杵针联合药物治疗湿热型强直性脊柱炎炎性腰背痛疗效观察  

Observation on the Efficacy of Pestle Needles Combined with Medicine in the Treatment of Inflammatory Low Back Pain due to Damp-heat Ankylosing Spondylitis

作　　者：温博 马丛[1] 张秦[1] 施阳[1] 顾文[1] 邵培培[1] 霍晓萌[1] WEN Bo;MA Cong;ZHANG Qin;SHI Yang;GU Wen;SHAO Pei-pei;HUO Xiao-meng(Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University,Beijing 100010)

机构地区：[1]首都医科大学附属北京中医医院,北京100010

出　　处：《世界中西医结合杂志》2020年第9期1713-1717,共5页World Journal of Integrated Traditional and Western Medicine

基　　金：北京市属医院科研培育项目(PZ2019018);北京市中医医院院级课题(YJ-201807)。

摘　　要：目的观察杵针联合药物治疗湿热型强直性脊柱炎患者炎性腰背痛的临床疗效。方法收集2018年5月—2019年12月期间于首都医科大学附属北京中医医院风湿病科住院及门诊患者60例,随机分为治疗组和对照组,每组30例。两组患者均给予非甾体抗炎药双氯芬酸肠溶片25 mg/次,3次/d,常规基础治疗;对照组患者在常规治疗基础上,加用清热养阴除湿丸,2次/d,6 g/次;治疗组患者在对照组治疗基础上,加用杵针治疗,1次/d,穴取后溪、束骨、四关、曲池、阳陵泉、申脉、三阴交、太溪、足三里、河车路腰背段(至阳到长强段),河车路腰背段梳理20次,余穴每穴点按64次,7 d为1个疗程。两组均治疗2个疗程。治疗结束后比较两组患者强直性脊柱炎腰背痛(BAS-G)评分、强直性脊柱炎疾病活动度(ASDAS)评分、强直性脊柱炎脊柱活动(BASMI)评分、非甾体抗炎药(NSAIDs)摄入积分的变化。结果治疗1个疗程后两组患者BAS-G评分、ASDAS评分、BASMI评分以及NSAIDs摄入积分均较治疗前降低(P<0.05),且治疗组较对照组降低明显,差异有统计学意义(P<0.05);治疗2个疗程后两组患者BAS-G评分、ASDAS评分、BASMI评分以及NSAIDs评分均较治疗前和治疗1个疗程降低(P<0.05,P<0.01),且治疗组较对照组更为明显降低,差异有统计学意义(P<0.01)。结论在常规治疗的基础上,杵针联合药物治疗可以改善强直性脊柱炎患者炎性腰背痛及脊柱活动情况,减轻疾病活动度,减少非甾体抗炎药的用量。Objective To observe the clinical effect of pestle needles combined with medicine on lumbago in patients with hygrothermal ankylosing spondylitis.Methods From May 2018 to December 2019,60 inpatients and outpatients in the Department of Rheumatology,Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University were randomly divided into treatment group and control group,with 30 cases in each group.Both groups of patients were given the non-steroidal anti-inflammatory drug diclofenac enteric-coated tablets 25 mg/time,3 times a day,routine basic treatment.Patients in the control group were treated with Qingre Yangyin Chushi pills on the basis of conventional treatment,2 times daily,6 g/time.On the basis of the treatment of the control group,patients in the treatment group were treated with pestle acupuncture,1 time/d,acupoints were taken from Houxi,Shugu,Siguan,Quchi,Yanglingquan,Shenmai,Sanyinjiao,Taixi,Zusanli,Hechelu lumbar section(Zhiyang to Changqiang section),Hechelu lumbar section combing 20 times,each point of the remaining acupoints 64 times,7 days as a course of treatment.Both groups were treated for 2 courses.After treatment,the two groups were compared with ankylosing spondylitis low back pain(BAS-G)score,ankylosing spondylitis disease activity(ASDAS)score,ankylosing spondylitis spine activity(BASMI)score,and non-steroidal anti-inflammatory drugs(NSAIDs)changes in intake points.Result After 1 course of treatment,the BAS-G score,ASDAS score,BASMI score,and NSAIDs intake scores of the two groups were lower than that before treatment(P<0.05),and the treatment group was significantly lower than the control group,and the difference was statistically significant(P<0.05).After 2 courses of treatment,the BAS-G score,ASDAS score,BASMI score and NSAIDs scores of the two groups of patients were lower than before treatment and 1 course of treatment(P<0.05,P<0.01),and the treatment group compared with the control group,it was significantly reduced,and the difference was statistically signi

关 键 词：强直性脊柱炎 炎性腰背痛 杵针疗法 

分 类 号：R593.23[医药卫生—内科学] R245[医药卫生—临床医学]