督灸治疗慢性阻塞性肺疾病急性加重期(痰浊阻肺证)临床研究  

Clinical Observation of Du-moxibustion in the Treatment of AECOPD(Syndrome of Turbid Phlegm Obstructing Lung)

作　　者：董梅[1] 张念志[1] 刘玲[1] Dong Mei;Zhang Nianzhi;Liu Ling(The First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui,Hefei 230031,China)

机构地区：[1]安徽中医药大学第一附属医院,安徽合肥230031

出　　处：《中国中医急症》2022年第12期2124-2127,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(82174312);安徽省重大疑难疾病中西医协同攻关项目(慢阻肺)(2021zdynjb02)。

摘　　要：目的观察督灸治疗慢性阻塞性肺疾病急性加重期(痰浊阻肺证)临床疗效。方法将40例患者随机分为对照组与观察组各20例。对照组予以西医常规治疗,观察组在常规治疗基础上加督灸疗法,两组均治疗6 d。比较两组中医证候评分、炎症指标、肺功能及运动耐力情况。结果观察组有效率90.00%,显著高于对照组的65.00%(P<0.05)。观察组治疗后中性粒细胞计数、C反应蛋白、中医证候评分均较对照组显著降低(P<0.05)。观察组肺功能指标、6分钟步行距离均较对照组显著提升(P<0.05)。结论督灸治疗可显著改善慢性阻塞性肺疾病急性加重期(痰浊阻肺证)患者临床症状、炎症指标、肺通气功能和活动耐力。Objective:To investigate the clinical efficacy of Du-moxibustion in treatment of AECOPD(syndrome of turbid phlegm obstructing lung). Methods:A total of 40 patients with AECOPD(syndrome of turbid phlegm obstructing lung)were randomly divided into the control group and observation group,with 20 patients in each group. The control group was given conventional western medicine treatment alone,and the observation group was given Du-moxibustion in addition to the conventional western medicine treatment. Both groups were treated for 6 days. The two groups were compared in terms of TCM symptom scores,inflammation index,lung function index,exercise endurance before and after treatment. Results:The NEU,CRP and TCM symptom scores of the two groups were significantly decreased than before treatment,and the observation group was significantly lower than the control group. FEV1,FVC,FEV1/FVC and 6MWD of the two groups were significantly increased than before treatment,and the observation group was significantly higher than the control group. Meanwhile,the observation group was significantly higher than the control group in the effective rate. Conclusion:Du-moxibustion can effectively reduce inflammation index and clinical symptoms,improve lung ventilation function and activity endurance.It is effective in the treatment of AECOPD(syndrome of turbid phlegm obstructing lung).

关 键 词：慢性阻塞性肺疾病急性加重期 扶阳化饮法 督灸 痰浊阻肺证 

分 类 号：R563.9[医药卫生—呼吸系统]