艾灸疗法防治新型冠状病毒肺炎:非接触式诊疗模式构建与应用

Moxibustion therapy in prevention and treatment of coronavirus disease 2019(COVID-19):construction and application of non-contact diagnosis and treatment mode

目的:建立移动互联网络新型冠状病毒肺炎灸法非接触式医患互动诊疗模式,观察该模式在疫情下的可行性和有效性。方法:纳入43例一线医护人员及新冠肺炎疑似病例和确诊病例149例[医学观察期18例,轻型(寒湿郁肺证)17例,普通型(寒湿阻肺证)24例,恢复期(肺脾气虚证)90例],建立移动互联网络新冠肺炎灸法非接触式医患互动诊疗平台,依托该平台远程指导患者隔物灸贴治疗。一线医护人员及新冠肺炎医学观察期穴取足三里、气海、中脘;轻型(寒湿郁肺证)及普通型(寒湿阻肺证)穴取合谷、太冲、足三里、关元;恢复期(肺脾气虚证)穴取大椎、肺俞、膈俞、足三里、孔最。每日1次,每次40 min,干预10 d。观察干预后临床一线医护人员感染率及新冠肺炎患者症状、心理状态改善情况。结果:隔物灸贴干预10 d后医护人员“0”感染,43例一线医护人员中有33例出现症状及心理不适,以腰酸背痛、睡眠差及焦虑症状居多,治疗后症状、心理状况改善有效率为78.8%(26/33),痊愈率为36.4%(12/33),心理状况改善有效率为58.3%(14/24),痊愈率为37.5%(9/24);149例患者中有133例出现症状及心理不适,治疗后症状、心理状况改善有效率为81.2%(108/133),痊愈率为34.6%(46/133),心理状况改善有效率为76.5%(52/68),痊愈率为57.4%(39/68)。结论:互联网模式下隔物灸贴技术运用于防治新冠肺炎具备可行性,不仅对患者咳嗽、乏力等症状和心理状态具有改善作用,且可能对一线医护人员起到未病先防作用。

Objective To establish and promote the non-contact doctor-patient interactive diagnosis and treatment mode based on mobile internet for the treatment of coronavirus disease 2019(COVID-19)with moxibustion therapy,and to observe the feasibility and effectiveness of the model in the pandemic.Methods A total of 43 first-line medical staff and 149 suspected and confirmed cases with COVID-19[18 cases in medical observation period,17 cases of mild type(cold dampness and stagnation in the lung),24 cases of ordinary type(cold-dampness accumulated in the lung)and 90 cases in recovery period(qi deficiency of spleen and lung)]were included.A non-contact doctor-patient interactive diagnosis and treatment platform was established for the treatment of COVID-19 with indirect moxibustion plaster based on mobile internet.By the platform,the patients were instructed to use indirect moxibustion plaster in treatment.For the first-line medical staff and patients in the medical observation period,Zusanli(ST 36),Qihai(CV 6)and Zhongwan(CV 12)were selected.For the mild cases(cold dampness and stagnation in the lung)and the cases of ordinary type(cold-dampness accumulated in the lung),Hegu(LI 4),Taichong(LR 3),Zusanli(ST 36)and Guanyuan(CV 4)were selected.In the recovery period(qi deficiency of spleen and lung),Dazhui(GV 14),Feishu(BL 13),Geshu(BL 17),Zusanli(ST 36)and Kongzui(LU 6)were used.The treatment was given once daily for 40 min each time.The intervention lasted for 10 days.After intervention,the infection rate and the improvement in the symptoms and psychological status of COVID-19 were observed in clinical first-line medical staff and COVID-19 patients.Results In 10 days of intervention with indirect moxibustion plaster,there was"zero"infection among medical staff.Of 43 first-line physicians and nurses,33 cases had some physical symptoms and psychological discomforts,mainly as low back pain,poor sleep and anxiety.After treatment,regarding the improvements in the symptoms and psychological discomforts,the effective rate was 78.8%(26/33)and the curative rate was 36.4%(12/33).Regarding the improvements in psychological discomforts,the effective rate was 58.3%(14/24)and the curative rate was 37.5(9/24).Of 149 patients,133 cases had the symptoms and psychological discomforts.After treatment,regarding the improvements in the symptoms and psychological discomforts,the effective rate was 81.2%(108/133)and the curative rate was 34.6%(46/133).Regarding the improvements in psychological discomforts,the effective rate was 76.5%(52/68)and the curative rate was 57.4%(39/68).Conclusion It is feasible to apply the indirect moxibustion plaster technique based on mobile internet to the treatment COVID-19.This mode not only relieves the symptoms such as cough and fatigue,improves psychological state,but also possibly prevents the first-line medical staff from COVID-19.