埋线刺络法治疗强直性脊柱炎临床观察  

Clinical observation on ankylosing spondylitis treated with acupoint catgut embedding combined vessel pricking therapy

作　　者：田元生[1] 王雷生[2] 王新义[1] 孙玮琦[2] 

机构地区：[1]河南省中医药研究院附属医院疼痛科,郑州450004 [2]河南中医学院针灸推拿学院

出　　处：《中国针灸》2011年第7期601-604,共4页Chinese Acupuncture & Moxibustion

基　　金：河南省省属科研单位社会公益项目预研专项资金项目:09YY0059

摘　　要：目的:探讨埋线刺络法治疗强直性脊柱炎(AS)的疗效和安全性。方法:86例AS患者随机分为埋线刺络组(43例)和药物组(43例),分别予埋线刺络治疗(穴取肾俞、大杼、夹脊等)和口服柳氮磺胺吡啶(SASP)治疗,连续治疗8周,比较治疗前后症状积分、疼痛视觉模拟评分(VAS)、晨僵时间、Schober试验、枕墙距、胸廓活动度及血沉(ESR)、C反应蛋白(CRP)的变化。结果:埋线刺络组总有效率为83.7%(36/43),优于药物组的70.0%(28/40)(P<0.05)。两组的全部观察指标均较治疗前明显改善(均P<0.01),且埋线刺络组症状积分、Schober试验和疼痛VAS评分的改善程度明显优于药物组(P<0.01,P<0.05),并且埋线刺络组无不良反应。结论:埋线刺络法治疗强直性脊柱炎疗效确切、无不良反应,优于口服柳氮磺胺吡啶。Objective To explore the efficacy and safety of acupoint catgut embedding combined with vessel pricking therapy for ankylosing spondylitis（AS）. Methods Eighty-six cases of AS were randomly divided into an acupoint catgut embedding combined vessel pricking group（group A） and a medication group（group B） ,43 cases in each group. In the group A, acupoint catgut embedding combined with vessel pricking therapy were applied at Shenshu（BL 23）, Dazhu （BL 11） and Jiaji（EX-B 2） etc. The group B was treated with oral administration of Sulfasalazine（SASP）. The treatment lasted for 8 weeks. Symptom score, Visual Analogue Seale（VAS）, the indices of morning stiff duration, Schober test, occiput to wall distance, chest expansion, erythrocyte sedimentation rate （ESR）and C-response protein（CRP）were compared before and after treatment between two groups. Results After treatment, the total effective rate was 83.7% （36/43）in the group A, which was superior to that of 70.0% （28/40）in the group B（P〈0.05）. The improvements of all indices in two groups were more significant than those before treatment（all P〈0.01） ,and symptom score, Schober test score and VAS score in group A were superior to those in the group B（P〈0.01,P〈0.05）. No adverse reaction occurred in the group A. Conclusion The therapeutic effect of acupoint catgut embedding combined with vessel pricking therapy for AS is preferable without any adverse effects, which is superior to that of oral administration of SASP.

关 键 词：强直性脊柱炎 埋线疗法 刺络疗法 

分 类 号：R246.2[医药卫生—针灸推拿学]