毫米波穴位照射治疗新型冠状病毒肺炎的临床效果

Clinical effect of millimeter wave applied to acupoints on treatment of COVID-19

目的 回顾性观察中西医结合治疗联合毫米波穴位照射治疗非危重型新型冠状病毒肺炎患者的临床疗效.方法 选择2020年2月2日-2月19日湖北省红安县人民医院收治的47例新型冠状病毒肺炎患者,中西医结合给予氧疗、抗病毒、对症支持及中成药口服治疗,并每日给予2次毫米波穴位治疗.收集患者毫米波治疗仪使用当天(T1)、第3天(T2)、第10天(T3)及第14天(T4)氧合指数、血氧饱和度等呼吸功能指标,肺部CT变化,每天咳嗽次数和相关血液检测结果.结果 47例患者经中西医结合治疗联合毫米波治疗后,氧合指数及血氧饱和度在第3天(T2)、第10天(T3)及第14天(T4)各时间点与T1比较均显著升高(P<0.05);除T2外,各时间点患者肺部CT 3级百分比与T1比较,差异均有统计学意义(P<0.05);各时间点咳嗽次数及体温与T1比较,差异均有统计学意义(P<0.05);乳酸脱氢酶(LDH)缓慢降低,T4与T1比较,差异具有统计学意义(P<0.05),白细胞、淋巴细胞、血红蛋白、钾、钠、氯较入院时无显著差异;14天(T4)时4例患者检测为阳性,核酸转阴率91.5%.结论 中西医结合毫米波肺部及穴位辐射治疗,在改善新冠肺炎患者氧合指数等临床症状以及促进核酸转阴方面,显示较好疗效,有一定的临床应用价值.

OBJECTIVE To retrospectively observe the clinical effect of integrated Chinese and Western medicine combined with millimeter wave therapy on treatment of non-critical COVID-19 patients.METHODS A total of 47 patients with COVID-19 who were treated in the People′s Hospital of Hong′an County from Feb 2,2020 to Feb 19,2020 were enrolled in the study,the patients were given integrated Chinese and Western medicine therapies such as oxygen therapy,antiviral treatment,supportive treatment and Chinese patent medicine,and the millimeter wave therapy was applied to the acupoints twice a day.The respiratory function indexes such as oxygenation index and oxyhemoglobin saturation,chest CT,number of times of cough in a day and blood test indexes were collected after the millimeter wave treatment system was used for 1 day(T1),3 days(T2),10 days(T3)and 14 days(T4).RESULTS The oxygenation index and blood oxygen saturation of the 47 patients were significantly higher at T2,T3 and T4 than at T1 after the integrated Chinese and Western medicine combined with millimeter wave therapy(P<0.05).There was significant difference in the percentage of the patients with grade 3 chest CT among all the time points except for T2 and T1(P<0.05).There were significant differences in the number of times of cough and body temperature between the time points and T1(P<0.05).The lactic dehydrogenase(LDH)level was slowly reduced,and there was significant difference between T4 and T1(P<0.05).There were no significant differences in the white blood cell,lymphocyte,hemoglobin,potassium,sodium and chlorine at the admission.4 patients were tested positive at T4,and the negative conversion ratio was 91.5%.CONCLUSION The integrated Chinese and Western medicine combined with millimeter wave therapy can achieve remarkable effect on improvement of clinical symptoms of the COVID-19 patients such as oxygenation index and promote the nucleic acid to turn negative,and it has certain clinical application value.