Faced with only one severe case, what is Shanghai's treatment strategy for the infected?

　　Xinhua News Agency, Shanghai, April 10th

　　Xinhua News Agency "Xinhua Viewpoint" reporter Yuan Quan

　　From the perspective of symptoms, the vast majority of infected people in this round of epidemic in Shanghai are mild and asymptomatic infections, and there is only one severe case at present.

Faced with this situation, what is the main treatment strategy in Shanghai at present?

　　In an interview with a reporter from "Xinhua Viewpoint", a relevant person said that "doing the best treatment" as the end of the entire dynamic clearing link is not only a guarantee for the life and health of infected people, but also an important step in forming a closed loop of prevention and control.

　　On the 9th, with the official delivery and use of the square cabin hospital of the National Convention and Exhibition Center (Shanghai), Shanghai has once again increased its capacity in the treatment of infected people.

At present, more than 11,000 people have been discharged from hospital and released from medical observation in Shanghai.

　　On April 9, in the makeshift hospital of Shanghai Kuan Mining Center, the staff sterilized the discharged recovered patients.

Photo by Xinhua News Agency reporter Jin Liwang

The elderly, children and patients with underlying diseases are the key groups. Mild and ordinary patients are mainly supported by symptomatic treatment.

　　"We can't take it lightly." Zheng Junhua, Secretary of the Party Committee of Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine and Commander-in-Chief of the Makeshift Hospital of the New International Expo Center, believes that the low number of critically ill patients is mainly due to the high proportion of vaccinations in Shanghai, and the overall medical system is still Responding continuously.

　　It cannot be ignored that in Fangcang shelter hospitals, children and elderly patients are not uncommon, and such people are most prone to changes in their condition, "such as newborns with allergic asthma and cardiovascular and cerebrovascular, tumor, hemodialysis patients who need long-term treatment. Patients, once superimposed virus infection can easily lead to serious danger." He said.

　　"We found that family-based infections are very common. Young and middle-aged people recover faster, but the infection of children and the elderly may bring a heavy burden to families, which also reflects the necessity of insisting on dynamic clearing." Zheng Junhua Say.

　　The data shows that among the current positive infections, 15% are 18 years old and below, 69% are 18 to 60 years old, and 16% are 60 years old and above.

Among all infected persons, the youngest is 10 days old and the oldest is 98 years old.

　　"The Fangcang shelter hospital has both the elderly with underlying diseases and children who need care." Ma Xin, vice president of the Huashan Hospital affiliated to Fudan University, who is currently participating in the treatment in Lingang Fangcang shelter hospital, said that for such key groups, nursing staff will give Pay special attention, on the one hand to ensure their daily needs, on the other hand to observe their psychological state and communicate with their families outside the ward.

　　The reporter learned from the Shanghai New Coronary Pneumonia Epidemic Prevention and Control Press Conference held on the 9th that currently designated hospitals in Shanghai give priority to the treatment of patients with common and above confirmed cases, as well as some patients with mild symptoms and asymptomatic infections, including pregnant women, children, elderly, etc.

For mild and common patients, support symptomatic treatment is the mainstay, closely observe the changes in the condition and timely symptomatic treatment, supplemented by traditional Chinese medicine treatment.

　　On April 6, at Shanghai Lingang Fangcang shelter hospital, medical staff from Huashan Hospital affiliated to Fudan University arranged beds for newly transferred infected patients.

Xinhua News Agency (Photo courtesy of Huashan Hospital)

　　At the same time, for elderly patients and patients with underlying diseases (diabetes, hypertension, tumors, etc.), close monitoring and early warning are given. On the basis of treating the primary disease, comprehensive measures such as adjusting the body's immunity, inhibiting inflammatory responses, and improving organ function should be given. Treatment measures to prevent the disease from becoming more severe.

Traditional Chinese medicine has obvious effect in controlling disease progression, and the use rate of traditional Chinese medicine in infected patients is over 98%.

　　Traditional Chinese medicine experts participate in expert group consultations every day, joint Chinese and Western medicine carry out ward rounds for critically ill patients, and focus on two weekly traditional Chinese medicine professional groups...

　　In the front line of clinical treatment in Shanghai, traditional Chinese medicine plays a unique advantage in accelerating the discharge rate and blocking the progression of the disease.

According to statistics, the use rate of traditional Chinese medicine in Shanghai's positive infection remains above 98%.

　　In the Baoshan campus of Huashan Hospital, the two prescriptions of traditional Chinese medicine specially developed by the Department of Integrative Medicine for the prevention and treatment of new coronary pneumonia are delivered to patients on time every day.

In 2020, these two prescriptions were used when helping Wuhan.

During the current round of the epidemic, its efficacy has also received good feedback.

　　"Shanghai adheres to both Chinese and Western medicine in the treatment of new coronary pneumonia. At present, it has coordinated the city's traditional Chinese medicine resources to strengthen the front-line treatment of traditional Chinese medicine." Wu Jinglei, director of the Shanghai Municipal Health Commission, said that the Shanghai Public Health Clinical Center has selected more than 20 Chinese medicine physicians to participate. For the first-line treatment, the ward is taken over by the hospital package department and the reorganization system.

At the same time, some infants, pregnant women and other groups are given traditional Chinese medicine non-drug therapy interventions such as acupuncture, acupoint application, and ear acupuncture.

　　Wu Yingen, a tenured professor at the Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, said that in the previous stage of treatment, it was found that traditional Chinese medicine can shorten the time for patients to turn negative for nucleic acid and develop fever symptoms.

　　Shanghai has formulated specific traditional Chinese medicine treatment plans for Fangcang shelter hospitals, designated hospitals, and key groups such as the elderly and children.

Zhang Wei, Deputy Director of the National TCM Epidemic Prevention and Control Base (Shanghai) and Chief Physician of the Department of Pulmonary Diseases, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, said that traditional Chinese medicine has been involved in the whole process of the three stages of "prevention, treatment and health" of new coronary pneumonia, which has played a role in early intervention and truncation. To reverse and control the progression of the disease.

　　"The study found that the earlier the intervention time of the first dose of traditional Chinese medicine, the shorter the time for fever reduction and the time for nucleic acid to turn negative. Therefore, our traditional Chinese medicine pays special attention to the first treatment." Zhang Wei said that in the past, from prescription, delivery to pharmacy, dispensing, It usually takes a day for the decoction to be delivered to the patient.

After optimizing the process, the infected person can complete the diagnosis and treatment within 1 hour after entering the Fangcang cabin and designated hospital.

It is urgent to strengthen the vaccination of the elderly population

　　"Omicron is not a 'big flu', it's a 'biter', mainly in the unvaccinated elderly."

　　On the 9th, Zhang Wenhong, director of the National Center for Infectious Diseases Medicine and director of the Department of Infectious Diseases of Huashan Hospital Affiliated to Fudan University, wrote: Recently, the Shanghai New Coronary Pneumonia Medical Treatment Expert Group and experts from various makeshift hospitals have repeatedly paid attention to the joint online rounds of the city every day. The focus is on how to protect vulnerable groups, especially the elderly who have underlying diseases and who have not been vaccinated.

　　"From the current point of view, the effect of the vaccine barrier established by the previous efforts is obvious. The severe rate of this round of epidemic in Shanghai is extremely low, which has a lot to do with this. Young people who have been vaccinated will hardly become severe. However, vulnerable groups, In particular, the elderly who have underlying diseases and have not been vaccinated still face greater risks." Zhang Wenhong said.

　　On April 6, at Shanghai Lingang Fangcang shelter hospital, medical staff from Jiangsu check the temperature of an infected person.

Xinhua News Agency (Photo courtesy of Huashan Hospital)

　　The data shows that as of 24:00 on the 8th, a total of 9.4327 million doses of people aged 60 and over in Shanghai have been vaccinated, covering 3.6823 million people, with a coverage rate of 63.32%. 2.1843 million people were vaccinated.

　　"At present, there are still about 52 million elderly people over the age of 60 nationwide who have not completed the full course of vaccination. The risk of severe illness and death of the elderly infected with the new coronavirus is much higher than that of the young, which is why we are currently insisting on dynamic clearing. One of the main reasons.” Zhang Binyun, deputy director of Fudan University Hospital Management Research Institute, believes that the situation in Shanghai should also attract the attention of other provinces and cities, and it is urgent to accelerate the promotion of enhanced needle vaccination and increase the vaccination rate of the new crown vaccine among the elderly.

　　Li Bin, deputy director of the Shanghai Institute of Immunology, Shanghai Jiaotong University School of Medicine, believes that the dynamic reset should be combined with the comprehensive promotion of the vaccination of the elderly over 60 years old with the new crown vaccine booster.

"Since the recent large-scale epidemic in Hong Kong, research data shows that, whether it is an inactivated vaccine or an mRNA vaccine, the severe protection rate of the new crown vaccine exceeds 95% after three injections. It can be seen that the three injections, including the booster injection, The protective effect of vaccination on the elderly is very significant." Li Bin said.

　　"The top priority is to complete the booster vaccination for the elderly and patients with chronic underlying diseases in a stable condition nationwide as soon as possible." Li Bin suggested that in the future epidemic prevention and control work in various provinces and cities, it is necessary to strengthen the vaccination of the elderly over 60 years old. Vaccination is a key task, and the government can send medical staff to each community to vaccinate more elderly people.