中医医疗机构血透室防控新型冠状病毒肺炎的思考  

Prevention and Control of COVID-19 in Hemodialysis Centers of Traditional Chinese Medical Institutions

作　　者：邱模炎[1] 王绍华[2] 李艳慧[2] 栾洁[2] 闫二萍[2] 刘鹏[2] 刘淑娟 康羽 李晓娟[2] 孙平平[2] 唐棠[2] 王湛[2] QIU Motan;WANG Shaohua;LI Yanhui;LUAN Jie;YAN Erping;LIU Peng;LIU Shujuan;KANG Yu;LI Xiaojuan;SUN Pingping;TANG Tang;WANG Zhan(Wangjing Hospital of China Academy of Traditional Chinese Medical Science,Beijing 100102,China;Sunhe Community Health Service Center of Chaoyang District,Beijing 100103,China)

机构地区：[1]中国中医科学院望京医院血液净化中心,北京100102 [2]中国中医科学院望京医院,北京100102 [3]北京市朝阳区孙河社区卫生服务中心,北京100103

出　　处：《康复学报》2020年第1期2-4,共3页Rehabilitation Medicine

基　　金：北京中医药科技发展资金项目(JJ2018-92)。

摘　　要：2020年初,我国多个地区发生新型冠状病毒感染肺炎(简称新冠肺炎)疫情,传染力强,人群普遍易感。由于血液净化中心人员流动性大,血透患者抵抗力低、治疗环境患者相对聚集的特殊性,成为新型冠状病毒感染暴露风险极高的医疗场所。作为中医医疗机构血透室,面对疫情建议从以下几个方面进行防控:①科学依法防控:严格规范管理,强化防控意识,科学制定防控预案,切实做到切断传播途径;②基于正确的中医认识确立防控方法:中医学认为新冠肺炎属中医“湿毒疫”范畴,病位在肺,基本病机特点为“湿、毒、瘀、闭”,中医治疗新冠肺炎强调辨证论治、分期论治;③基于传染病中医防控理念制定防控措施:中医防治新冠肺炎关键在于存正气、避毒气;④坚持中西医结合,构建具有中医特色的防控体系:中医药防治传染病具有诸多优势,应坚持中西医结合,构建具有中医特色的中西医结合血液净化中心传染病防控体系。At the beginning of 2020,many areas in China have been affected by Corona Virus Disease 2019(COVID-19),which is strong infectivity.Because of the mobility of the personnel in the blood purification centers,the dialysis patients with low resistance and the particularity of the treatment environment where the patients congregate,it has become a medical place with a high risk of exposure to COVID-19.As the hemodialysis center of traditional Chinese medical institutions,we suggest prevention and control as following:(1)Scientific prevention and control in legal:regulate strictly,strengthen the awareness of prevention and control,scientifically formulate prevention and control plans,and cut off the communication channels.(2)Establish prevention and control methods based on correct knowledge of traditional Chinese medicine(TCM):In TCM,the COVID-19 is a category of"damp toxin epidemic",which is located in the lung.The basic pathogenesis is characterized by"wet,toxic,stasis and closed",which emphasizes syndrome differentiation and treatment.(3)Formulate prevention and control measures based on the concept of TCM:The key to prevent and control the COVID-19 is to maintain healthy qi and avoid epidemic diseases.(4)Adhere to the integration of Chinese and Western medicine,and build a prevention and control system with characteristics of TCM:TCM has many advantages in the prevention and treatment of infectious diseases,the hemodialysis centers should adhere to the integration of traditional Chinese and Western medicine,and build the prevention and control system of infectious diseases with characteristics of TCM.

关 键 词：新型冠状病毒肺炎 中医 疫病 防控 血液透析 

分 类 号：R197.4[医药卫生—卫生事业管理]