雷火灸联合西药治疗外寒内饮型慢性阻塞性肺疾病急性发作35例临床观察

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【中图分类号】R245.3 【文献标志码】A 【文章编号】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 ），FEV1，FVC 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

随着我国吸烟人群数量的不断扩大以及社会工业化、煤炭燃烧、汽车尾气等产生的有害有毒气体增多，我国慢性阻塞性肺疾病（chronicob-structivepulmonarydisease，COPD）患者也越来越多。（剩余8317字）