基于“治未病”理论的中医适宜技术防治慢性阻塞性肺病稳定期患者的研究进展

唐凌 孙鼎 喻晓 李少滨 方泓

摘要 “治未病”理论是中医学理论体系的不可或缺的组成部分，体现了中医预防和治疗疾病的先进理念。随着“治未病”理论的建设和发展，更广泛的临床应用，其社会意义、临床意义越来越受到关注。基于“治未病”理论基础的中医适宜技术在防治慢性阻塞性肺病中发挥了重要作用，多样的技术手段包括功法锻炼、中药内服、穴位贴敷、针刺、艾灸、食疗、精神调摄等，可个体化运用于患者，易于实施，收效明显，生命质量得到改善，不良反应及经济负担较小，值得进一步推广和实践。

关键词 “治未病”;中医适宜技术;中医肺康复;慢性阻塞性肺疾病;稳定期;综合管理;现代研究;慢性病防治

Study on the Prevention and Treatment of Chronic Obstructive Pulmonary Disease by Traditional Chinese Medicine

Appropriate Techniques Based on the Theory of Preventive Treatment of Disease

TANG Ling，SUN Ding，YU Xiao，LI Shaobin，FANG Hong

（Longhua Hospital of Shanghai University of Traditional Chinese Medicine，Shanghai 200032，China）

Abstract The theory of preventive treatment of disease is an important part of the theoretical system of Traditional Chinese Medicine（TCM），which embodies the advanced concept of prevention and treatment of diseases.With the construction and development of the theory of preventive treatment of disease and its more widely clinical application，its social and clinical significance has attracted more and more attention.The TCM appropriate techniques based on the theory of preventive treatment disease plays a critical role in the prevention and treatment of chronic obstructive pulmonary disease（COPD）.A variety of techniques including power exercise，TCM internal medicine，plaster therapy on acupoints，acupuncture，moxibustion，dietetic therapy，mental adjustment and so on are worth further promotion and practice，for it can be adjusted according to individual patient′s conditions，and is easy to implement and has obvious effects of improving life quality，with less adverse reaction and the economic burden.

Keywords Theory of preventive treatment disease; Traditional Chinese medicine appropriate techniques; Traditional Chinese medicine pulmonary rehabilitation; Chronic obstructive pulmonary disease; Stabilization period; Integrated management; Clinical and experimental studies; Prevention of chronic diseases

中圖分类号：R249文献标识码：Adoi：10.3969/j.issn.1673-7202.2021.05.030

慢性阻塞性肺疾病（Chronic Obstructive Pulmonary Disease，COPD），简称慢阻肺，是一种常见的以持续性呼吸道症状和气流受限为特征的可以预防和治疗的疾病。预计未来几十年COPD的患病率和死亡率还会逐年增加，是重要的公共卫生问题[1]。COPD目前居全球死亡原因的第4位[1]，2018年最新发表的中国成人肺部健康研究数据[2]显示我国40岁以上成人的COPD患病率已高达13.7%，60岁以上人群患病率已超过27%，而全国总患病人数为9 990万，即约1亿人，与10年前比较增长67%。不仅发病率居高不下，也因COPD病程长、病情易反复的特点，容易给患者带来很大的经济负担。病情的拖延、身体状态的下降，患者很多都处于沮丧、消极状态，更不利于病情的改善，所以为了提高COPD患者的生命质量、减缓病情，稳定期的管理更为重要，长期的肺康复治疗需要得到更多的重视。……