Objective: To observe the clinical therapeutic effect of filiform-fire needling of "Biaoben acupoint combination" on the sequelae of patients with coronavirus disease 2019 (COVID-19) during the recovery period.
Methods: A total of 33 patients with COVID-19 during the recovery period were treated with filiform-fire needling at the acupoints of Mingmen (GV 4), Shenzhu (GV 12), Gaohuang (BL 43), Zusanli (ST 36) and Shangjuxu (ST 37), etc., once every other day, 3 times a week, and 3 times was one course of treatment and totally 2 courses of treatment were required. The TCM symptom, Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD) scores, pulmonary function indexes (forced vital capacity [FVC], forced expiratory volume in one second [FEV1], peak expiratory flow [PEF]) and chest CT imaging change were observed before and after treatment, and the therapeutic effect was evaluated.
Results: After treatment, the scores of TCM symptom, HAMA and HAMD were decreased compared with those before treatment (P<0.05), and the levels of FVC, FEV1 and PEF were increased compared with those before treatment (P<0.05), and the recovery rate of 22 patients with pulmonary ventilation dysfunction was 86.4% (19/22). After treatment, the lung shadow area was smaller than that before treatment (P<0.05). The effective rate of 25 patients with lung CT abnormalities was 84.0% (21/25). After treatment, 23 cases were cured, 5 cases were markedly effective, 4 cases were effective, 1 case was ineffective, the cured and markedly effective rate was 84.8%.
Conclusion: The filiform-fire needling of "Biaoben acupoint combination" could significantly reduce the sequelae of cough, fatigue, chest tightness, etc. and mental symptoms such as anxiety and depression in patients with COVID-19 during the recovery period, and promote inflammatory exudation absorption of pulmonary lesion and improve lung ventilation function.
目的：观察“标本配穴”毫火针治疗新型冠状病毒肺炎恢复期患者后遗症状的临床疗效。方法：选取33例新型冠状病毒肺炎恢复期患者行毫火针治疗，穴取命门、身柱、膏肓、足三里、上巨虚等，隔天治疗1次，每周3次，3次为一疗程，共治疗2个疗程。观察患者治疗前后中医症状、汉密尔顿焦虑量表（HAMA）及汉密尔顿抑郁量表（HAMD）评分，肺功能指标[用力肺活量（FVC）、第1秒用力呼气容积（FEV1）、呼气峰值流速（PEF）]、胸部CT影像学变化情况，并评定临床疗效。结果：治疗后，患者中医症状评分及HAMA、HAMD评分均较治疗前降低（P<0.05）。治疗后患者FVC、FEV1、PEF均较治疗前升高（P<0.05），22例遗留有肺通气功能障碍患者恢复率为86.4%（19/22）。治疗后患者肺部阴影面积较治疗前缩小（P<0.05），25例遗留有肺部CT异常的患者有效率为84.0%（21/25）。治疗后痊愈23例，显效5例，有效4例，无效1例，愈显率为84.8%。结论：“标本配穴”毫火针能明显减轻新型冠状病毒肺炎恢复期患者咳嗽、乏力、胸闷等后遗症状以及焦虑抑郁等精神症状，同时促进肺部病灶炎性渗出吸收，改善肺通气功能。.
Keywords: Biaoben acupoint combination; coronavirus disease 2019 (COVID-19); filiform-fire needling; recovery period; sequelae.