新型冠状病毒肺炎密切接触隔离人员灸法干预的意义与运行模式研究

Significance and operation mode of moxibustion intervention for the group under quarantine after close contact with COVID-19

基于中医"未病先防"的理念,探索灸法干预新型冠状病毒肺炎(简称"新冠肺炎")密切接触隔离人员的模式与研究方案。以新冠肺炎密切接触居家隔离人员为研究对象,依托中国针灸学会、湖南省针灸学会和中国中医科学院数据中心与渔歌医疗公司开发的非接触式医患互动网络平台,设计一个探索性的随机对照试验,样本量100例,随机分为灸法组和常规组,每组50例。灸法组实施灸法干预,常规组只常规观察不进行灸法干预。以焦虑、情志不畅、乏力、头痛、腹泻等症状变化,是否解除隔离、确诊等为结局指标,评价两组患者干预前、干预14d和干预后2周随访时的结果。研究将基于互联网+技术,采用互联网互动平台,通过手机微信完成研究对象的筛选、随机分组、灸法干预指导与患者日记卡的质量控制和数据收集。期望能够对新冠肺炎隔离人员灸法干预的意义以及实施的模式做出初步的评估。

On the base of the idea of traditional Chinese medicine as "disease prevention", the mode and the protocol of the moxibustion intervention for the group under quarantine after close contact with coronavirus disease 2019(COVID-19) were explored. The group under quarantine after close contact with COVID-19 was taken as the subjects. By the non-contact physician-patient communication network platform co-developed by China Association of Acupuncture-Moxibustion, Hunan Provincial Association of Acupuncture-Moxibustion, Data Center of China Academy of Chinese Medical Sciences and Yuge Medicine Company, an exploratory randomized controlled trial was designed. A total of 100 cases were included and randomized into a moxibustion group and a conventional intervention group, 50 cases in each one. In the moxibustion group, moxibustion intervention was used. In the conventional intervention group, the conventional observation was adopted without moxibusiton intervention applied. The outcomes included the symptoms changes, e.g. anxiety, emotional disturbance, fatigue, headache and diarrhea, as well as whether quarantine release and the case confirmed or not, etc. The results were evaluated before intervention, in 14 days of intervention and 2 weeks after intervention separately. In this research, on the base of internet plus technology and with the internet communication platform adopted, through mobile phone WeChat App, it was to implement the subject screen, the random allocation and the instruction of moxibustion intervention as well as the quality control of patient’s diary and data collection. It is anticipated that the significance and the implementation mode of moxibustion intervention can be assessed preliminarily for the group under quarantine after close contact with COVID-19.