CAJ | 학술논문

目的：探讨天灸疗法技术防治慢性阻塞性肺疾病（ COPD）缓解期患者的效果。方法将80例社区COPD患者随机分为干预组和对照组各40例。对照组采用西药常规治疗，缓解期根据肺功能给予支气管扩张剂、化痰等治疗；干预组除接受西医常规治疗外，在三九、三伏天加用中药穴位敷贴结合艾灸治疗。观察2组患者治疗前后外周血T淋巴细胞亚群（ CD3＋、CD4＋、CD8＋、CD4＋/CD8＋）的变化对COPD疗效的影响。结果干预组总有效率为92％，对照组总有效率为80％，2组疗效比较差异有统计学意义（ P＜0．05）；与治疗前比较，2组患者治疗后CD3＋、CD4＋、CD4＋/CD8＋均显著升高（P均＜0．01），且干预组显著高于对照组（P均＜0．01）。结论天灸疗法防治COPD临床疗效显著，能提高机体免疫力，进而起到未病先防、既病治疗的作用，值得临床推广应用。
목적：탐토천구요법기술방치만성조새성폐질병（ COPD）완해기환자적효과。방법장80례사구COPD환자수궤분위간예조화대조조각40례。대조조채용서약상규치료，완해기근거폐공능급여지기관확장제、화담등치료；간예조제접수서의상규치료외，재삼구、삼복천가용중약혈위부첩결합애구치료。관찰2조환자치료전후외주혈T림파세포아군（ CD3＋、CD4＋、CD8＋、CD4＋/CD8＋）적변화대COPD료효적영향。결과간예조총유효솔위92％，대조조총유효솔위80％，2조료효비교차이유통계학의의（ P＜0．05）；여치료전비교，2조환자치료후CD3＋、CD4＋、CD4＋/CD8＋균현저승고（P균＜0．01），차간예조현저고우대조조（P균＜0．01）。결론천구요법방치COPD림상료효현저，능제고궤체면역력，진이기도미병선방、기병치료적작용，치득림상추엄응용。
Objective It is to investigate the effect of moxibustion therapy for the prevention and cure of chronic obstruc -tive pulmonary disease (COPD) in relieving period.Methods 80 patients with COPD were randomly divided into intervention group and control group with 40 cases in each group .The control group was treated with normal therapy with western medi-cine, such as giving bronchodilators , phlegm resolving therapy according to pulmonary function .The intervention group was treated with moxibustion combined with acupoint application of Chinese herbal medicine on the third nine -day period after the winter solstice and dog days on the basis of normal therapy .Before and after treatment the changes of peripheral blood T lym-phocyte subsets ( CD3 +,CD4 +,CD8 +,CD4 +/CD8 +) in the patients and the effect on the therapeutic efficacy of COPD in both groups were observed .Results The total efficiency rate was 92% in intervention group , and that was 80% in control group , there was significant difference in the curative effect between the two groups (P<0.05).Compared with that before treat-ment, CD3 +,CD4 +,CD4 +/CD8 +were significantly increased after treatment in both groups (P<0.01),and they were sig-nificantly higher in intervention group than those in the control group (P<0.01).Conclusion Moxibustion therapy has signifi-cant curative effect on COPD ,it can improve body immunity ,which play a important role in the prevention and treatment of the disease ,and is worthy of wide clinical application .