首页|砂半理中汤加味治疗新型冠状病毒奥密克戎变异株感染"长阳"患者临床研究

砂半理中汤加味治疗新型冠状病毒奥密克戎变异株感染"长阳"患者临床研究

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目的 探讨砂半理中汤加味治疗新型冠状病毒奥密克戎变异株感染"长阳"患者(简称"长阳"患者)的临床疗效与安全性.方法 选取 2022 年 11 月 14 日至 12 月 14 日就诊于重庆市江北区石子山方舱医院的"长阳"患者 184 例,按Excel随机函数法分为试验组和对照组.最终纳入 169 例,其中试验组 85 例,对照组 84 例.对照组患者给予中药汤剂协定方治疗,试验组患者在对照组治疗基础上加用砂半理中汤加味治疗.两组患者均给药至连续 2 次新型冠状病毒核酸检测呈阴性,采样时间间隔 24 h.结果 试验组总有效率为 92.94%,显著高于对照组的 82.14%(P<0.05);治疗后,两组患者中医证候量表主要症状、次要症状评分及总分均显著降低(P<0.05),且试验组均显著低于对照组(P<0.05);试验组患者 2 次核酸平均转阴时间均显著短于对照组(P<0.05);对照组和试验组分别出现腹泻 1 例和 2 例,对症处理后均好转.结论 砂半理中汤加味治疗"长阳"患者的临床疗效良好,可缩短"长阳"患者的核酸转阴时间,改善临床症状,且安全性良好.
Clinical Study of Modified Shabanlizhong Decoction in the Treatment of Long-Lasting Nucleic Acid Test-Positive Patients Infected with Omicron Variant of SARS-CoV-2
Objective To investigate the clinical efficacy and safety of Shabanlizhong Decoction in the treatment of long-lasting nucleic acid test(NAT)-positive patients(hereinafter referred to as long-lasting positive patients)infected with Omicron variant of severe acute respiratory syndrome coronavirus 2(SARS-CoV-2).Methods A total of 184 long-lasting positive patients who visited Shizishan Fangcang Hospital in the Jiangbei District,Chongqing from November 14 to December 14,2022 were selected and randomly divided into the test group and the control group by the Excel random function.Finally,169 cases were included,including 85 cases in the test group and 84 cases in the control group.The patients in the control group were treated with traditional Chinese medicine decoction protocol,on this basis,the patients in the test group were treated with modified Shabanlizhong Decoction.The patients in the two groups were treated until they tested negative for SARS-CoV-2 NAT twice with a sampling interval of 24 h.Results The total effective rate in the test group was 92.94%,which was significantly higher than 82.14%in the control group(P<0.05).After treatment,the single scores and total score of main symptoms and secondary symptoms of the traditional Chinese medicine syndrome scale in the two groups significantly decreased(P<0.05),and those in the test group were significantly lower than those in the control group(P<0.05).The average time for two NATs to turn negative in the test group was significantly shorter than that in the control group(P<0.05).There was one case of diarrhea in the control group and two cases in the test group,which improved after symptomatic treatment.Conclusion The modified Shabanlizhong Decoction has good clinical efficacy and safety in the treatment of long-lasting positive patients,which can shorten the time for nucleic acid to turn negative,and improve clinical symptoms.

Shabanlizhong DecoctionSARS-CoV-2Omicron variantlong-lasting positive patientsclinical efficacy

陈勇、曹晋、姚秋菊、南瑞雪、何德英、任毅

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重庆市中医院,重庆 400021

成都中医药大学研究生院,四川 成都 610075

砂半理中汤 新型冠状病毒 奥密克戎变异株 "长阳"患者 临床疗效

重庆市教委科学技术研究计划成都中医药大学"杏林学者"医院专项(2022)

KJZD-K202215103YYZX2022129

2024

中国药业
重庆市食品药品监督管理局

中国药业

CSTPCD
影响因子:1.369
ISSN:1006-4931
年,卷(期):2024.33(1)
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