目的：探讨穴位敷贴疗法对慢性阻塞性肺病稳定期肺脾气虚证患者BODE 指数及各项中医症状评分的影响。方法：选取中医证型属肺脾气虚证的稳定期慢性阻塞性肺病患者120 例，在给予常规治疗基础上，分为敷贴组，敷贴加热疗组，热疗组及空白组，每组30 例，治疗6 周，观察治疗前后患者BODE 指数及各项症状评分。结果：敷贴加热疗组及热疗组可改善患者BODE 指数；敷贴加热疗组、热疗组及敷贴组均可改善患者咳嗽、咳痰、喘息、气短等症状；敷贴加热疗组可改善患者腹胀、自汗、易感冒及背凉症状；热疗组可改善患者自汗、易感冒及背凉症状；敷贴组可改善患者自汗症状。结论：穴位敷贴疗法联合热疗能够改善患者症状及提高患者运动耐量。

This study was aimed to investigate the effective on BODE index and traditional Chinese medicine (TCM) symptom scores with acupoint application therapy for patients of chronic obstructive pulmonary disease (COPD) in stabilization period of lung-spleen qi-deficiency syndrome. A total of 120 cases of inpatients and outpatients of the stable phase of COPD with TCM syndromes of lung-spleen qi -deficiency were selected. Conventional therapy was used in the treatment. All patients were divided into four groups, which are the hyperthermia plus acupoint application group, simple acupoint application group, simple hyperthermia group and blank control group. Each group contained 30 cases. All patients were given 6-week treatment. And the BODE index and TCM symptom scores were observed pre-treatment and post-treatment. The results showed that the BODE index was improved in the hyperthermia plus acupoint application group and the simple hyperthermia group. Symptoms of coughing, phlegm, wheezing, shortness of breath were reduced in all hyperthermia plus acupoint application group, simple acupoint application group and simple hyperthermia group. Symptoms of abdominal distention, spontaneous perspiration, easy to catch cold and cold sensation on the back were reduced in the group of hyperthermia plus acupoint application. Symptoms of spontaneous perspiration, easy to catch cold and cold sensation on the back can be improved in the group with simple hyperthermia. The symptom of spontaneous perspiration was improved in the group of simple acupoint application. It was concluded that acupuncture point application in combination with hyperthermia therapy can significantly improve symptoms and quality of life, improve exercise tolerance in patients.

乌鲁木齐市科学技术局科学技术计划项目（P111310008）：外治法防治COPD 的有效性研究及优化诊疗技术规范的应用及推广，负责人：王先敏。