慢性阻塞性肺病合并抑郁焦虑中医干预研究

Research on TCM Intervention of COPD with Depression and Anxiety

慢性阻塞性肺病(COPD)是慢性疾病患病和死亡的主要原因,是全球范围内的公共卫生难题,是目前全球第四大死亡原因。COPD是以持续存在的呼吸道症状及气流受限为主要特征的可以预防和治疗的常见疾病。GOLD 2019指南指出多数患者COPD与其他慢性疾病合并存在,可增加患病率和死亡率。其中抑郁、焦虑是常见的重要合并症,与健康状态和预后不佳有关,严重影响患者生活质量。中医药治疗COPD合并抑郁焦虑具有明显优势。中医认为其证候包括脾气虚、心气虚、肝气瘀滞、肾气亏虚、瘀血阻络、痰浊内阻等,治法包括补肺、疏肝、养心、补肾、健脾活血、化瘀化痰,以及呼吸操、功法、穴位疗法、音乐疗法等各种中医特色非药物疗法。本文从病因病机、治疗两方面对此病临床研究予以综述。

Chronic obstructive pulmonary disease(COPD)is the main causes of illness and death of chronic disease.It is a public health problem worldwide and the fourth leading cause of death in the world.COPD is a common disease that can be prevented and treated with persistent respiratory symptoms and restricted airflow.The GOLD 2019 guidelines indicate that COPD is associated with other chronic diseases in most patients,increasing prevalence and mortality.Depression/anxiety is the common and important complication,which is related to poor health and prognosis,which seriously affects the quality of life of patients.Traditional Chinese medicine(TCM)has significant advantages in the treatment of COPD with depression and anxiety.TCM syndromes include spleen qi deficiency,heart qi deficiency,liver qi stagnation,kidney qi deficiency, blood stasis, turbid internal resistance.The treatment includes Bufei,Shugan,Yangxin,Bushen,Jianpi Huoxue, Huayu Huatan and respiratory exercise,exercises, acupoint therapy, music therapy and other non-pharmacological treatments of TCM.This article reviews the clinical research of the disease from the pathogenesis and treatment.