首页|基于"中医治神"理论的调神扶正排毒汤对新型冠状病毒肺炎无症状感染者核酸转阴时间效应规律的研究

基于"中医治神"理论的调神扶正排毒汤对新型冠状病毒肺炎无症状感染者核酸转阴时间效应规律的研究

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目的 探讨不同时间开始使用调神扶正排毒汤治疗新型冠状病毒肺炎(新冠肺炎,COVID-19)无症状感染者的疗效.方法 回顾性分析 105 例新型冠状病毒肺炎无症状感染患者临床资料,所有患者均服用调神扶正排毒汤,根据开始服用调神扶正排毒汤的时间分成≤3 d组(37 例)、4~6 d组(47 例)、7~9 d组(21 例).比较三组基础资料、核酸转阴时间,对患者年龄、开始服药时间与核酸转阴时间进行多元回归分析.结果 ≤3 d组男 18 例、女 19 例,平均年龄(26.85±15.87)岁;4~6 d组男15例、女32例,平均年龄(28.91±18.12)岁;7~9 d组男10例、女11例,平均年龄(26.95±16.43)岁.三组一般资料比较,差异无统计学意义(P>0.05).≤3 d组核酸转阴时间为(6.84±0.80)d,4~6 d组核酸转阴时间为(10.09±0.78)d,7~9 d组核酸转阴时间为(12.81±0.81)d,三组比较差异具有统计学意义(P<0.01).新型冠状病毒肺炎无症状感染患者开始服药时间与核酸转阴时间呈正相关(P<0.01,R2=0.88),开始服药时间越晚,核酸转阴时间越长.年龄与核酸转阴时间无统计学意义(P>0.05).结论 新型冠状病毒肺炎无症状感染患者越早开始服用调神扶正排毒汤,核酸转阴时间越短,研究结果提示调神扶正排毒汤可能对提高患者的康复速度有积极的作用.
Study on the effect of"Tiao Shen Fu Zheng Pai Du Tang"based on the theory of"Treating the Spirit"in traditional Chinese medicine on the time to viral RNA clearance of nucleic acid in asymptomatic COVID-19 patients
Objective To explore the efficacy of using the"Tiao Shen Fu Zheng Pai Du Tang"at different times in the treatment of patients with asymptomatic infection of corona virus disease 2019(COVID-19).Methods The clinical data of 105 patients with asymptomatic infection of corona virus disease 2019 were retrospectively analyzed.All patients took Tiao Shen Fu Zheng Pai Du Tang and were divided into≤3 d group(37 cases),4-6 d group(47 cases),and 7-9 d group(21 cases)based on the time of starting the"Tiao Shen Fu Zheng Pai Du Tang".The basic data,time to viral RNA clearance were compared among the three groups,and multiple linear regression analysis was used to assess the impact of age and different medication times on the time to viral RNA clearance.Results 18 males and 19 females in the≤3 d group,with an average age of(26.85±15.87)years;15 males and 32 females in the 4-6 d group,with an average age of(28.91±18.12)years;10 males and 11 females in the 7-9 d group,with an average age of(26.95±16.43)years.There was no statistically significant difference(P>0.05)in the comparison of general data among three groups.The time to viral RNA clearance was(6.84±0.80)d in the≤3 d group,(10.09±0.78)d in the 4-6 d group,and(12.81±0.81)d in the 7-9 d group.There was a statistically significant difference in the time to viral RNA clearance among the three groups(P<0.01).The time of starting the medication was positively correlated with the time to viral RNA clearance(P<0.01,R2=0.88),suggesting that starting the"Tiao Shen Fu Zheng Pai Du Tang"earlier was associated with a shorter time to viral RNA clearance.Age did not have a significant impact on the time to viral RNA clearance.(P>0.05).Conclusion Starting the"Tiao Shen Fu Zheng Pai Du Tang"earlier in asymptomatic patients with COVID-19 is associated with a shorter time to viral RNA clearance.These findings suggest that the"Tiao Shen Fu Zheng Pai Du Tang"may have a positive effect on improving the recovery speed of the patients.

Corona virus disease 2019Asymptomatic patientTiao Shen Fu Zheng Pai Du TangTime to viral RNA clearance

张震钰、聂玉婷、袁岳鹏、胡胜根

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745000 庆阳市中医医院

新型冠状病毒肺炎 无症状感染者 调神扶正排毒汤 核酸转阴时间

庆阳市重点研发计划

QY-STK-2022B-091

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(3)
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