体质贴联合八段锦功法治疗气虚血瘀质新型冠状病毒感染恢复期患者的临床研究OACSTPCD
Clinical study on the treatment of COVID-19 with qi deficiency induced blood stasis by physique paste and Baduanjin method
[目的]观察气虚血瘀体质贴(简称体质贴)联合八段锦功法对气虚血瘀体质的新型冠状病毒感染恢复期患者的临床疗效.[方法]符合入选标准的 43例新型冠状病毒感染恢复期患者分为试验组(21 例)和对照组(22 例)两组均在八段锦功法的基础上予体质贴辅助治疗,治疗 12 周后,观察两组患者治疗前后在中医症状积分量表、改良英国医学研究委员会呼吸困难量表(mMRC)、Borg自觉疲劳量表和匹兹堡睡眠问卷(PSQI)的评分改善情况.[结果]治疗12 周后,与治疗前相比,试验组中医症状总积分明显降低(P＜0.05);组间比较显示试验组总积分明显低于对照组(P＜0.05).在改善单项症状积分方面,两组与各自治疗前相比,试验组在改善肌肉疲劳、气短、胸闷、干咳的方面积分明显降低(P＜0.05),对照组在改善肌肉疲劳、自汗盗汗方面的积分明显降低(P＜0.05).组间比较显示,试验组在改善肌肉疲劳、气短、心悸、胸闷、干咳上的积分较对照组积分明显降低(P＜0.05).mMRC量表评分结果显示,两组患者与治疗前相比,呼吸症状评分无明显变化(P＞0.05).Borg量表和PSQI量表结果显示,与治疗前相比,两组患者症状积分均明显下降(P＜0.05),但组间比较差异无统计学意义(P＞0.05).[结论]体质贴联合八段锦康复治疗对气虚血瘀质新型冠状病毒感染恢复期患者的中医症状有改善作用,尤对肌肉疲劳、气短、心悸、胸闷、干咳改善明显,同时可以减轻患者疲劳,改善患者睡眠质量.
[Objective]To observe the clinical efficacy of qi deficiency induced blood stasis physique patch(fitness patchphysique patch)combined with Baduanjin in the treatment of patients with of qi deficiency induced blood stasis at the convalescence stage of corona virus disease 2019(COVID-19)infection.[Methods]The 43 patients with COVID-19 infection in convalescence stage who met the inclusion criteria were divided into experimental group(21 cases)and control group(22 cases).And both groups were treated with physique patch adjuvant therapy on the basis of Baduanjin.And after 12 weeks of treatment,the scores of the two groups were observed on the traditional Chinese medicine(TCM)syndrome score before and after treatment,the Modified Medical Research Council Dyspnea Scale(mMRC),improvement of Borg perceived fatigue scale and the Pittsburgh Sleep Quality Interview(PSQI).[Results]After 12 weeks of treatment,the total score of TCM symptoms in the experimental group was significantly reduced compared with before treatment(P＜0.05).The comparison between groups showed that the total score of the experimental group was significantly lower than that of the control group(P＜0.05).Compared with their respective pre-treatment points,the scores of the two groups in improving muscle fatigue,shortness of breath,chest tightness and dry cough were significantly reduced(P＜0.05),and the points of the control group in improving muscle fatigue,self-sweating and night sweats were significantly reduced(P＜0.05).The comparison between groups showed that the scores of the experimental group in improving muscle fatigue,shortness of breath,palpitations,chest tightness and dry cough were significantly lower than those of the control group(P＜0.05).The results of the mMRC scale showed that there was no significant change in the respiratory symptom score between the two groups compared with before treatment(P＞0.05).The results of the Borg scale and the PSQI scale showed that the symptom scores of the two groups decreased significantly compared with before treatment(P＜0.05),but there was no significant difference between the groups(P＞0.05).[Conclusion]Physique patch combined with Baduanjin rehabilitation therapy has an improving effect on traditional Chinese medicine symptoms of patients with qi deficiency induced blood stasis at convalescence stage of COVID-19 infection,especially on muscle fatigue,shortness of breath,palpitations,chest tightness and dry cough,and can reduce patients'fatigue and improve their sleep quality.
周胜元;王凯;付鲲;张硕;倪道艳;孙小茁;刘欢;雒明池
天津中医药大学第二附属医院,天津 300250天津中医药大学,天津 301617
临床医学
新型冠状病毒感染康复气虚血瘀体质量表
corona virus disease 2019rehabilitationqi deficiency induced blood stasisphysiquescales
《天津中医药》 2024 (004)
427-431 / 5
天津市中医药重点领域科技项目(2021008);现代中医药海河实验室科技项目(ZZHHZYJC00001).
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