魏智林 陈国凯 骆始华

【摘 要】 目的：观察桂枝加厚朴杏子汤加减联合艾灸治疗寒饮停肺型慢阻肺的临床疗效。方法：选取60例慢阻肺寒饮停肺证患者为研究对象，将其随机分为对照组及观察组各30例，对照组采用西药常规治疗，观察组给予桂枝加厚朴杏子汤加减联合艾灸治疗，观察并比较两组治疗效果、治疗时间、生活质量变化以及1年内复发率。结果：两组临床治疗效果、平均治疗时间与治疗前比较，差异无统计学意义（P>0.05）;两组治疗后组间及组内生活质量评分以及1年内比较差异有统计学意义（P<0.05）。结论：桂枝加厚朴杏子汤加减联合艾灸治疗寒饮停肺型慢阻肺，疗效确切，复发率低，提高了患者生存质量，具有一定临床优势，值得在临床中进一步应用及推广。

【关键词】 桂枝杏仁厚朴汤;艾灸;寒饮停肺;慢性阻塞性肺病;疗效

【中图分类号】R563 【文献标志码】 A 【文章编号】1007-8517（2021）15-0095-04

Abstract：Objective To observe and analyze the clinical effect of Guizhi almond Houpu decoction combined with Moxibustion in the treatment of COPD of cold drink stopping lung type. Methods 60 cases of chronic obstructive pulmonary cold drink stopping lung syndrome were randomly divided into control group and observation group， 30 cases in each group. The control group was treated with routine western medicine， and the observation group was given Guizhi almond Houpu Decoction plus moxibustion. The therapeutic effect， treatment time， quality of life and recurrence rate in one year were observed and compared between the two groups. Results The clinical treatment effect， average treatment time and quality of life before treatment of the two groups were all P>0.05， and the difference was not statistically significant; after treatment， the scores of quality of life between and within the group and the recurrence rate within one year between the two groups were all P<0.05， and the difference was statistically significant. Conclusion Guizhi almond Houpu decoction combined with moxibustion has definite curative effect， low recurrence rate and improves the quality of life of patients with COPD， which is worthy of further application and promotion in clinical practice.

Keywords：Guizhi Almond Houpu Decoction; Moxibustion; Cold Drink to Stop Lung; Chronic Obstructive Pulmonary Disease; Curative Effect

慢性阻塞性肺病（以下簡称慢阻肺）的主要特征是肺部气流受限，且不完全可逆，随着病程的不断发展，肺部气流受限也不断加重，从而除了对肺部以外，对邻近的其他器官也造成不同程度的损害[1]。相关文献报道提示[2-4]，慢阻肺的发病率在众多呼吸系统疾病中不仅发病率高，死亡率也高，是人类健康的主要威胁因素之一。它一方面通过影响人体的肺功能，降低了患者的劳动能力;另一方面，频发发作的病情及较为复杂的临床并发症，严重影响了患者的生存质量，此外，长期的防治工作增加了社会的经济负担，故如何积极有效地预防和治疗该病，选用疗效可靠，安全度高，复发率低的治疗措施干预慢阻肺患者的病情，具有重要临床意义和社会意义。近年……