麦粒灸治疗痰瘀互结型慢性阻塞性肺疾病急性发作临床观察

摘要

ObjectiveTo prove that grain-sized moxibustion plus Western medication is effective in preventing the attack of chronic obstructive pulmonary disease (COPD), by adopting the grain-sized moxibustion to treat patients under acute attack of COPD due to accumulation of phlegm and stasis.MethodForty patients under acute attack of COPD due to phlegm and stasis were randomized into two groups. The control group was intervened by antibiotics plus Mucosolvan and nebulization (Mucosolvan+Pulmicort+Ipratropium Bromide Solution). The treatment group was intervened by grain-sized moxibustion in addition to the above treatments.Two weeks later, the two groups were compared in the use of antibiotics, C-reactive protein, and therapeutic efficacy.ResultThe use of antibiotics and the content of C-reactive protein in the treatment group were less than that in the control group.ConclusionFor patients under the acute attack of COPD due to accumulation of phlegm and stasis, grain-sized moxibustion can shorten the time of using antibiotics and descend the content of C-reactive protein by modulating inflammation.%目的：通过对痰瘀互结型慢性阻塞性肺疾病急性发作期患者施以麦粒灸治疗,证明麦粒灸联合常规西药治疗可有效缓解阻塞性肺疾病的发作。方法将40例慢性阻塞性肺疾病急性发作期中医辨证为痰瘀互结证的患者随机分为两组。对照组予以常规西医治疗。治疗组在上述治疗上加用足三里穴麦粒灸,2星期后比较两组患者抗生素使用天数、C反应蛋白的变化及治疗后疗效。结果治疗组抗生素使用天数及C反应蛋白量均小于对照组。结论对于痰瘀互结型慢性阻塞性肺疾病急性发作期患者,麦粒灸可缩短其抗生素的使用天数,可通过控制炎症而使血液中C反应蛋白含量下降。