中西医肺康复在慢性阻塞性肺疾病稳定期中的应用现状  

The Current Application Status of Traditional Chinese and Western Medicine for Pulmonary Rehabilitation in the Stable Stage of Chronic Obstructive Pulmonary Disease

作　　者：李坤淋 沈查 凌雅 邓红艳 陈美玲 贺伟 LI Kunlin;SHEN Cha;Ling Ya;DENG Hongyan;CHEN Meiling;HE Wei(Bishan District Hospital of Traditional Chinese Medicine,Chongqing,China,402760)

机构地区：[1]重庆市璧山区中医院,重庆402760

出　　处：《河南中医》2025年第5期803-810,共8页Henan Traditional Chinese Medicine

基　　金：重庆市卫生健康委员会科研项目(2024WSJK058)。

摘　　要：在慢性阻塞性肺疾病(简称慢阻肺)的治疗过程中,肺康复扮演着关键角色,尤其在慢阻肺稳定期,肺康复能够减少急性发作次数、减轻呼吸道症状、提高活动耐量及生活质量,并有效降低住院率和病死率。中西医肺康复治疗技术各有特色,西医肺康复包括药物、氧气治疗、呼吸运动训练、健康管理等,可有效缓解患者症状、提高运动耐力;中医肺康复包括运动功法、针灸推拿、穴位贴敷、中药内服等,亦能取得很好的疗效。目前,慢阻肺的发病机制尚未完全明确,且关于慢阻肺患者采用肺康复治疗的研究仍存在一些问题:肺康复是一个长期治疗过程,大多患者由于认识不够未能坚持;肺康复技术操作未形成统一规范标准;地方医院对肺康复技术重视不够且未能推广;缺少相关临床试验及作用机制研究。因此,未来需要大样本的临床试验研究进一步探索肺康复治疗慢阻肺的作用机制,以便更好地因人制宜开展选择肺康复技术;积极宣传推广肺康复,让更多的患者、医务人员认识其重要性,并付诸实践,以期让更多慢阻肺患者能够获益。In the treatment process of patients with chronic obstructive pulmonary disease(COPD for short),pulmonary rehabilitation plays a key role,especially during the stable period of COPD,which can reduce acute exacerbations,alleviate respiratory symptoms,improve exercise tolerance and quality of life,and effectively lower hospitalization rates and mortality.Both traditional Chinese medicine and Western medicine have their own characteristics in pulmonary rehabilitation techniques.Western pulmonary rehabilitation includes drug therapy,oxygen therapy,respiratory exercise training,health management,which can effectively alleviate patients′symptoms and improve their exercise endurance.TCM pulmonary rehabilitation includes exercise techniques,acupuncture and massage,acupoint application,and internal administration of Chinese drugs.Pulmonary rehabilitation can also achieve good therapeutic effects.At present,the pathogenesis of COPD is not fully understood,and there are still some problems in the research of COPD pulmonary rehabilitation,and they are as follows:Pulmonary rehabilitation is a long-term treatment process,but patients′awareness is insufficient and they fail to adhere to it;there are no unified and standardized technical operation norms for pulmonary rehabilitation;local hospitals do not attach enough importance to pulmonary rehabilitation technology and have not promoted it;and there is a lack of relevant clinical and mechanism research.Therefore,in the future,large-scale clinical trials are needed to further explore the mechanism of pulmonary rehabilitation for COPD,so as to better tailor the selection of pulmonary rehabilitation techniques for individuals,actively promote and publicize pulmonary rehabilitation,so that more patients and medical staff can recognize its importance and put it into practice,thereby enabling more COPD patients to benefit from them.

关 键 词：慢性阻塞性肺疾病 肺康复 中西医结合疗法 

分 类 号：R259.63[医药卫生—中西医结合]