长圆针为主综合疗法治疗强直性脊柱炎临床研究  

Clinical Study on AS Treated with Comprehensive Therapy Based on Long Round Needling

作　　者：郭美珠 秦玉雪 曾洁 欧永胜 庞亚飞 戎芬[2] 黄国毅 GUO Meizhu;QIN Yuxue;ZENG Jie;OU Yongsheng;PANG Yafei;RONG Fen;HUANG Guoyi(Baoshan Integrated Hospital of Traditional Chinese and Western Medicine, Shanghai 201999, China;Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China)

机构地区：[1]上海市宝山区中西医结合医院,上海201999 [2]上海中医药大学,上海201203

出　　处：《针灸临床杂志》2022年第6期15-20,共6页Journal of Clinical Acupuncture and Moxibustion

基　　金：上海市进一步加快中医药事业发展三年从事行动计划,编号:ZY(2018-2020)-ZYBZ-35。

摘　　要：目的:探讨长圆针为主的综合疗法对强直性脊柱炎的治疗效果。方法:将60例稳定期强直性脊柱炎患者随机分为对照组和观察组,每组30例。两组均予益赛普常规治疗两周,观察组加用长圆针1次、拔罐1次、穴位敷贴3次和中药口服2周。评价两组治疗前后血沉、CRP、枕墙距、指地距、胸廓活动度、schober test、BASDAI评分、ASAS20达标率及临床疗效变化情况。结果:与本组治疗前比较,观察组治疗后血沉、CRP无明显变化(P>0.05),枕墙距、指地距、胸廓活动度、Schober试验和BASDAI评分明显改善,差异具有统计学意义(P<0.05);对照组治疗后上述指标无明显变化(P>0.05)。组间治疗后比较,与对照组相比,观察组除血沉、CRP外,上述其他各指标差异均有统计学意义(P<0.05),观察组明显优于对照组。ASAS20达标率两者比较,差异具有统计学意义(P<0.05)。观察组、对照组总有效率比较,差异具有统计学意义(P<0.05)。结论:综合疗法治疗强直性脊柱炎疗效显著,能有效控制强直性脊柱炎患者的症状和体征。Objective:To investigate the clinical effect of comprehensive therapy based on long round needling in the treatment of ankylosing spondylitis(AS).Methods:60 patients with AS,who met the inclusion criteria,were randomly divided into the observation group and the control group,with 30 cases in each group.Both groups were given routine treatment of Etanercept for 2 weeks;on which basis,the observation group was also treated with once long round needling and once cupping,3 times of acupoint application,and 2 weeks of TCM decoction.ESR,CRP,occipital-wall distance,finger-ground distance,thoracic range of motion,the scores of Schober test and BASDAI,the ASAS20 reaching standard rate and the total effective rate were evaluated in the two groups.Results:ESR and CRP had no significant changes in the observation group after the treatment(P>0.05),however occipital-wall distance,finger-ground distance,thoracic range of motion,the scores of Schober test and BASDAI were significantly improved after the treatment compared with those before the treatment in the observation group(P<0.05).There were no significant changes in the above indexes in the control group(P>0.05).There were no statistical difference in ESR and CRP between the observation group and the control group after the treatment(P>0.05).Compared with those in the control group,occipital-wall distance,finger-ground distance,thoracic range of motion,the scores of Schober test and BASDAI were significantly improved in the observation group after the treatment(P<0.05).The ASAS20 reaching standard rate were significantly better in the observation group than that in the control group(P<0.05).The total effective rate was significantly higher in the observation group than that in the control group(P<0.05).Conclusion:Comprehensive therapy is effective in the treatment of AS,which can effectively control the symptoms and signs of the disease.

关 键 词：强直性脊柱炎 综合疗法 长圆针 辨证分型 

分 类 号：R246.2[医药卫生—针灸推拿学]