基于经筋理论的不同针刺法分期治疗强直性脊柱炎32例  

Staged treatment for 32 cases of ankylosing spondylitis with different acupuncture methods based on jingjin theory

作　　者：刘刚刚 杨可 耿君 罗翠萍[2] 赵亚 赵杰 周宜艳 孙钰 LIU Ganggang;YANG Ke;GENG Jun;LUO Cuiping;ZHAO Ya;ZHAO Jie;ZHOU Yiyan;SUN Yu(Anhui Huaibei Hospital of TCM,Huaibei 235000,China;Anhui Suixi County Hospital of TCM;Anhui Huaibei People's Hospital)

机构地区：[1]安徽省淮北市中医医院,淮北235000 [2]安徽省濉溪县中医医院 [3]安徽省淮北市人民医院

出　　处：《中国针灸》2025年第2期156-158,共3页Chinese Acupuncture & Moxibustion

基　　金：安徽省卫生健康委员会2022年度安徽省中医药传承创新科研项目:2022CCYB18;第七批全国老中医药专家学术经验继承工作项目:国中医药人教函[2022]76号。

摘　　要：目的:观察不同针刺法分期治疗强直性脊柱炎(AS)的临床疗效。方法:32例AS患者,选取阿是穴(结筋病灶点)针刺治疗,急性期采用齐刺法,缓解期采用傍针刺法,每天治疗1次,每周5次,共治疗4周。观察患者治疗前后巴氏强直性脊柱炎疾病活动指数(BASDAI)、巴氏强直性脊柱炎功能指数(BASFI)评分及中医症状分级量化标准评分,并评定临床疗效。结果:治疗后,患者BASDAI、BASFI评分及中医症状分级量化标准评分均较治疗前降低(P<0.01),有效率为96.9%(31/32)。结论:不同针刺法分期治疗能够有效改善AS患者的疼痛、活动受限、晨僵等症状和体征。Objective To observe the clinical efficacy of different acupuncture methods in the treatment of ankylosing spondylitis(AS)at different stages.Methods Thirty-two patients with AS were treated with acupuncture at ashi points(tendon focus),triple acupuncture method was used in the acute phase,accompanied needling method was used in the remission phase,once a day,5 times a week for 4 weeks.The Bath ankylosing spondylitis disease activity index(BASDAI)score,Bath ankylosing spondylitis functional index(BASFI)score and TCM symptom grade quantitative standard score before and after treatment were observed,and the efficacy was evaluated.Results After treatment,the BASDAI score,BASFI score and TCM symptom grade quantitative standard score were reduced compared with those before treatment(P<0.01),the effective rate was 96.9%(31/32).Conclusion Different acupuncture methods in the treatment of AS at different stages could improve signs and symptoms,such as pain,activity limitation and morning stiffness.

关 键 词：强直性脊柱炎 针刺 齐刺 傍针刺 分期治疗 急性期 缓解期 

分 类 号：R246.1[医药卫生—针灸推拿学]