扶阳火艾灸治疗稳定期慢性阻塞性肺疾病临床观察

摘要

Objective To observe the clinical efficacy of yang-supplementing fire moxibustion in treating chronic obstructive pulmonary disease (COPD) in stable stage. Method Totally 120 COPD patients of yang deficiency type in stable stage were divided into 3 groups by the random number table, a yang-supplementing fire moxibustion group (yang-supplementing group), a dry mild moxibustion group (mild moxibustion group), and a regular Western medication group (regular group), 40 cases in each group, and 30-day treatment was taken as a course. They were treated and observed for a course, followed by a 3-month follow-up study. The pulmonary function indexes, yang-deficiency signs, quality of life, and comprehensive therapeutic efficacy were observed in the three groups. Result After treatment, the pulmonary function indexes, yang deficiency signs, quality of life, and comprehensive therapeutic efficacy were significantly improved in the three groups (P<0.01); the percent of predicted forced expiratory volume in one second (FEV1%) and yang deficiency signs were significantly improved after intervention in the mild moxibustion group (P<0.05); meanwhile, the quality of life was also significantly improved after intervention in the mild moxibustion group and regular group (P<0.01); the therapeutic efficacy of the yang-supplementing group was better than that of the mild moxibustion group and regular group, and the efficacy of the mild moxibustion group was better than that of the regular group. Conclusion Yang-supplementing fire moxibustion can improve the pulmonary function, postpone the progressive decrease of pulmonary function, significantly improve the yang deficiency constitution, enhance the quality of life and comprehensive therapeutic efficacy in treating yang-deficient COPD patients in stable stage.%目的：观察扶阳火艾灸治疗稳定期慢性阻塞性肺疾病(chronic obstructive pulmonary disease, COPD)的临床疗效。方法选择 COPD 稳定期阳虚型患者120例,将患者按随机数字表分为3组,扶阳火艾灸组(扶阳组)、单纯温和灸组(温和灸组)、常规西医组(常规组)各40例,每30 d 为1个疗程,治疗观察1个疗程,随访3个月。观察3组治疗前后肺功能指标、中医阳虚证候、生存质量改善情况及综合疗效评定。结果3组患者治疗后,扶阳组肺功能指标、中医阳虚证候、生存质量及综合疗效评定等项目均较治疗前明显改善,差异有统计学意义(P＜0.01)；温和灸组肺功能指标 FEV1占预计值百分比和中医阳虚证候较治疗前改善,差异有统计学意义(P＜0.05)；同时温和灸组和常规组生存质量也较治疗前明显改善(P＜0.01)；提示扶阳组疗效优于温和灸组及常规组,温和灸组疗效优于常规组。结论扶阳火艾灸治疗 COPD 稳定期阳虚型患者,能使患者肺功能改善,延缓肺功能进行性下降,明显改善患者阳虚体质,提高患者生存质量,有效提高患者综合疗效。