器械振动推拿介入普通型新型冠状病毒肺炎治疗的临床疗效  

Clinical Study of Mechanical Vibrating Manipulation in Treating COVID-19 of Common Type

作　　者：黄海[1,2] 杨丹 付晓平 郑经纬 王超 彭全成 赵毅[5] 赵焰[1,2] HUANG Hai;YANG Dan;FU Xiaoping;ZHENG Jingwei;WANG Chao;PENG Quancheng;ZHAO Yi;ZHAO Yan(Hubei Provincial Hospital of TCM, Wuhan 430074, China;Hubei Research Institute of TCM, Wuhan 430074, China;Hubei University of Chinese Medicine, Wuhan 430061, China;Hanchuan People’s Hospital, Hanchuan 431600, China;Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China)

机构地区：[1]湖北省中医院,湖北武汉430074 [2]湖北省中医药研究院,湖北武汉430074 [3]湖北中医药大学,湖北武汉430061 [4]汉川市人民医院,湖北汉川431600 [5]上海中医药大学,上海201203

出　　处：《针灸临床杂志》2020年第5期13-17,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：湖北省技术创新专项(重大项目),编号:2017ACA192。

摘　　要：目的:回顾性分析器械振动推拿介入普通型新型冠状病毒肺炎治疗的临床疗效,并探究振动推拿对新冠病毒口咽拭子核酸检出率的影响。方法:收集在湖北省中医院住院接受器械振动推拿治疗的68例普通型COVID-19患者的病历资料,其中30例分别在接受器械振动推拿治疗前、后做口咽拭子核酸检测,评估指标为发热、干咳、胸闷、气短等12项临床症状积分、改良Barthel指数、六分钟步行试验(6MWT)、住院天数、临床症状遗留率、危重型转化率,评估时间为入院及出院时,比较器械振动推拿治疗前后新冠病毒核酸口咽拭子阳性检出率。结果:68例患者出院时发热、干咳、乏力、胸闷、气短、咽痛/痒、咳白痰/黄痰、腹泻、鼻塞、头痛/头晕10项临床症状及总积分均较入院时降低(P<0.05);纳差、出汗较入院时差异无统计学意义(P>0.05);Barthel指数评分、6MWT评分均较入院时升高(P<0.05)。在第1次配合器械振动推拿时,治疗前新冠病毒核酸口咽拭子检测阳性16例、阴性14例,治疗后阳性23例、阴性7例,阳性转阴性者5例,阴性转阳性者12例,无变化者13例,口咽拭子检测阳性检出率较治疗前提高,但经χ2检验差异无统计学意义(P>0.05)。结论:器械振动推拿结合常规治疗在改善普通型COVIDD-19临床症状、日常生活能力及运动耐力方面的疗效明显,器械振动推拿治疗后可能有助于提高口咽拭子核酸阳性检出率,但尚需更多证据。Objective:To analyze retrospectively the effect of mechanical vibrating manipulation on patients with COVID-19 of common type,and to explore whether the mechanical vibrating manipulation can help improve the positive rate of detection of nucleic acid by oropharyngeal swab.Methods:The medical records of 68 patients who were admitted to Hubei Provincial Hospital of TCM and diagnosed as COVID-19 of common type were collected.Among them,30 patients were tested by nucleic acid detection by oropharyngeal swab at two time points,before and after the treatment of mechanical vibrating manipulation.The evaluation indexes include the scores of fever,dry cough,chest distress,shortness of breath and other clinical symptoms;modified Barthel index,6MWT score,length of stay,residual rate of clinical symptoms,as well as critical conversion rate.Finally,statistical methods were used to compare the improvement of clinical symptoms and the detection rate of swab nucleic acid.Results:At the time of discharge,there was no significant difference in the scores of poor appetite and sweating among the 68 patients(P>0.05),but the scores of fever,chest distress,shortness of breath,dry cough,fatigue,sore throat or itchy throat,expectoration and nasal obstruction,diarrhea,headache or dizziness and the total scores of all clinical symptoms were significantly decreased than those at the time of admission(P<0.05).The Barthel index score and 6MWT score were increased than those at the time of admission(P<0.05).Before mechanical vibrating manipulation,there were 16 positive cases and 14 negative cases by the examination of oropharyngeal swab.After the treatment,23 cases were positive,7 cases were negative,5 cases transferred from positive to negative,12 cases were transferred from negative to positive,no change happened in 13 cases.The detection rate was higher than before,but there was no statistical difference in terms ofχ2 test(P>0.05).Conclusion:The clinical symptoms of patients with COVID-19 of common type can be significantly improved by me

关 键 词：新型冠状病毒肺炎 器械振动 推拿 振法 排痰 口咽拭子核酸检测 

分 类 号：R246.1[医药卫生—针灸推拿学]