中西医结合优化康复方案在新型冠状病毒肺炎患者恢复期的应用价值研究

Chinese and western medicine combined with optimization rehabilitation scheme in COVID-19 patients recovery the application value of research

目的:探讨中西医结合优化康复方案在新型冠状病毒肺炎患者恢复期的应用价值。方法:选取接受康复治疗的135例新型冠状病毒肺炎患者为研究对象,按照治疗方式不同分为观察组(n=75)和对照组(n=60)。观察组行中西医结合优化康复治疗,对照组行常规康复治疗。比较两组治疗前后肺功能变化情况[6分钟步行试验(6MWT)、第1秒用力呼气量(FEV1)、动脉血氧分压(PaO_2)]、第1秒用力呼气量占所有呼气量的比(FEV1/FVC)。采用健康调查简易问卷(SF-36)对两组治疗前后生活质量进行评估。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对两组治疗前后心理状况进行评估。采用国际体力活动问卷(IPAQ)评价两组治疗前后体力活动水平。结果:治疗后两组患者6MWT、PaO_2、FEV1、FEV1/FVC评分均增加(P<0.05),且观察组改善更明显(P<0.05);治疗后,两组社会功能、情感职能、生理职能及总评分均升高,且观察组改善程度优于对照组(P<0.05);治疗后,观察组焦虑、抑郁人数下降(P<0.05),且对照组下降更明显(P<0.05)。结论:中西医结合优化康复方案在新型冠状病毒肺炎患者恢复期的康复过程中可有效促进患者肺功能的恢复,提高心肺耐力及生活质量,减轻焦虑抑郁等不良情绪,改善预后结局。

Objective:To explore the application value of integrated Traditional Chinese and Western medicine in the optimal rehabilitation program for COVID-19 patients during convalescence.Methods:135 COVID-19 patients who received rehabilitation treatment in our hospital were selected as study subjects.According to different treatment methods,they were divided into observation group(n=75,Combination of Traditional Chinese and Western medicine to optimize rehabilitation treatment)and control group(n=60,routine rehabilitation treatment).Changes in lung function before and after intervention were compared between the two groups,including six-minute walking test(6MWT),arterial blood oxygen partial pressure(PaO 2),forced expiratory volume in the first second(FEV1),and ratio of forced expiratory volume in the first second(FEV1/FVC).Quality of life before and after intervention was assessed using the Simple Health Survey Questionnaire(SF-36).Self-rating anxiety scale(SAS)and self-rating depression Scale(SDS)were used to evaluate the psychological status of the two groups before and after intervention.The international Physical Activity Questionnaire(IPAQ)was used to evaluate the physical activity levels of the two groups before and after intervention.Results:After intervention,6MWT,PaO 2,FEV1 and FEV1/FVC scores in both groups were significantly increased(P<0.05),and the improvement in the observation group was more significant than that in the control group(P<0.05).After intervention,social function,emotional function,physiological function and total score of the two groups were significantly increased,and the improvement degree of the observation group was better than that of the control group(P<0.05).After intervention,the number of anxiety and depression in the observation group decreased significantly(P<0.05),which was more significant than that in the control group(P<0.05).Conclusion:In the convalescence process of COVID-19 patients,the optimized rehabilitation plan combining Traditional Chinese and western medicine can effectively promote the recovery of pulmonary function,provide cardiopulmonary endurance and quality of life,reduce anxiety,depression and other adverse emotions,and improve the prognosis.