新型冠状病毒肺炎中西医结合康复诊疗规范

Standard for Rehabilitation Diagnosis and Treatment of COVID-19 with Integration of Traditional Chinese and Western Medicine

目前,我国全面抗击新型冠状病毒肺炎(新冠肺炎)疫情的战役取得了阶段性胜利。国家卫生健康委员会提出康复医疗机构要为重型、危重型出院患者提供肺功能损害评估,制定合理呼吸康复计划并予以康复治疗。湖北省中西医结合医院在湖北地区率先开设新冠肺炎康复病区,在国家政策文件和康复指导意见的规范下,进行临床康复实践。针对患者的不同临床分型和中医辨证论治,针对性地采用中西医结合的方法,通过体位疗法、呼吸训练、运动疗法等康复治疗技术改善患者的呼吸和躯体功能,通过推拿疗法、隔物灸贴等中医治疗调畅气机,修复脏腑功能;通过太极拳、八段锦等传统功法,提高患者体能,改善身心状态等,取得了较好的治疗效果,获得了一定的临床经验,提出了新冠肺炎的中西结合康复诊疗规范,希望能给广大的康复工作者以一定的参考,改善患者整体功能和生活质量。

Fighting against the epidemic of Corona Virus Disease 2019(COVID-19)has been successfully in this stage in China.The National Health Commission has proposed that rehabilitation medical institutions should provide assessment of pulmonary function and provide the management of respiratory rehabilitation for patients discharged with severe and critical COVID-19 infection.In response to this proposal,Hubei Provincial Hospital of Integrated Chinese and Western Medicine had established a COVID-19 Rehabilitation Department during the early stages of the pandemic and had been delivering clinical care according to National Rehabilitation Guidelines.According to clinical classification of the disease,the syndrome differentiation and treatment of traditional Chinese Medicine,we adopted personalized rehabilitation programme with integrated Chinese and western medicine,which include modern rehabilitation therapeutic techniques,such as positional therapy,breathing training and kinesiotherapy with the purpose of ameliorating respiratory and physical function,point massage,sandwiched moxibustion and other Chinese medicine treatments to regulate Qi(breathing)activities and repair Zang-fu viscera function,traditional Chinese exercises such as Tai Chi boxing and Baduanjin exercise with the effects of strenthening physical ability and improving physical and mental status.These Patients do benefit from this combined rehabilitation through clinical observation.Based on our clinical experience,we have formulated a standard protocol for patients with COVID-19 as a reference for rehabilitation professionals in application of traditional Chinese and western rehabilitation,with the aim of promoting universal function and quality of life for the patients.