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利用按压针针刺治疗轻至中度 COVID-19:一项单盲、随机对照试验。

Utilizing press needle acupuncture to treat mild-to-moderate COVID-19: A single-blind, randomized controlled trial.

机构信息

Baiyun Branch, NanFang Hospital, Southern Medical University, Guangzhou, Guangdong, China.

NanFang Hospital, Southern Medical University, Guangzhou, Guangdong, China.

出版信息

Medicine (Baltimore). 2024 Oct 4;103(40):e39810. doi: 10.1097/MD.0000000000039810.

Abstract

BACKGROUND

In China, acupuncture has been employed as an adjunctive therapy for coronavirus disease 2019 (COVID-19). Press needle acupuncture is a special type of acupuncture that provides prolonged stimulation to acupuncture points and simultaneously reduces the pain associated with traditional acupuncture. This study assessed the effectiveness of integrating press needles alongside pharmacologic treatment in patients with mild-to-moderate COVID-19.

METHODS

Patients hospitalized with mild-to-moderate COVID-19 symptoms between December 2022 and January 2023 were included in the study. The enrolled patients were randomly assigned to receive pharmacologic treatment alone (control group) or both pharmacologic treatment and press needle acupuncture (intervention group). Patients were evaluated for clinical outcomes, including symptom scores, deterioration rates, fever durations, and nucleic acid test results. The patients' complete blood count and C-reactive protein levels were also analyzed using venous blood samples both before and after treatment.

RESULTS

Both groups exhibited a reduction in clinical symptom scores, but symptoms regressed faster in the intervention group. Nucleic acid test negativity was achieved faster in the intervention group than in the control group. The intervention group also had a lower deterioration rate. Furthermore, the increase in the lymphocyte count and decrease in C-reactive protein levels following treatment were more pronounced in the intervention group than in the control group.

CONCLUSION

This study suggests that utilizing press needle acupuncture as an adjunct to pharmacologic treatment can be effective in patients with mild-to-moderate COVID-19 symptoms.

摘要

背景

在中国,针灸已被用作 2019 年冠状病毒病(COVID-19)的辅助疗法。压针是一种特殊类型的针灸,它对穴位提供长时间的刺激,同时减轻传统针灸相关的疼痛。本研究评估了在轻度至中度 COVID-19 患者中结合压针和药物治疗的效果。

方法

纳入 2022 年 12 月至 2023 年 1 月期间因轻度至中度 COVID-19 症状住院的患者。入组患者被随机分配接受单独药物治疗(对照组)或药物治疗联合压针治疗(干预组)。评估患者的临床结局,包括症状评分、恶化率、发热持续时间和核酸检测结果。还使用静脉血样分析患者治疗前后的全血细胞计数和 C 反应蛋白水平。

结果

两组患者的临床症状评分均有所降低,但干预组症状缓解更快。干预组比对照组更快地达到核酸检测阴性。干预组的恶化率也较低。此外,与对照组相比,干预组治疗后淋巴细胞计数增加和 C 反应蛋白水平降低更为明显。

结论

本研究表明,在轻度至中度 COVID-19 症状患者中,将压针作为药物治疗的辅助手段可能是有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92c6/11460845/f0c3d6d57db6/medi-103-e39810-g001.jpg

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