shufeng jiebiao, Qingre Jiedu, such as Jinhua Qinggan granules, Lianhua Qingwen capsule, Qingkailing granules (oral liquid), etc., children can choose Anti Sense granules, etc.; and Qingre Jiedu, Xuanfei Zhike, such as Lianhua Qingwen capsule, etc., children can choose small ones Er Fei re Kechuan granules (oral liquid), etc Jin Tao, director of the Department of traditional Chinese medicine, Zhejiang hospital of traditional Chinese medicine, said that some traditional Chinese medicine prescriptions and effective compatibility of traditional Chinese medicine can play a certain role in inhibiting and killing viruses, including common cold virus, influenza virus, mumps virus, herpes zoster virus, circulating encephalitis virus, etc "So far, I haven't heard about the resistance of bacteria / viruses such as influenza to traditional Chinese medicine, nor have I heard about the relevant reports Chinese medicine does have a better avoidance effect " It is worth noting that both the injection and the once famous "magic medicine" isatis root are not in the list of recommended drugs in this version of the treatment plan Some experts pointed out that the influenza virus is different from the common cold, and the Banlangen has not yet been determined to be able to prevent and treat the effect Blind and indiscriminate use not only can not play a health care role, but also may bring a series of gastrointestinal side effects You need to know about the flu The clinical symptoms of flu The incubation period of influenza is the shortest for several hours and the longest for 4 days, generally 1-3 days "Typical" influenza is characterized by sudden chills, high fever, headache, dizziness, general pain, fatigue and other symptoms It can be accompanied by respiratory symptoms such as sore throat, dry cough, runny nose, tears and so on A few cases have decreased appetite, accompanied by gastrointestinal symptoms such as abdominal pain, abdominal distention, vomiting and diarrhea Because of the short incubation period, rapid spread and short course of influenza, when people lack immunity, it is easy to form a sudden outbreak, rapid spread and widespread epidemic Influenza focuses on the protection of infants, pregnant women, the elderly over 60 years old, adults and children with lung disease (including asthma), cardiovascular disease, kidney disease, liver disease, blood disease or metabolic disease (including diabetes), etc they are the key influenza protection population recommended by the World Health Organization In addition, medical staff; children, the elderly, family contacts and caregivers of people with diseases; kindergarten and nursery staff should also be vaccinated against influenza How to prevent? Experts from the municipal centers for Disease Control and prevention suggest that comprehensive prevention measures should be taken for influenza: vaccination is the most basic measure for influenza prevention; good personal hygiene should be maintained, washing hands and drying clothes and bedding frequently; windows should be opened for ventilation several times a day to keep the indoor air fresh; proper exercise, balanced diet and sufficient rest should be taken to avoid excessive fatigue; in the period of high incidence of influenza, no one should be found as far as possible Crowded places with dirty air; in case of influenza like symptoms during the epidemic period, seek medical treatment in time, reduce contact with others and try to stay at home Influenza vaccine should be vaccinated once a year because of the high variability of influenza vaccine Every year, the World Health Organization will predict the most active influenza virus in that year and incorporate it into the new vaccine formula Therefore, the annual influenza vaccine on the market is targeted Half a year to one year after vaccination, it has the function of preventing the same type of influenza It should be vaccinated once a year At present, all vaccination clinics in Hangzhou can provide influenza vaccination services Children over 6 months old and adults can be vaccinated Precautions: (1) no vaccination due to influenza vaccination contraindications; (2) stay at the vaccination site for 30 minutes after vaccination, and report to the vaccination doctor in time if there is any adverse reaction; (3) if there is pain, erythema and induration at the vaccination site, it will disappear automatically within a few days, and will not affect physical health; (4) if serious adverse reactions occur after vaccination, such as high fever above 39 ℃ and so on, it is necessary to be hospitalized in time.