Huanggang War Epidemic Month: The Application Of Traditional Chinese Medicine To Clinical And Rehabilitation Treatment, The Number Of Patients Admitted To Hospital Was Significantly Reduced -- Exclusive Interview With Li Feng, Deputy Commander In Chief Of The Front Command Of Huanggang'S New Crown Pneumonia.

According to the data released by the Hubei Provincial Health Protection Commission, 0 cases of new crown pneumonia were confirmed in Huanggang at 0-24 hours in February 23rd. This is the first time that Huanggang has added 0 cases a single day in a month. In the past three days, new confirmed cases of pneumonia in Huanggang were 17 cases, 16 cases and 5 cases respectively, and the number of new cases in Huanggang was decreasing day by day.

Huanggang is the more than 3 largest city in Hubei province infected with new crown pneumonia besides Wuhan and Xiaogan. As of February 23rd, 2904 cases of confirmed cases were reported in Huanggang, 1659 cases were cured and discharged, and 103 cases died.

It is noteworthy that, as of 23 days, the number of discharged patients in Huanggang accounted for 57% of the total number of confirmed cases, and the highest cure rate was in the cities with the largest number of infections in Hubei. It is inseparable from the counterpart support of the medical teams in Hunan and Shandong.

Since the first Hunan aid Huanggang medical team arrived in Huanggang in January 25th, the "Xiang army" has been fighting for a month in the front line. In February 24th, Li Feng, deputy commander in charge of the front command of Hunan's new crown pneumonia and vice president of Hunan Medical College, told reporters in an interview with twenty-first Century economic report in February 24th that Hunan has sent 575 medical personnel to Huanggang in four batches, and 523 cases have been treated and 234 cases have been cured.

At present, the Huanggang Hunan Dabie Mountain medical center is mainly responsible for the diagnosis and treatment of critically ill patients in the Dabie Mountain medical center in Huanggang. In addition, the Hunan Huanggang medical team also dispatched more than 200 people to the counties under the jurisdiction of Huanggang, including Yingshan, Luotian, Hong'an and Macheng, in order to diagnose and treat critically ill patients.

Li Feng is the second batch of tour leader of Huanggang medical team in Hunan Province, and has been working in Huanggang for nearly a month. He believes that from the data is more clear, the epidemic situation in Huanggang should be improving, mainly in the "digestion" of the remaining patients.

"There were more patients who were discharged from the hospital in the past few years. At least, the number of hospitalized patients in the Dabie Mountain medical center has been significantly reduced, and the number of discharged patients is increasing." Li Feng said that concentrating on the treatment of critically ill patients is the key task for Hunan's Huanggang medical team.

Hunan supports Li Feng, deputy commander of the front command of Huanggang new crown pneumonia and vice president of Hunan medical college. Data map

There are three stages in a month.

Twenty-first Century: what is the scale of Hunan's support for Huanggang medical team?

Li Feng: Hunan supports the Huanggang medical team in 4 batches to Huanggang. At present, there are 575 players. The first batch is mainly composed of medical personnel from two cities in Zhuzhou and Hengyang. The second batch is mainly from Huaihua and Shaoyang. The third batch is mainly composed of medical personnel from Chenzhou, Yiyang, Loudi and Xiangtan related medical units. The fourth batch is mainly medical personnel of the medical institutions directly under the health and Health Committee of Hunan province.

The first group of 137 people started from Changsha at 7 a.m. in January 25th and arrived at Huanggang at 11 in the evening. At that time, the Dabie Mountain medical center had not officially started, mainly in the local designated hospitals to assist in the diagnosis and treatment of patients. With the opening of the Dabie Mountain medical center, they entered the medical center and took over a ward and two nursing units, mainly for the treatment of confirmed cases and seriously ill patients.

The second and 137 people arrived in Huanggang at 11 o'clock pm on January 28th. After two days of training, in January 31st, it entered the Dabie Mountain medical center and took over a ward, two nursing units and 100 beds.

The third batch of more than 200 people arrived in Huanggang in February 11th. The main task was to take the Baotou City and Baotou County as the main tasks. More than 200 people mainly went to 5 counties and cities in Huangzhou District, Hong'an County, Macheng City, Yingshan county and Luotian county.

The fourth batch of players arrived in Huanggang in February 22nd. The main task was to strengthen the rescue and management of critically ill patients, and the two was to provide the rest of the first batch of medical personnel according to the regulations.

Twenty-first Century: in the past month, what stages have Hunan medical teams gone through?

Li Feng: from my point of view, the war epidemic in Huanggang can be roughly divided into three stages.

The first phase, from Hunan's support to Huanggang medical team to the local week, can be regarded as an "encounter period". At that time, the patient's condition and prevention and control were not very standardized and orderly, medical resources were not centralized, and medical personnel were overloaded. When we first arrived in Huanggang, we entered the newly opened Dabie Mountain medical center. At that time, it had not been completely completed, and needed some facilities to be reconstructed, disposed and protected.

The new medical unit has just started, the new medical team has arrived in the new ward, and the patient has come from other places, which will encounter many unexpected difficulties. At that time, 100 beds in a nursing unit were fully occupied in 30 hours, and 104 patients lived.

The second stage is the "running in period", which is the running in process of patients' admission, process, medical staff scheduling and medical norms. Effective treatment and regulation were made for the first batch of incoming patients and the increasing number of patients, especially for the management of critically ill patients and the rescue of critically ill patients. This process is a painstaking tug of war. It probably lasted about 10 days.

The third stage is the process of concentrating on the management and rescue of critically ill patients. Now, the Hunan medical team has set up ICU in the Dabie Mountain medical center, concentrating all the sick patients in our wards to ICU for treatment. So far, the epidemic situation in Huanggang has basically been effectively controlled. Today, the confirmed cases in Huanggang are zero reports.

Twenty-first Century: how many patients did the Hunan medical team receive and cure in Huanggang?

Li Feng: as at 24 hours in February 23rd, the Hunan Huanggang medical team was responsible for managing 9 medical units in 5 hospitals in Huanggang. 523 cases were diagnosed, including 53 cases of critically ill patients, 109 cases of serious cases, and 234 cases of discharged patients.

Twenty-first Century: what is the situation of Dabie Mountain medical center?

Li Feng: in the Dabie Mountain Area Medical Center, our main force is a team and two teams, a total of 274 people, took over two wards. After February 12th, 35 additional people were added to the third batch of medical teams. We concentrated the main advantages of medical resources and set up the intensive care unit (ICU) of the Hunan team. We concentrated several critically ill patients in the ward to ICU for treatment and management. The whole ward was orderly managed from ordinary patients, seriously ill patients to critically ill patients.

Twenty-first Century: at present, what are the difficulties faced by patients with critical illness and what measures have been taken to deal with them?

Li Feng: we notice that most of the patients are normally stable after being infected. There are several characteristics of patients who are seriously ill or critically ill. One is the rapid development of the disease, the two is the older one, and the three is the underlying disease, such as heart disease or other liver and kidney function problems, and even some tumor patients. The treatment of these patients is more difficult, because it also involves other diseases. At present, the most effective way to deal with this kind of patients is to concentrate the critical patients to ICU centralized management and multidisciplinary collaborative treatment.

Twenty-first Century: how is the mode of "Baotou City and Baotou county"?

Li Feng: there are about 38 players in each county. After they went in, they concentrated management and treatment on the confirmed patients in the whole county, and effectively prevented and intervened the management of the critical patients. Among them, the newly diagnosed patients in Yingshan county have been in zero or one periods of time, and the number of inpatients is decreasing. In a period of time, the burden and pressure of their patients can be gradually reduced, and eventually their patients will be returned to zero.

Medical personnel protection is the top priority.

Twenty-first Century: what difficulties have been encountered in Huanggang for a month and how to overcome them?

Li Feng: the most difficult is in the early stage, especially in the early stage of standardized and centralized management in the regional medical center. At that time, the process, wards and personnel were not very familiar. The patients came in a large amount, and the workload was particularly heavy at the first time. This would also cause some psychological pressure on the staff.

In the whole process of treatment, the protection of medical staff is the top priority. The protection of early medical staff, the supply and protection of goods are not so sure, but fortunately, from the beginning to the end, our medical staff did not lack any protective materials in Huanggang, though our reserves were not very large. The terms are much better now.

In addition, after a long period of work, the fatigue level of medical personnel can be imagined. Some medical staff encounter cold, gout and so on. We will let them not continue to insist on, pay attention to rest, be supplementing by others, the reduction of the cause of the disease, virtually increase the workload of other members. Up to now, the team members have given the players a chance to rest. They are really tired.

Twenty-first Century: is there any medical staff infection?

Li Feng: so far, our team has not had a confirmed player by nucleic acid examination. However, some players are uncomfortable or have a cold. Local hospitals will provide some preventive medicine for us, mainly traditional Chinese medicine or some other cold medicines.

Twenty-first Century: according to your observation, what is the epidemic situation in Huanggang now?

Li Feng: in fact, the data have been very clear. For Huanggang, it is mainly some patients who have been treated with digestive treatment, and the situation should be improving. At least, the number of patients admitted to Dabieshan in our ward is significantly reduced, and the number of discharged patients is increasing.

Twenty-first Century: can you sum up the work experience in the past month?

Li Feng: when the Hunan Huanggang medical team came to Huanggang, "one lake and one river, two lakes and one family". Hunan provincial Party committee and provincial government attached great importance to it. At the very first time, Hunan set up the front line command of Hunan to assist the new crown pneumonia prevention and control department, and unified the deployment of all medical resources. This played an organizational role in the whole centralized management of Hunan medical team and other work in Huanggang.

We also concentrate our superior forces on finding nodes at different times for effective attack. The first stage is to expand the ward as soon as possible, and the incoming patients can be admitted as soon as possible so that the patient can have a bed to live in. The second stage is to achieve the centralized management of patients, especially the critically ill and critically ill patients under the premise of ensuring treatment. Our aim is to minimize the death rate from the risk of illness.

Our team's treatment effect is relatively good, mainly due to our first application of Chinese medicine to clinical treatment, and for some time, the degree of TCM Intervention reached 90%. On the one hand, through the front-line expert team and the rear expert team to communicate, give effective treatment to the front line, prescribe specific prescriptions and treat patients. On the other hand, rehabilitation exercises and training for rehabilitation patients are also carried out, and some rehabilitation techniques of TCM are effectively promoted.

Finally, the improvement of services, medical treatment on the one hand, on the other hand to serve, services for patients is the best comfort. The visualization of "6S" lean management and other means are applied to the management process of the medical unit, making the diagnosis and treatment work more meticulous and more standardized.

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