雷火灸聯(lián)合西藥治療外寒內(nèi)飲型慢性阻塞性肺疾病急性發(fā)作35例臨床觀察

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【中圖分類號(hào)】R245.3 【文獻(xiàn)標(biāo)志碼】A 【文章編號(hào)】1007－8517（2025）11-0100-06

DOI： 10.3969/j .issn.1007-8517.2025.11. zgmzmjyyzz202511021

linical Observation on 35 Cases of Acute Exacerbation of Chronic Obstructive Pulmonary Disease of External Coldand Internal Drink SyndromeTreatedwithThunderFireMoxibustionandWesternMedicine

GAO Qian CHEN LinSHAO JianguoJI WangfeiWENG JiaxinZHANG Yu* Nantong Third People'sHospital（Affiliated Nantong Hospital 3ofNantong University），Nantong 226Ooo，China

Abstract：ObjectiveToobservetheclinicalefectofthunderfiremoxibustioninthetreatmentofacuteattackofchronicobstructivepulmonarydisease（externalcoldand interaldrinksyndrome）：MethodsSeventyAECOPDpatientswithexceptionalcodnei drink syndromeweredividedintocontrolgroupandobservationgroupaccordingtodiferenttreatment methods.35patientsintecontrolgroupweregivenconventionalwesternmedicinetreatment.Observationgroup35casesweretreatedwiththunderfiremoxibustion combined with wester medicine，thecourseoftreatmentwas1Odays.TCMsyndrome score，qualityoflifescore，pulmonaryfunction index，inflammatoryindex，immnefunctioandclinicalefectiveratewerecomparedbetweenthetwogroups.ResultsAterdays of treatment，the levels ofcough，sputum and asthma in the observation group werelower than thosein the control group（ P<0.05 ）， the CAT score level of the observation group was lower than that of the control group （ P<0.05 ），F(xiàn)EV1，F(xiàn)VC and FEV1/FVC in the observation group were higher than those in the control group （ P<0.05 ），the level of WBC、CRP、PCT、IL-6 in the observation group was significantly decreased compared with the control group（ P<0.05 ）， CD4+ and CD4+/CD8+ levels in the observation group were higher than those in the control group （ P<0.05 ），while CD8 + levels were basically unchanged （ P>0.05 ）． The total effective rate of the control group was 77. 14% ，while that of the observation group was 94.28% ．The effective rate of the observation group was higher than that of the control group （ P<0.05 ）.Conclusion The treatment of AECOPD patients with thunderfire moxibustioncanimprovethenfunctioofpatietsduceiflammatio，anceimmuityandhasdefiiteclinicaleficacyderfie moxibustion has a strong safety.

KeyWords：Lightning Moxibustion;ExternalColdand Internal Drink Syndrome；AECOPD；Clinical Observation

隨著我國(guó)吸煙人群數(shù)量的不斷擴(kuò)大以及社會(huì)工業(yè)化、煤炭燃燒、汽車尾氣等產(chǎn)生的有害有毒氣體增多，我國(guó)慢性阻塞性肺疾病（chronicob-structivepulmonarydisease，COPD）患者也越來(lái)越多。（剩余8317字）