Abstract: Backgroud　Visual analogue scoring scale has been widely used in clinical pain assessment，but few experiments have used it to describe the clinical characteristics of influenza patients.It is an innovative measure to improve the visual analogue scoring scale by combining with the related contents of the interview in TCM diagnostics.Objective　To evaluate the application of Visual Analogue Scale （VAS） on the symptoms of patients with influenza.Methods　A total of 34 patients who were screened for influenza at the general outpatient in Respiratory Department of the First Affiliated Hospital of Zhejiang Traditional Chinese Medical University，Xiasha from 30 January 2018 to March 10 2018 were selected.According to influenza virus detection，there were 24 patients with influenza A and 10 patients with influenza B.VAS was performed by a self-designed Clinical Symptom Assessment Scale for Influenza Patients was used to record patients' fear of cold，fatigue，headache and other symptoms and signs.Results　Patients with influenza A were older than those with influenza B （P<0.05）．Patients with influenza A who had a median of 3 to 5 points of mild symptoms in VAS had a fear of cold，fatigue，headache，muscle soreness，nasal congestion，sneezing，runny nose，dry mouth，pharyngalgia，cough，sweating，and loss of appetite.Patients with influenza B had median symptom score of 3 to 5 for cough and expectoration，and VAS for all other symptoms was 0 to 2.There were no statistically significant differences between patients with influenza A and influenza B in symptoms of coldness of extremities，tiredness，headache，muscle aches，nasal congestion，sneezing，nose and pharynx itch，snivel，mouth dryness，pharyngodynia，hoarseness，cough，sweating，chest tightness，poor appetite，poor sleep，flushing on face and conjunctival congestion （P>0.05）．But the VAS of expectoration in patients with influenza B was higher than that of patients with influenza A （P<0.05）．There was no linear correlation between the age of patients with influenza A and influenza B and the VAS of expectoration （rs=0.200，P=0.373；rs=0.051，P=0.889）．Conclusion　VAS is a new method to study the subjective symptoms of patients with influenza，but its scientific nature needs further verification.

Key words: Visual snalogue scale, Influenza, Inquiring, Signs and symptoms, Cough, Expectoration

摘要： 背景　视觉模拟评分量表已广泛应用于临床疼痛评价，但很少有试验将其用于描述流感患者的临床特征，结合《中医诊断学》问诊的相关内容来改进视觉模拟评分量表更是一项具有创新性的举措。目的　探讨视觉模拟评分量表在流感患者问诊中的应用效果。方法　选择2018-01-30至2018-03-10浙江中医药大学附属第一医院下沙院区呼吸科普通门诊就诊行流感筛查的患者34例，根据流感病毒检测分为甲型流感患者24例，乙型流感患者10例，采用自拟《流感患者临床症状评估表》记录患者就诊时怕冷、疲惫、头痛、肌肉酸痛、鼻塞、打喷嚏、鼻咽痒、流鼻涕、口干、咽痛、声音嘶哑、咳嗽、咳痰、出汗、胸闷气急、食欲不振、睡眠不佳、面色潮红、眼结膜充血等症状体征的视觉模拟评分。结果　甲型流感患者年龄高于乙型流感（P<0.05）。甲型流感患者症状视觉模拟评分中位数在3~5分的有怕冷、疲惫、头痛、肌肉酸痛、鼻塞、打喷嚏、流鼻涕、口干、咽痛、咳嗽、出汗、食欲不振；乙型流感患者症状视觉模拟评分中位数在3~5分的有咳嗽、咳痰，其他症状视觉模拟评分均在0~2分。甲型流感与乙型流感患者怕冷、疲惫、头痛、肌肉酸痛、鼻塞、打喷嚏、鼻咽痒、流鼻涕、口干、咽痛、声音嘶哑、咳嗽、出汗、胸闷气急、胃口变差、睡眠变差、面色潮红、眼结膜充血视觉模拟评分比较，差异均无统计学意义（P>0.05）。乙型流感患者咳痰视觉模拟评分高于甲型流感（P<0.05）。甲型流感及乙型流感患者年龄与咳痰视觉模拟评分无直线相关性（rs=0.200，P=0.373；rs=0.051，P=0.889）。结论　将视觉模拟评分量表应用于流感患者的问诊是一种新型的研究流感患者主观症状的方法，但其科学性有待进一步验证。

关键词: 视觉模拟评分量表, 流感, 问诊, 体征和症状, 咳嗽, 咳痰