Interpretation of <italic style="font-style: italic">expert consensus on traditional Chinese medicine treatment for elderly COVID⁃19 patients in Shanghai （second edition）</italic>

Xuan CHEN; Fengwen YANG; Wei ZHANG; Guihua XU; Meng SUN

doi:10.16305/j.1007-1334.2022.2205090

您当前的位置：

首页 >

文章列表页 >

Interpretation of expert consensus on traditional Chinese medicine treatment for elderly COVID⁃19 patients in Shanghai （second edition）

更新时间：2022-08-12

- Interpretation of expert consensus on traditional Chinese medicine treatment for elderly COVID⁃19 patients in Shanghai （second edition）
- Shanghai Journal of Traditional Chinese Medicine Vol. 56, Issue 8, Pages: 11-14(2022)
- 作者机构：
  
  1.上海中医药大学附属曙光医院呼吸科（上海 201203）
  2.天津中医药大学循证医学中心（天津 301617）
  3.上海中医药大学附属曙光医院中医呼吸病研究所（上海 201203）
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2022.2205090
  CLC：
扫描看全文
陈旋,杨丰文,张炜等.《上海市老年新型冠状病毒感染中医药救治工作专家共识（第二版）》解读[J].上海中医药杂志,2022,56(08):11-14.

CHEN Xuan,YANG Fengwen,ZHANG Wei,et al.Interpretation of expert consensus on traditional Chinese medicine treatment for elderly COVID⁃19 patients in Shanghai （second edition）[J].Shanghai Journal of Traditional Chinese Medicine,2022,56(08):11-14.
陈旋,杨丰文,张炜等.《上海市老年新型冠状病毒感染中医药救治工作专家共识（第二版）》解读[J].上海中医药杂志,2022,56(08):11-14. DOI： 10.16305/j.1007-1334.2022.2205090.

CHEN Xuan,YANG Fengwen,ZHANG Wei,et al.Interpretation of expert consensus on traditional Chinese medicine treatment for elderly COVID⁃19 patients in Shanghai （second edition）[J].Shanghai Journal of Traditional Chinese Medicine,2022,56(08):11-14. DOI： 10.16305/j.1007-1334.2022.2205090.

摘要

为提高上海市老年新型冠状病毒感染患者的救治成效，针对奥密克戎变异株和老年发病特点，在《新型冠状病毒肺炎诊疗方案（试行第九版）》基础上，专家组结合已有的救治工作经验，修订形成《上海市老年新型冠状病毒感染中医药救治工作专家共识（第二版）》以指导临床实践。在第二版专家共识中：①强调关注伴有基础疾病的老年患者，注重区分新型冠状病毒感染与基础疾病的主次，及时开展多学科诊疗；②强调老年患者发病症状隐匿，细化临床症状和实验室检查预警指标，尽早发现病情变化；③增订老年普通型、重型危重型患者的中医治则和基础处方，建议重视急救中成药注射剂的选用；④修订老年患者高热不退的中医治疗方案；⑤增订老年患者神昏的中医治疗方案；⑥新增老年患者便秘虚证的中医治疗方案；⑦新增老年患者邪入膜原呈舌苔垢腻的中医治疗方案；⑧新增老年患者肺部影像学渗出加重的中成药注射剂治疗方案；⑨推荐老年痰黏难咯患者的中医治疗方案；⑩根据老年患者虚损情况的不同推荐中医治疗方案；⑪单列合并心、脑、肾相关基础疾病的老年新型冠状病毒感染患者的中医药救治方案。

Abstract

In order to improve the efficacy of treatment for elderly COVID-19 patients in Shanghai， a team of experts analyzed the characteristics of Omicron variant and clinical characteristics of elderly COVID-19 patients， drew on experience of current treatment， revised the treatment protocol based on, Diagnosis and Treatment Protocol for COVID,-,19 Patients （Tentative 9th Edition）, and formed, Expert Consensus on Traditional Chinese Medicine Treatment for Elderly COVID,-,19 Patients in Shanghai （2nd Edition）, to guide clinical practice. The 2nd edition of expert consensus highlighted the following points： ①Pay attention to elderly patients with underlying diseases， choose priority from the newly contracted COVID-19 infection and the underlying diseases， and implement a timely multidisciplinary approach to diagnosis and treatment； ②Due to the insidious and nonspecific onset of symptoms in elderly patients， prognostic indicators of both clinical symptoms and laboratory tests should be refined to facilitate early detection of disease progression； ③Supplement TCM treatment principles and basic herbal prescriptions for moderate， severe and critical cases of elderly COVID-19 patients， as well as recommend the use of TCM emergency injections； ④Revise the TCM therapeutic scheme for high fever that does not subside in elderly COVID-19 patients； ⑤Supplement a TCM therapeutic scheme for unconsciousness in elderly COVID-19 patients； ⑥Supplement a TCM therapeutic scheme for constipation of “deficiency syndrome” in elderly COVID-19 patients； ⑦Update a TCM therapeutic scheme for filthy and greasy tongue coating caused by pathogen hidden in interpleuro-diaphramatic space in elderly COVID-19 patients； ⑧Update prescriptions of TCM injection for exacerbated infiltrating on pulmonary radiography in elderly COVID-19 patients； ⑨Recommend a TCM therapeutic scheme for sticky phlegm hard to be expectorated in elderly COVID-19 patients； ⑩Recommend different TCM treatment regimens for elderly patients with different deficiency conditions； ⑪Separate TCM treatment protocols for elderly COVID-19 patients with cardiovascular， neurological or renal complications.

关键词

新型冠状病毒奥密克戎变异株新型冠状病毒肺炎老年人中医药疗法专家共识

Keywords

SARS-CoV-2Omicron variantCOVID-19elderlytraditional Chinese medicine therapyexpert consensus

references

RAMOS-RINCON J M， BUONAIUTO V， RICCI M， et al. Clinical characteristics and risk factors for mortality in very old patients hospitalized with COVID-19 in Spain［J］. J Gerontol A Biol Sci Med Sci， 2021， 76（3）： e28-e37.

ZHOU F， YU T， DU R， et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan， China：a retrospective cohort study［J］. Lancet， 2020， 395（10229）： 1054-1062.

王中伟，王桦，尹倩，等. 老年新型冠状病毒肺炎的高危因素分析［J］. 武汉大学学报（医学版），2021， 42（5）： 714-717.

魏琼英，薛聃，陈锦华，等. 老年新型冠状病毒肺炎患者的实验室指标与临床分型的关系［J］. 福建医科大学学报，2021， 55（1）： 26-31.

张春，林婷，郭利涛，等. 新型冠状病毒肺炎老年患者的临床特点及转归分析［J］. 西安交通大学学报（医学版），2021， 42（6）： 915-922.

上海市老年新型冠状病毒感染中医药救治工作专家共识撰写组. 上海市老年新型冠状病毒感染中医药救治工作专家共识［J］. 上海中医药杂志，2022， 56（6）： 1-2.

余思邈，崔延飞，王仲霞，等. 新型冠状病毒肺炎患者40例临床特点与舌象关系研究［J］. 北京中医药，2020， 39（2）： 111-114.

庞稳泰，金鑫瑶，庞博，等. 中医药防治新型冠状病毒肺炎方证规律分析［J］. 中国中药杂志，2020， 45（6）： 1242-1247.

冉君，李延萍，李群堂，等. 重庆地区2020年新型冠状病毒肺炎患者209例中医证型调查分析［J］. 中国中医急症，2020， 29（5）： 753-755， 758.

刘学松，宋元林，关伟杰，等. 血必净注射液治疗重症新型冠状病毒肺炎的多中心前瞻性队列研究［J］. 中华危重病急救医学，2021， 33（7）： 774-778.

施烜，魏娟，刘美云，等. 血必净注射液治疗新型冠状病毒肺炎的整体调控作用研究［J］.上海中医药杂志，2020， 54（4）： 46-52.

陈伟焘，袁天慧，詹少锋，等. 痰热清注射液治疗新型冠状病毒感染肺炎真实世界临床研究报告［J］. 广州中医药大学学报，2022， 39（3）： 463-468.

刘雪，王鸿鹏，苏毅，等. 痰热清对烟熏加LPS致COPD大鼠模型气道纤毛结构、黏液高分泌及炎症的影响［J］. 四川中医，2020， 38（12）： 50-54.

林观康，黄东晖，蔡凌峰，等. 痰热清注射液对COPD大鼠体内炎症因子及气道黏液高分泌的影响［J］. 新中医，2016， 48（10）： 224-227.

李红园，朱洁云，钟枝梅，等. 重症新型冠状病毒肺炎（COVID-19）患者基础疾病患病率的Meta分析［J］. 疑难病杂志，2020， 19（6）： 541-547.

GUAN W， LIANG W， ZHAO Y，et al. Comorbidity and its impact on 1590 patients with Covid-19 in China：A nationwide analysis［J］. Eur Respir J， 2020， 55（5）： 2000547.

Views

379

下载量

CSCD

CNKI被引量

Alert me when the article has been cited

提交

Tools

Publicity Resources

Expert consensus on TCM treatment of COVID⁃19 infection in elderly in Shanghai

Shanghai expert consensus on traditional Chinese medicine prevention and treatment for children infected with Omicron variant of COVID⁃19 （Spring 2022 Edition）

Expert consensus on traditional Chinese medicine rehabilitation protocol in COVID⁃19 recovery period in Shanghai （2nd edition， 2022）

Shanghai expert consensus on traditional Chinese medicine diagnosis and treatment of COVID⁃19 （Spring 2022 Edition）

Experience of Yu Jian in treating children with SARS⁃CoV⁃2 infection——A proven critical case

Related Author

No data

Related Institution

Department of Traditional Chinese Medicine， Fudan University of Children’s Hospital

Department of Intensive Care Unit， Fudan University of Children’s Hospital

Department of Infectious Disease， Fudan University of Children’s Hospital

Department of Respiratory， Fudan University of Children’s Hospital

Department of Pediatrics， Shanghai Municipal Hospital of Traditional Chinese Medicine Affiliated to Shanghai University of Traditional Chinese Medicine

⁰

Interpretation of expert consensus on traditional Chinese medicine treatment for elderly COVID⁃19 patients in Shanghai （second edition）

DOI：10.16305/j.1007-1334.2022.2205090

摘要

Abstract

关键词

Keywords

references