灸法对新型冠状病毒肺炎密切接触者心理障碍的影响:随机对照研究

Moxibustion on mental disorder in close contacts of coronavirus disease 2019: a randomized controlled trial

目的:观察艾灸联合代温灸膏干预对居家隔离新型冠状病毒肺炎密切接触者心理障碍及自评症状的影响。方法:将240例新型冠状病毒肺炎密切接触者随机分为观察组(120例,脱落18例)和对照组(120例,脱落58例)。对照组仅进行常规观察。观察组给予温和灸联合代温灸膏干预,温和灸取足三里、合谷、神阙,每穴10 min,每天1次;代温灸膏取大椎与肺俞,每次贴敷3~6 h,隔日1次,均治疗2周。分别于治疗前后及治疗后2周随访时对两组受试者进行心理健康自评问卷(SRQ-20)、焦虑自评量表(SAS)评分及自评症状评定。结果:随访时,观察组受试者SRQ-20评分低于治疗前(P<0.01),SAS评分低于治疗前及治疗后(P<0.01,P<0.05);治疗后及随访时,观察组受试者SRQ-20评分均低于对照组(P<0.05,P<0.01)。观察组治疗后乏力受试者例数占比高于对照组(P<0.05),随访时情绪紧张受试者例数占比低于对照组(P<0.05)。结论:艾灸联合代温灸膏可有效改善新型冠状病毒肺炎密切接触者心理障碍。

Objective To observe the effect of moxibustion combined with Daiwenjiu plaster on mental disorder and self rating symptoms in close contacts of coronavirus disease 2019(COVID-19) during quarantine. Methods A total of 240 close contacts of COVID-19 were randomized into an observation group(120 cases, 18 cases dropped off) and a control group(120 cases, 58 cases dropped off). Conventional observation was adopted in the control group. Moxibustion combined with Daiwenjiu plaster was given in the observation group, moxibustion was applied at Zusanli(ST 36), Hegu(LI 4) and Shenque(CV 8), 10 min each acupoint, once a day;Daiwenjiu plaster was applied at Dazhui(GV 14) and Feishu(BL 13) for 3 to 6 h each time, once every 2 days, the treatment was required for 2 weeks. Before and after treatment and in the follow-up of 2 weeks after treatment, self-reporting questionnaire 20(SRQ-20), self-rating anxiety scale(SAS) scores and self rating symptoms were evaluated in the two groups. Results In the follow-up, SRQ-20 score was decreased compared before treatment(P<0.01), SAS score was decreased compared before and after treatment(P<0.01, P<0.05)in the observation group. After treatment and in the follow-up, SRQ-20 scores in the observation group were lower than those in the control group(P<0.05, P<0.01). After treatment, the case proportion of fatigue in the observation group was higher than that in the control group(P<0.05). In the follow-up, the case proportion of tension was lower than that in the control group(P<0.05). Conclusion Moxibustion combined with Daiwenjiu plaster can effectively improve the mental disorder in close contacts of COVID-19.