温灸法干预COPD的研究现状及可行性分析

Research Status and Feasiblility of Warming Moxibustion for Treatment of COPD

目的:梳理温灸法干预慢性阻塞性肺疾病(COPD)的临床应用现状,分析温灸法干预COPD的可行性。方法:检索中、英文文献数据库,截止时间至2017年10月,提取温灸法干预COPD的文章68篇,导入noteexpress文献管理软件,总结温灸法种类、辨证分型、穴位选择、施灸灸量、施灸疗程、应用效果等研究现状,分析其可行性。结果:目前针对COPD临床已开展的温灸法主要是督脉灸和热敏灸,最常干预的证型为肺肾气虚型,高频选穴集中在督脉和膀胱经,施灸疗程多为中短期,应用效果良好,未见不良事件报道。结论:温灸法干预慢阻肺具有可行性,但发表的文章质量普遍偏低,对研究结果的真实性、可靠性有一定影响,今后应该提高方法学质量、扩大样本量开展相关研究进一步验证其临床效果。

Objective: To review the present situation of the warming moxibustion for treatment of chronic obstructive pulmonary disease (COPD), and to analysis the feasibility. Methods: We retrievaled the Chinese and English databases, the deadline to October 2017, extract 68 Articles, import Noteexpress document management software, summarized the research status of type, syndrome differentiation, acupoint selection, fertilizer, the appli-cation effect and analyzed of its feasibility. Results: The current warming moxibustion methods have been carried out are mainly Du-meridian moxibustion and thermal moxibustion, the syndrome type which is most been inter-vened is lung and kidney qi deficiency type, high frequency point selection is on Du -meridian and bladder meridian, the course is mostly medium and short term, the application effect is good, no reports of adverse events. Conclusion: Warming moxibustion for treatment of COPD is feasible, but the publication quality is gener-ally low, has certain influence on the authenticity and reliability of the research results, in the future, we should improve the methodological quality, and enlarge the sample to carry out further research to verify the clinical effect.