目的: 探讨督脉往复灸联合康复训练对稳定期慢性阻塞性肺疾病(chronic obstructive pulmoriary disease,COPD)患者的疗效。方法: 选取某医院2020年1月-2021年10月稳定期COPD患者66例,最终完成本研究并纳入分析的COPD患者60例,对照组(康复训练)29例,观察组(督脉往复灸联合康复训练)31例。治疗前对两组患者进行相关指标的评定和记录。两组均采用常规药物治疗及康复训练,观察组额外进行督脉往复灸治疗,每周5次,治疗12周,治疗完成后再次评估相关指标。结果: 治疗前两组组间各指标对比差异均无统计学意义(P＞0.05);治疗后,两组与各自组内治疗前相比,第1秒用力呼气容积占预计值百分比(FEV1%)和第1秒用力呼气容积/用力肺活量(FEV1/FVC%)、6分钟步行试验(6-minute walk test,6MWT)距离均增加(P＜0.05),慢性阻塞性肺病评估测试问卷(COPD assessment test TM,CAT)和汉密顿焦虑量表(hamilton anxiety scale,HAMA)均降低(P＜0.05);治疗后,观察组FEV1%和FEV1/FVC%及6MWT距离均高于对照组(P＜0.05);CAT评分和HAMA评分中观察组的评分均低于对照组(P＜0.05)。结论: 督脉往复灸联合康复训练对稳定期COPD患者临床疗效好。

Objective: To explore the curative effect of reciprocating moxibustion on the Governor Vessel combined with rehabilitation training in patients with stable COPD. Methods: A total of 66 patients with stable COPD in a hospital from January 2020 to October 2021 were selected. Finally, 60 patients with COPD who completed this study and included in the analysis were selected, 29 patients in the control group (rehabilitation training) and 31 patients in the observation group (reciprocating moxibustion on the Governor Vessel combined with rehabilitation training). Before treatment, the related indexes of the two groups were evaluated and recorded. Both groups were treated with conventional drug therapy and rehabilitation training. The observation group was additionally treated with reciprocating moxibustion on the Governor Vessel combined with rehabilitation training, 5 times a week for 12 weeks. After treatment, the relevant indicators were evaluated again. Results: There was no significant difference in each index between the two groups before treatment (P＞0.05). After treatment, the forced expiratory volume in one second (FEV1%), forced expiratory volume in one second/forced vital capacity (FEV1/FVC%) and 6-minute walk test (6MWT) distance increased in both groups compared with those before treatment (P＜0.05). COPD Assessment Test TM (CAT) and Hamilton Anxiety Scale (HAMA) were decreased (P＜0.05); after treatment, FEV1%, FEV1/FVC% and 6MWT distance in the observation group were higher than those in the control group (P＜0.05). The scores of CAT and HAMA in the observation group were lower than those in the control group (P＜0.05). Conclusion: The reciprocating moxibustion on the Governor Vessel combined with rehabilitation training has a good clinical effect on patients with stable COPD.