首页|老年新冠肺炎愈后患者中医药治疗联合运动康复训练方法及应用效果

老年新冠肺炎愈后患者中医药治疗联合运动康复训练方法及应用效果

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目的 探讨中医药联合运动康复训练在老年新型冠状病毒肺炎(简称新冠肺炎)愈后患者中的效果。方法 选取2023年1月3日-2023年2月28日解放军总医院收治的老年新冠肺炎愈后行肺功能康复患者为研究对象,按照病区收治,采用系统随机抽签法从不同病区各选取30例,分为对照组和试验组。对照组患者在药物综合治疗的基础上,实施传统呼吸康复训练、营养支持、心理干预等指导,试验组患者在对照组基础上进行中医药治疗(包括中医药汤剂、针灸等)、运动康复训练。统计两组患者入院时和出院前6 min步行试验、肺功能检测指标、患者日常生活活动能力、治疗前后心理状况等指标。结果 出院前6 min步行试验对照组、试验组均较入院时有改善(P<0。05),通过中医药联合运动康复训练,出院前试验组各项肺功能指标较对照组改善更明显(P<0。05);日常生活活动能力方面,出院前试验组(86。32±4。24)分,对照组(85。23±4。52)分,较入院时试验组(79。63±5。64)分,对照组(78。34±6。01)分提高(P<0。05);出院前SAS、SDS试验组与对照组分别为(52。78± 2。37)分、(52。17±0。18)分与(54。07±3。21)分、(53。01±1。77)分,两组之间有统计学差异(P<0。05)。结论 中医药联合运动康复训练,可有效改善老年新型冠状病毒肺炎愈后患者肺功能,提高患者日常生活活动能力,降低其焦虑、抑郁状态。
Effect of traditional Chinese medicine combined with exercise rehabilitation training recovery of elderly patients with COVID-19
OBJECTIVE To explore the effect of traditional Chinese medicine combined with exercise rehabilitation training in elderly patients recovering from corona virus disease 2019(COVID-19).METHODS Elderly patients with pulmonary function rehabilitation after recovery from COVID-19 admitted to PLA General Hospital from Jan 3rd,2023 to Feb 28th,2023 were enrolled in this study.Patients from different wards were divided into the con-trol group and observation group by systematic random draw method,30 patients in each group.On the basis of comprehensive drug treatment,patients in the control group received traditional respiratory rehabilitation training,nutritional support,psychological intervention and other guidance,while patients in the observation group received traditional Chinese medicine treatment(including traditional Chinese medicine decoction,acupuncture,etc.)and exercise rehabilitation training on the basis of the treatment of the control group.The 6-minute walking test at ad-mission and before discharge,lung function test index,patients'ability of daily living activities,and psychological status before and after treatment were analyzed.RESULTS Before discharge,results of 6-minute walking test in the control group and the experimental group were both improved compared with those on admission(P<0.05).After traditional Chinese medicine combined with exercise rehabilitation training,the lung function indexes in the experi-mental group before discharge were improved more significantly than those in the control group(P<0.05).Before discharge,the scores of activities of daily life in the test group(86.32±4.24)and the control group(85.23± 4.52)were higher than those in the test group(79.63±5.64)and the control group(78.34±6.01)on admission(P<0.05).Before discharge,SAS and SDS scores between the test group and control group were(52.78±2.37)vs.(54.07±3.21)and(52.17±0.18)vs.(53.01±1.77),respectively;there were significant differences be-tween the two groups(P<0.05).CONCLUSION Traditional Chinese medicine combined with exercise rehabilita-tion training can effectively improve the lung function in elderly patients recovering from COVID-19,improve their ability of daily living activities,and reduce their anxiety and depression.

Severe acute respiratory syndrome coronavirus 2Corona virus disease 2019Traditional Chinese med-icineRehabilitation trainingRespiratory system

王娜、余兴艳、秦利春、黄丽萍、吕仙荣

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解放军总医院第一医学中心康复医学科,北京 100853

解放军总医院第八医学中心康复医学科,北京 100091

新型冠状病毒 新型冠状病毒肺炎 中医药 康复训练 呼吸系统

国家重点研发计划基金资助项目

2022YFB4703205

2024

中华医院感染学杂志
中华预防医学会 中国人民解放军总医院

中华医院感染学杂志

CSTPCD北大核心
影响因子:1.885
ISSN:1005-4529
年,卷(期):2024.34(7)
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