中医药综合康复方案治疗新型冠状病毒肺炎恢复期不同证型患者的临床研究

Clinical study on comprehensive rehabilitation program of traditional Chinese medicine for patients with different syndrome types in Corona Virus Disease 2019 recovery period

目的:观察中医药综合康复方案治疗新型冠状病毒肺炎(以下简称新冠肺炎)恢复期不同证型患者的临床疗效。方法:选取江苏省2家新冠肺炎康复医院2021年8月7日到9月29日新冠肺炎恢复期患者随机分为治疗组(57例)和对照组(58例)。治疗组予以中医药综合康复疗法(中药口服合中医传统康复疗法:肺脾气虚证予以健脾养肺方口服,气阴两虚证予以益气养阴方口服)联合现代呼吸康复治疗,对照组予以现代呼吸康复治疗与茶饮安慰剂。疗程均为2周。比较两组治疗前后中医证候积分变化与疗效。结果:与本组治疗前比较,两组经治疗后均可改善中医证候积分(P<0.01),且治疗组治疗后中医证候积分改善显著优于对照组(P<0.05)。两组中不同证型患者经治疗后均可改善中医证候积分(P<0.01),且治疗组治疗后气阴两虚证患者中医证候积分改善优于对照组(P<0.05)。治疗组疗效为94.74%(54/57),显著优于对照组86.21%(50/58)(P<0.01)。结论:中医药综合康复方案在新冠肺炎恢复期不同证型患者的康复过程中能够有效改善中医临床症状。

Objective: To observe the clinical efficacy of traditional Chinese medicine(TCM) comprehensive rehabilitation program in the treatment of patients with Corona Virus Disease 2019(COVID-19) with different syndrome types in recovery period. Methods: Patients with COVID-19 in recovery period from two designated rehabilitation hospitals in Jiangsu Province from August 7 to September 29, 2021 were screened, they were randomly divided into treatment group(57 cases) and control group(58 cases). The treatment group was treated with TCM comprehensive rehabilitation therapy(Chinese medicine combined with traditional Chinese medicine rehabilitation therapy: Deficiency of lung and spleen syndrome was treated with Jian Pi Yang Fei Formula, deficiency of both qi and yin syndrome was treated with Yi Qi Yang Yin Formula) combined with modern respiratory rehabilitation therapy, and the control group was treated with modern respiratory rehabilitation therapy and tea kind of placebo. The course was 2 weeks. The TCM syndrome scores and curative effects were compared between the two groups before and after treatment. Results: Compared with the own group before treatment, both groups could improve TCM syndrome scores after treatment(P<0.01), and the improvement of TCM syndrome score in the treatment group was significantly better than that in the control group(P<0.05). The TCM syndrome scores of patients with different syndrome types in the two groups were improved after treatment(P<0.01), and the TCM syndrome scores of patients with deficiency of both qi and yin syndrome in the treatment group were improved better than those in the control group(P<0.05). The curative effect of treatment group was 94.74%(54/57),significantly better than 86.21%(50/58) of control group(P<0.01). Conclusion: TCM comprehensive rehabilitation program can effectively reduce the clinical symptoms of patients with different syndromes in recovery period of COVID-19.