新型冠状病毒肺炎出院患者中西医结合康复指导

Guidance for Rehabilitation Patients with COVID-19 Discharged from Hospital with Integration of Traditional Chinese and Western Medicine

新型冠状病毒肺炎(新冠肺炎)疫情防控工作取得阶段性成果。大量新冠肺炎患者康复出院,通过临床观察发现,很多出院患者面临着呼吸功能、躯体功能、心理功能、日常生活能力及社会参与能力障碍等相关方面的问题。针对上述问题,本研究通过临床应用、筛选,初步拟定了一套中西医结合康复指导方案。在对患者进行康复治疗前,需对患者进行一个全面的康复评估,包括呼吸功能、心肺功能、躯体功能、心理功能及日常生活活动能力等。从中医康复角度制定中医康复技术方案,主要包括患者的自我推拿、功法导引锻炼、中药内服、艾灸、足浴熏洗、药膳调理等,同时也结合心肺康复治疗中常用的呼吸功能训练、气道廓清技术、躯体功能锻炼等技术及方法。此外,针对大量出院患者长时间的隔离治疗所产生的心理问题,本研究使用患者易于接受的传统音乐疗法和移情易性疗法。该指导方案融合中西医常用的康复技术,简单易学,患者接受程度较高,患者出院后可在专业人员的指导下根据具体问题选择合适的康复方法,加速康复进程,早日回归社会。

The current epidemic prevention and control of COVID-19 has achieved periodical success.Large number of patients with COVID-19 recovered and discharged from the hospital.Most of them still have the clinical problems in respiratory function,physical function,psychological function,daily living ability and social participation ability obstacles.We have developed a set of rehabilitation guidance of integrated Chinese and Western medicine after clinical application.Before the treatment,the patients need a comprehensive rehabilitation assessment,including respiratory function,cardiopulmonary function,physical function,psychological function and the ability of daily activities.From the perspective of TCM rehabilitation,we have designed a set of TCM rehabilitation technical scheme including Tuina,traditional exercise,Chinese herbs,moxibustion,foot bath,TCM diet.At the same time,this guidance is also combined with respiratory function training,airway clearance techniques,physical function training.In addition,to solve the psychological problems caused by a long-term isolation treatment,we use the traditional music therapy and empathy therapy which are easy for patients to accept.The whole set of guidance integrates the rehabilitation techniques commonly used in Chinese and Western medicine,which is easy to learn and use.We hope that patients can take appropriate rehabilitation methods under the guidance of professionals after discharge from the hospital to accelerate the rehabilitation process and return to society as soon as possible.