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为了有效减轻新型冠状病毒肺炎(corona virus disease 2019,COVID-19)患者的症状、提高出院率及促进出院后身心健康的全面恢复,世界中医药学会联合会肺康复专业委员会和中国民族医药学会肺病分会组织专家,参照国际上公认的共识形成方法,制订了《新型冠状病毒肺炎中医康复专家共识》(第一版),其主要内容包括功法训练(八段锦、简式太极拳、呼吸导引和六字诀)、针刺与灸法(针刺、艾灸、耳针和穴位贴敷)、推拿/按摩(穴位按摩、经络推拿)、刮痧、拔罐、膳食指导和情志疗法,并介绍了推荐要点及证据概述。为中医康复技术在COVID-19治疗中的合理选择及规范应用提供了参考。
Abstract：In order to alleviate the symptoms of patients with corona virus disease 2019( COVID-19),improve the discharge rate,and promote the comprehensive recovery of physical and mental health after discharge,the Specialized Committee of Pulmonary Rehabilitation of World Federation of Chinese Medicine Societies and the Branch of Pulmonary Disease of the China Medical Association of Minorities organized experts to draw up Expert Consensus on Rehabilitation of Chinese Medicine for COVID-19( First Edition) in light of the internationally recognized consensus building method. The main contents of the consensus include the traditional power training( Baduanjin,24 simplified Taichi,Pulmonary Daoyin and Liuzijue),acupuncture and moxibustion( acupuncture,moxibustion,auricular acupuncture therapy and acupoint-sticking),Tuina/massage( acupoint massage and meridian massage),Guasha,cupping therapy,dietary guidance and emotional therapy. The recommended main points and the overview of the evidence were summarized. It provides a reference for the rational selection and standard application of rehabilitation of Chinese medicine technology in the treatment of COVID-19.
[1]国家卫生健康委办公厅.新型冠状病毒感染的肺炎诊疗方案(试行第六版)[EB/OL].(2020-02-19).http://www.nhc.gov.cn/xcs/zhengcwj/202002/8334a8326dd94d329df351d7da8aefc2.shtml.
[2]World Health Organization.Clinical management of severe acute respiratory infection when novel coronavirus (2019-nCoV) infection is suspected[EB/OL].(2020-01-29)https://www.renrendoc.com/p-49426381.html.
[3]王辰,方国恩,谢欲晓,等.2019新型冠状病毒肺炎呼吸康复指导意见(第一版)[J/OL].中国修复重建外科杂志:1-5[2020-02-21].https://kns.cnki.net/KCMS/detail/51.1372.R.20200210.0800.002.html.
[4]刘晓丹,刘莉,陆云飞,等.新型冠状病毒肺炎患者功能恢复的中西医结合康复训练指导建议[J/OL].上海中医药杂志:1-5[2020-02-21].https://kns.cnki.net/KCMS/detail/31.1276.R.20200216.1357.002.html.
[5]刘清泉,夏文广,安长青,等.中西医结合治疗新型冠状病毒肺炎作用的思考[J/OL].中医杂志:1-2[2020-02-21].https://kns.cnki.net/KCMS/detail/11.2166.R.20200215.1057.002.html.
[6]国家卫生健康委办公厅.新型冠状病毒肺炎恢复期中医康复指导建议(试行)[EB/OL].(2020-02-22).https://mp.weixin.qq.com/s/jqpW9ra-n3lfOT-b-EWu4A.
[7]SHEA B J,REEVES B C,WELLS G,et al.AMSTAR 2:a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions,or both[J].BMJ,2017,358:4008.
[8]STERNE J A,HERNáN M A,REEVES B C,et al.ROBINS-I:a tool for assessing risk of Bias in non-randomised studies of interventions[J].BMJ,2016,355:4919.
[9]HIGGINS J P T,STERNE JAC,SAVOVIC J,et al.A revised tool for assessing risk of bias in randomized trials[J].Cochrane Database Syst Rev,2016,10:S29-31.
[10]GUYATT G H,OXMAN A D,VIST G E,et al.GRADE:an emerging consensus on rating quality of evidence and strength of recommendations[J].BMJ,2008,336(7650):924-926.
[11]ALONSO-COELLO P,SCHüNEMANN H J,MOBERG J,et al.GRADE Evidence to Decision (EtD) frameworks:a systematic and transparent approach to making well informed healthcare choices.1:Introduction[J].Gac Sanit,2018,32(2):166-170.
[12]武汉同济医院新型冠状病毒肺炎救治协作组.重症新型冠状病毒感染肺炎诊疗与管理共识[EB/OL].[2020-02-11].http://health.people.com.cn/n1/2020/0211/c14739-31581678.html.
[13]李建生,李素云,谢洋.河南省新型冠状病毒肺炎中医辨证治疗思路与方法[J/OL].中医学报:1-12[2020-02-27].http://kns.cnki.net/kcms/detail/41.1411.R.20200224.1332.004.html.
[14]世界中医药学会联合会肺康复专业委员会.慢性阻塞性肺疾病中医康复指南(2019-8-23)[EB/OL].http://www.wfcms.org/menuCon/contdetail.jsp?id=9318.
[15]陆颖,赵晓霆,钟磊,等.基于循证的八段锦对肺系疾病及呼吸功能影响的临床研究述评[J].世界中西医结合杂志,2018,13(10):1476-1480.
[16]LIU S J,REN Z,WANG L,et al.Mind Body (Baduanjin) Exercise Prescription for Chronic Obstructive Pulmonary Disease:A Systematic Review with Meta-Analysis[J].Int J Environ Res Public Health.2018;15(9):1830.Published 2018 Aug 24.doi:10.3390/ijerph15091830.
[17]ZOU L Y,YEUNG A,QUAN X F,et al.Mindfulness-based baduanjin exercise for depression and anxiety in people with physical or mental illnesses:a systematic review and meta-analysis[J].Int J Environ Res Public Health,2018,15(2):E321.
[18]GALANTINO M L,SHEPARD K,KRAFFT L,et al.The effect of group aerobic exercise and T′ai Chi on functional outcomes and quality of life for persons living with acquired immunodeficiency syndrome[J].J Altern Complement Med,2005,11(6):1085-1092.
[19]冯淬灵,崔红生,于会勇,等.新型冠状病毒肺炎恢复期中医药综合干预方案专家指导意见(草案)[J/OL].北京中医药:1-8[2020-02-21].https://kns.cnki.net/KCMS/detail/11.5635.r.20200221.1334.002.html.
[20]上海市中西医结合学会呼吸病专业委员会.新型冠状病毒肺炎若干热点问题的中西医结合建议[J].上海中医药杂志,2020,54(4):1-4.
[21]Ngai SP,Jones AY,Tam WW.Tai Chi for chronic obstructive pulmonary disease (COPD)[J].Cochrane Database Syst Rev.2016(6):9953.doi:10.1002/14651858.CD009953.pub2
[22]WU L L,LIN Z K,WENG H D,et al.Effectiveness of meditative movement on COPD:a systematic review and meta-analysis[J].Int J Chronic Obstr Pulm Dis,2018,13:1239-1250.
[23]ZHANG H L,LI J S,YU X Q,et al.An evaluation of activity tolerance,patient-reported outcomes and satisfaction with the effectiveness of pulmonary Daoyin on patients with chronic obstructive pulmonary disease[J].Int J Chron Obstruct Pulmon Dis,2017,12:2333-2342.
[24]王振伟,陈路军,杨佩兰,等.AECOPD患者早期介入中医肺康复的随机对照研究[J].中国中医急症,2011,20(11):1734-1736.
[25]季思勤,罗功汶,施克俭,等.六字诀干预慢性阻塞性肺疾病稳定期患者的临床研究[J].西部中医药,2019,32(4):111-114.
[26]王振伟,汤杰,黄海茵,等.强化“六字诀”肺康复操对稳定期COPD疗效影响的多中心临床随机对照研究[J].上海中医药杂志,2014,48(9):51-54.
[27]刘炜宏.关于运用针灸疗法防治非典型肺炎的探讨[J].中国针灸,2003,23(7):437-438.
[28]虞意华,金肖青,俞迈红,等.针刺治疗老年重症肺炎合并胃肠功能障碍的临床观察[J].中华中医药杂志,2016,31(4):1520-1522.
[29]薛愧玲.针灸治疗老年重症肺炎临床研究[J].中医学报,2017,32(2):194-197.
[30]罗思聪,夏晓莉,蔡鑫桂.针刺曲池合谷穴治疗外感发热(风热证)的临床疗效[J].临床医学研究与实践,2016(2):52.
[31]江慧红.针刺放血治疗外感风热型高热临床观察[J].辽宁中医药大学学报,2009,11(2):132-133.
[32]WANG J J,LI J S,YU X Q,et al.Acupuncture therapy for functional effects and quality of life in COPD patients:a systematic review and meta-analysis[J].Biomed Res Int,2018,2018:3026726.
[33]HSIEH P C,YANG M C,WU Y K,et al.Acupuncture therapy improves health-related quality of life in patients with chronic obstructive pulmonary disease:a systematic review and meta-analysis[J].Complement Ther Clin Pract,2019,35:208-218.
[34]中国针灸学会.关于印发《新型冠状病毒肺炎针灸干预的指导意见(第一版)》的通知[EB/OL].(2020-2-8)http://www.caam.cn/article/2183.
[35]吕沛宛,王赛男,唐祖宣.艾灸早期介入防治新型冠状病毒肺炎可行性分析[J/OL].中医学报:1-12[2020-02-24].http://kns.cnki.net/kcms/detail/41.1411.r.20200219.0940.002.html.
[36]聂红梅,张欣,袁春华.腹灸法对中老年人机体免疫功能的影响[J].中国老年学杂志,2013,33(24):6288-6289.
[37]李津利,屈冰,张明利,等.灸法对18例AIDS患者T淋巴细胞亚群影响的初步观察[J].北京中医药大学学报(中医临床版),2003,10(4):59-61.
[38]石学敏.石学敏实用针灸学[M].北京:中国中医药出版社,2009:232.
[39]吴晓丽.耳穴贴压联合针对性出院指导在稳定期COPD患者治疗中的应用[J].中西医结合护理(中英文),2016(10):71-73.
[40]于健健,王珺,蔡成森.穴位贴敷对稳定期COPD患者肺康复影响的Meta分析[J].中医临床研究,2018,10(25):1-5.
[41]张金梅.中药穴位贴敷治疗肺炎的临床实践和护理探索[J].中国医药指南,2014,12(18):326-327.
[42]何鸿烈,叶焰.中西医结合治疗痰热壅肺型社区获得性肺炎疗效观察[J].新中医,2017,49(12):30-32.
[43]李路广,李欢欢,张盼奎,等.舒肺贴不同刺激强度对慢性阻塞性肺疾病稳定期临床疗效的影响[J].世界科学技术-中医药现代化,2014,16(11):2415-2419.
[44]李欢欢,李路广,余学庆,等.舒肺贴不同贴敷时间对慢性阻塞性肺疾病稳定期生存质量的影响[J].世界科学技术-中医药现代化,2014,16(12):2605-2610.
[45]徐北辰.中药联合推拿辅助治疗风热闭肺型重症病毒性肺炎40例[J].现代中医药,2019,39(4):33-36.
[46]POLAND R E,GERTSIK L,FAVREAU J T,et al.Open-label,randomized,parallel-group controlled clinical trial of massage for treatment of depression in HIV-infected subjects[J].J Altern Complement Med,2013,19(4):334-340.
[47]经升琴,徐君凤.刮痧治疗外感发热退热效果的Meta分析[J].中西医结合护理(中英文),2018(5):47-51.
[48]胡倩,王秋琴,段培蓓,等.刮痧联合宣肺止嗽汤治疗感染后咳嗽风寒恋肺证临床观察[J].中国针灸,2016,36(12):1257-1262.
[49]张晓琪,邢亚情,佘延芬,等.刮痧治疗感冒后咳嗽随机对照临床研究[J].河北中医药学报,2017,32(5):32-35,50.
[50]江桂林,施永敏,徐加红,等.中医拔罐联合西药治疗社区获得性肺炎疗效观察及护理[J].实用临床医药杂志,2013,17(22):113-114.
[51]徐加红,江桂林,施永敏,等.中医拔罐治疗老年社区获得性肺炎30例疗效观察[J].河北中医,2014,36(12):1834-1835.
[52]陈素琴.中医饮食护理在内科患者中的临床应用探讨[J].内蒙古中医药,2014,33(30):120-121.
[53]中华中医药学会.传染性非典型肺炎(SARS)中医诊疗指南[J].中国医药学报,2003,18(10):579-586.
[54]郑晓璐,童银红,徐佩红.中医情志护理对慢性阻塞性肺疾病急性加重期患者生活质量的影响[J].新中医,2019,51(8):288-290.
[55]上海中医药大学附属龙华医院.现代冥想新冠肺炎辅助康复专辑[EB/OL].(2020-02-19).http://www.longhua.net/lh_web/html/DefaultSite/lhyy_xwdt/2020-02-24/Detail_4430.htm.
基本信息:
DOI：10.16368/j.issn.1674-8999.2020.04.154
中图分类号:R259
引用信息:
[1]李建生,张海龙.新型冠状病毒肺炎中医康复专家共识(第一版)[J].中医学报,2020,35(04):681-688.DOI:10.16368/j.issn.1674-8999.2020.04.154.
基金信息:
河南省2020年新型冠状病毒防控应急攻关项目(201100310400,201100310500);; 医药传承与创新“百千万”人才工程(岐黄工程)项目{国中医药人教发[2017]9号};; 中原学者科学家工作室项目{豫财行[2018]204号}