针挑合整脊治疗强直性脊柱炎对照研究  

Controlled study on needle-pricking therapy combined with spinal massage for treatment of ankylosing spondylitis

作　　者：陈栋[1] 罗良平[1] 洪衍波[2] 陈大典[2] 蔡明雪[1] 郭风莲 

机构地区：[1]暨南大学附属第一医院新医针挑科,广州510630 [2]中山大学中山医学院 [3]广州番禺区石基人民医院

出　　处：《中国针灸》2008年第3期163-166,共4页Chinese Acupuncture & Moxibustion

基　　金：暨南大学自然科学基金项目：98056

摘　　要：目的:观察针挑合整脊疗法治疗强直性脊柱炎的,临床疗效并探讨其作用机制。方法:将93例确诊为强直性脊柱炎(活动期)患者随机分为针挑整脊组(47例)和西药组(46例)。针挑整脊组针挑主点颈2神经点、颈5神经点等,并结合整脊手法;西药组口服柳氮磺胺嘧啶。分别观察2组患者治疗前后关节疼痛和肿胀积分值、关节功能及Keitel试验变化和血沉、C反应蛋白情况。结果:针挑整脊组有效率为95.8%,显效率为68.1%,西药组分别为78.3%、23.9%,针挑整脊组疗效明显优于西药组(P<0.01)。结论:针挑合整脊疗法治疗强直性脊柱炎(活动期)患者不仅疗效明显,而且远期效果稳定。Objective To observe the therapeutic effect of needle-pricking therapy combined with spinal massage on ankylosing spondylitis and to probe into the mechanism. Methods Ninety-three cases who were definitely diagnosed as having ankylosing spondylitis at active stage were randomly divided into a medication group （n= 46） and an observation group （n= 47）. The observation group were treated by needle-pricking the main points, Neck No. 2 nerve point, Neck No. 5 nerve point, etc. , combined with spinal rotation massage, and the medication group were treated with Azulfidine. Changes of cumulative score of arthralgia and arthroncus, function of joint, Keitel test, and ESR and CRP before and after treatment were observed. Results The effective rate and the markedly effective rate were 95.8% and 68.1% in the observation group and 78.3% and 23.9% in the medication group, respectively, the former being significantly better than the latter （P〈0.01）. Conclusion Needle-pricking therapy combined with spinal massage has a significant therapeutic effect with a steady and long-term effect for treatment of ankylosing spondylitis at active stage.

关 键 词：脊柱炎 强直性/治疗 挑治 手法 捏脊 手法 脊柱 

分 类 号：R246.2[医药卫生—针灸推拿学]