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[目的]观察远红外穴位敷贴与药灸联合西药治疗稳定期慢性阻塞性肺病疗效。[方法]使用随机平行对照方法,将80例门诊患者按随机数字表分为两组。对照组35例支持、对症治疗。治疗组34例1远红外穴位敷贴,主穴:选肺俞、定喘、膻中、大椎,临床辨证加减风门、丰隆、膏肓等,1次/d;2药灸,主穴:大椎、肺俞、定喘,根据临床辨证加减隔俞、风门等,使用白芥子、延胡、甘遂、细辛研成细粉,加入姜汁,做成直径5cm药饼,用艾柱灸,3次/周;西药治疗同对照组。连续治疗2周为1疗程。观测临床症状、肺功能、MRC评分、不良反应。治疗1疗程,判定疗效。观察期间治疗组6例,对照组5例,失联中断治疗。[结果]肺功能两组均有改善(P<0.05,P<0.01),治疗组改善优于对照组(P<0.05,P<0.01)。MRC评分两组均有明显降低(P<0.05),治疗组降低优于对照组(P<0.01)。[结论]远红外穴位敷贴与药灸联合西药治疗稳定期慢性阻塞性肺病,疗效满意,无副作用,值得推广。
[Objective] To observe the curative effect of far-infrared acupoint application and moxibustion combined with western medicine in treatment of chronic obstructive pulmonary disease with stable period. [Methods] Using randomized parallel control method, 80 outpatients were divided into two groups according to random number table. The control group of 35 patients with symptomatic treatment. The treatment group 34 cases of 1 far-infrared point application, the main point: choose Feishu, Dingchuan, Langzhong, Ojo, clinical syndrome increase and decrease air door, Hong Leong, Dazhui, Feishu, Dingchuan, according to the clinical syndrome differentiation Yu, damper, etc., the use of mustard, Yan Hu, Kansui, Asarum research into powder, add ginger juice, made of diameter 5cm drug cake, 3 times / week; Western medicine treatment with the control group. Continuous treatment for 2 weeks for a course of treatment. Clinical symptoms, lung function, MRC score and adverse reactions were observed. Treatment of a course of treatment to determine the efficacy. During the observation period, 6 cases in the treatment group and 5 cases in the control group were treated with interruption of treatment. [Results] The lung function was improved in both groups (P <0.05, P <0.01), and the improvement in the treatment group was better than that in the control group (P <0.05, P <0.01). MRC score was significantly lower in both groups (P <0.05), the treatment group was better than the control group (P <0.01). [Conclusion] Far-infrared point application and moxibustion combined with western medicine in the treatment of stable chronic obstructive pulmonary disease have satisfactory curative effect and no side effects and are worthy of popularization.