常规药物口服配合中药离子导入治疗强直性脊柱炎肌腱附着点炎  

A study on the curative effects of oral conventional drugs combined with traditional Chinese medicine iontophoresis on ankylosing spondylitis tendon enthesitis

作　　者：王笑青[1] 张永红[1] 王玉丽[1] 许素琴[1] 曹焱[1] 侯宏理[1] 李洛宜[1] 

机构地区：[1]河南省洛阳正骨医院,河南洛阳471002

出　　处：《中医正骨》2011年第10期18-20,共3页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：目的:观察常规药物口服配合中药离子导入治疗强直性脊柱炎肌腱附着点炎的临床疗效。方法:将83例强直性脊柱炎肌腱附着点炎患者随机分为2组,A组(49例)采用常规药物口服配合中药离子导入治疗,B组(34例)采用常规药物口服治疗。2个疗程后比较2组患者血沉下降幅度、C反应蛋白下降幅度、肌腱附着点部位疼痛评分变化情况及总体疗效。结果:①A组血沉下降幅度与B组比较,差异无统计学意义(t=-0.579,P=0.564);A组C反应蛋白下降幅度及肌腱附着点部位疼痛评分下降幅度大于B组(t=4.209,P=0.035;t=5.429,P=0.000)。②A组的疗效优于B组(Z=-2.755,P=0.006)。结论:常规药物口服配合中药离子导入治疗强直性脊柱炎肌腱附着点炎,可以有效地降低急性期反应物,改善肌腱附着点炎的症状,疗效确切,值得临床推广应用。Objective：To observe the clinical curative effects of oral conventional drugs combined with traditional Chinese medicine（TCM）iontophoresis on ankylosing spondylitis tendon enthesitis（ASTE）.Methods：Eighty-three ASTE patients were randomly divided into 2 groups,49 cases in group A were administrated with oral conventional drugs combined with TCM iontophoresis,while the others in group B were administrated with oral conventional drugs.The following indexes as blood sedimentation,C-reactive protein（CRP）,visual analogue score（VAS）of the tendon attachment sites and the overall curative effects of the patients were compared between the 2 groups after two courses of treatment.Results：①There was no statistical difference between group A and group B in the decreasing degree of blood sedimentation（t=-0.579,P=0.564）.The decreasing degree of CRP and VAS in group A were superior to those in group B（t=4.209,P=0.035;t=5.429,P=0.000）.②The overall curative effect of group A was better than that of group B（Z=-2.755,P=0.006）.Conclusion：The therapy of oral conventional drugs combined with TCM iontophoresis can effectively reduce acute phase reactant and improve the symptoms of tendon enthesitis when it is used in the treatment of ASTE,furthermore,it has certain curative effects,and it is worthy of popularizing in clinic.

关 键 词：脊柱炎 强直性 中药离子透入 肌腱附着点炎 

分 类 号：R593.23[医药卫生—内科学]