培土生金法联合穴位敷贴治疗慢性阻塞性肺疾病稳定期的临床研究

目的：研究培土生金法联合穴位敷贴治疗慢性阻塞性肺疾病（COPD）稳定期的临床疗效。方法将60例COPD稳定期（肺脾气虚型）患者随机分为治疗组和对照组，每组30例患者。对照组予吸入沙美特罗替卡松粉，按需使用，治疗组予参苓白术散加减联合穴位敷贴，两组治疗时间均为6个月。记录观察比较两组患者治疗前、治疗结束时及随访时肺功能指标、中医证候、生存质量、疾病复发率。结果两组治疗后肺功能指标、中医证候、生存质量、疾病复发率均明显改善（P<0.05或P<0.01），且治疗组与对照组比较，差异亦有统计学意义（P<0.05）。结论培土生金法联合穴位敷贴疗法能调节肺脾功能，改善肺功能的退化，有效预防和减少COPD急性发作的发病次数，减轻其发病程度，提高生活质量，值得推广应用。

Clinical Study of "Reinforcing the Earth to Generate the Metal Strengthening" Method combined with Acupoint Application Therapy on Chronic Obstructive Pulmonary Disease in Stable Phase

Objective To study the effect of"reinforcing the earth to generate the metal strengthening" (Peitu Shengjin) method combined with acupoint application therapy on chronic obstructive pulmonary disease (COPD) in stable phase. Methods Sixty patients with lung and spleen Qi deficiency syndrome of COPD in stable period were randomly divided into test group and control group, 30 cases in each group. The control group was treated with salmeterol and fluticasone propionate powder. The treatment group was treated with Shenling Baizhu powder combined with acupoint sticking therapy. The treatment time was 6 months. The lung function, TCM syndrome, quality of life, disease recurrence rate of patients before and after treatment, and during follow-up were observed. Results After treatment, pulmonary function index, TCM syndrome, quality of life, disease recurrence rate of the two groups were significantly improved (P<0.05 or P<0.01), and the difference between the treatment group and control group was statistically significant (P<0.05). Conclusion The Peitu Shengjin method combined with acupoint application can regulate the function of the spleen-lung, improve the degeneration of pulmonary function, prevent and reduce the incidence of COPD, relieve the disease, improve the quality of life. It is worthy of popularization and application.