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通过远程医疗对一名胸部CT评分为18/25的非氧依赖型新冠低氧血症患者进行阿育吠陀疗法管理——病例报告

Ayurvedic management through telemedicine of covid hypoxia non-dependent of oxygen support in a patient with chest CT score of 18/25- A case report.

作者信息

A Sudheer, G Meera

机构信息

Sreehareeyam Ayurveda, No 2 Rajaji Nagar Main Road, Thiruvanmiyur, Chennai, 600041, Tamilnadu, India.

Sreehareeyam Ayurveda, No 2 Rajaji Nagar Main Road, Thiruvanmiyur, Chennai, 600041, Tamilnadu, India; Ayurveda Teledoctor at Anand Hospital (L2 Covid ICU), Meerut, Uttar Pradesh, India.

出版信息

J Ayurveda Integr Med. 2022 Oct-Dec;13(4):100660. doi: 10.1016/j.jaim.2022.100660. Epub 2022 Dec 5.

Abstract

This paper is the first known documentation of a covid patient in ARDS and MODS who recovered from home through Ayurveda telemedicine and when not completely dependent on oxygen. The covid patient suffered from fever, body ache, breathlessness, fatigue, and was admitted to the hospital when his SpO2 was at 56, his CT scores at 18/25, Corads 6 and his NL ratio was at 9. The patient was shifted to another hospital as he refused treatment in the first hospital; in the second hospital also he refused treatment and got himself discharged against medical advice when his SpO2 was at 65, RR 40. The patient sought Ayurvedic treatment through phone voluntarily when in MODS. He showed clinical improvement within a day and the SpO2 steadily raised to reach 94 in 27 days. He may have required invasive mechanical ventilation for COVID-19 ARDS reflected by his raised covid biomarkers (Malik et al., 2021) [1]. But this was not necessitated; also other risk factors for poor outcomes were his old age, comorbidities as diabetes, kidney injury and liver injury. This paper records that oral and ophthalmic administration of Ayurveda medicines can immediately increase SpO2 levels. This case study also opens up possibilities of emergency care in Ayurveda with respect to hypoxia.

摘要

本文是关于一名患有急性呼吸窘迫综合征(ARDS)和多器官功能障碍综合征(MODS)的新冠患者的已知首次记录,该患者通过阿育吠陀远程医疗在家中康复,且当时并非完全依赖氧气。该新冠患者出现发热、身体疼痛、呼吸急促、疲劳等症状,在其血氧饱和度(SpO2)为56、CT评分为18/25、Corads为6且中性粒细胞与淋巴细胞比值为9时入院。该患者因拒绝在第一家医院接受治疗而转至另一家医院;在第二家医院,他同样拒绝治疗,并在SpO2为65、呼吸频率(RR)为40时自行出院。该患者在处于多器官功能障碍综合征时自愿通过电话寻求阿育吠陀治疗。他在一天内显示出临床改善,血氧饱和度在27天内稳步升至94。他可能因新冠生物标志物升高而需要对新冠急性呼吸窘迫综合征进行有创机械通气(马利克等人,2021年)[1]。但这并非必要;此外,导致不良预后的其他风险因素是他的高龄、合并症,如糖尿病、肾损伤和肝损伤。本文记录了口服和眼部给药阿育吠陀药物可立即提高血氧饱和度水平。该案例研究还开启了阿育吠陀在缺氧方面进行紧急护理的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15b1/9723920/db3f84769289/gr1.jpg

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