中医药治疗慢性阻塞性肺疾病的研究进展

Research Progress of Traditional Chinese Medicine in the Treatment of Chronic Obstructive Pulmonary Disease

摘要: 慢性阻塞性肺疾病(COPD)是临床常见的慢性呼吸系统疾病，患者多以慢性咳嗽、咳痰、进行性喘息胸闷为核心临床表现。本病常见于中老年人群，当前西医针对COPD的治疗较为局限，长期应用不良反应较多，且难以逆转患者肺功能下降进程。中医对本病的认识较早，治法较为丰富。近年来多项研究表明中医药治疗COPD具有确切优势，不仅可显著减轻患者急性期症状，还可改善患者体质，降低其急性加重风险。据此笔者就近年来中医药治疗COPD的临床相关研究进行综述，为中医药在COPD中的应用提供参考。

Abstract: Chronic obstructive pulmonary disease (COPD) is a common chronic respiratory disease in clinical practice. Its core clinical manifestations in patients mainly include chronic cough, expectoration, and progressive wheezing and chest tightness. This disease mostly occurs in middle‑aged and elderly populations. At present, Western medicine has limitations in the treatment of COPD. Long‑term medication is associated with numerous adverse reactions and can hardly reverse the progressive decline of patients’ pulmonary function. Traditional Chinese medicine (TCM) has a long‑standing understanding of this disease with abundant therapeutic methods. A number of recent studies have demonstrated definite advantages of TCM for COPD treatment. It can not only significantly relieve symptoms in the acute phase, but also improve patients’ physical constitution and reduce the risk of acute exacerbation. Accordingly, the authors review recent clinical studies on TCM intervention for COPD, so as to provide references for the application of TCM in COPD management.