艾灸辅助治疗新型冠状病毒肺炎7例临床分析

目的 探讨艾灸辅助治疗新型冠状病毒肺炎（novel coronavirus pneumonia，NCP）的临床疗效，为临床应用提供参考依据。方法 采用回顾性分析方法，将收集的符合普通型NCP诊断标准的7例的临床资料，以主要症状（发热、咳嗽、乏力）持续时间、主要症状消失率、治疗前后中医证候量表评分、核酸检测转阴时间、住院天数作为评价指标。果 ①主要症状持续时间：发热持续时间1~10 d（中位数为6 d），咳嗽持续时间4~10 d（中位数为5 d），乏力持续时间4~8 d（中位数为6 d）。②主要症状消失率：发热、咳嗽、乏力消失率分别为6/6、4/5、3/5。③治疗前后中医证候量表评分比较，差异有统计学意义（t=9.34，P<0.05）。④核酸检测转阴时间为10~32 d（中位数为19 d）。⑤住院时间为14~35 d（中位数为22 d）。结论 艾灸辅助治疗新型冠状病毒肺炎，能够缩短发热、咳嗽、乏力症状持续时间，有效缓解中医证候，缩短住院天数。

Clinical Effect of Moxibustion as Adjuvant Therapy for Novel Coronavirus Pneumonia: An Analysis of 7 Cases

Objective To investigate the clinical effect of moxibustion as the adjuvant therapy for novel coronavirus pneumonia (NCP), and to provide a reference for clinical application. Methods A retrospective analysis was performed for the clinical data of 7 patients who met the diagnostic criteria for common NCP, and the assessment indices included duration of cardinal symptoms (fever, cough, and fatigue), disappearance rate of cardinal symptoms, traditional Chinese medicine (TCM) syndrome score, clearance time of nucleic acid, and length of hospital stay. Results Durations of fever, cough, and fatigue were 1-10 days (median 6 days), 4-10 days (median 5 days), and 4-8 days (median 6 days), respectively, and the disappearance rates of fever, cough, and fatigue were 6/6, 4/5, and 3/5, respectively. There was a significant change in TCM syndrome score after treatment (t=9.34, P<0.05). The clearance time of nucleic acid was 10-32 days (median 19 days), and the length of hospital stay was 14-35 days (median 22 days). Conclusion As the adjuvant therapy for NCP, moxibustion can shorten the duration of fever, cough, and fatigue, effectively relieve TCM syndrome, and shorten the length of hospital stay.