太极强脊操对强直性脊柱炎患者脊柱活动度及生活质量的影响  

Effect of Taiji spine exercises on spinal motion and quality of life in patients with ankylosing spondylitis

作　　者：曲昆[1] 王北[1] 刘晓光[1] 张婉婷 贾艳玲 张秦[1] QU Kun;WANG Bei;LIU Xiaoguang;ZHANG Wanting;JIA Yanling;ZHANG Qin(Department of Rheumatology,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010)

机构地区：[1]首都医科大学附属北京中医医院风湿病科,北京100010

出　　处：《河北中医》2025年第3期401-404,409,共5页Hebei Journal of Traditional Chinese Medicine

基　　金：北京市属医院科研培育计划项目(编号:PZ2022016)。

摘　　要：目的观察太极强脊操对强直性脊柱炎(AS)患者脊柱活动度及生活质量的影响。方法选取2023年1月至2023年10月首都医科大学附属北京中医医院风湿病科AS患者78例,按照随机数字表法分为2组。对照组39例予常规治疗(服用洛索洛芬钠片+中频治疗仪治疗),治疗组39例在对照组基础上加太极强脊操锻炼。比较2组临床疗效及治疗前后疼痛视觉模拟评分(VAS)、脊柱活动度(颈部旋转、扩胸度、腰椎侧弯、Schober试验)、强直性脊柱炎疾病活动度评分-C反应蛋白(ASDAS-CRP)、生活质量。结果治疗组总有效率94.87%(37/39),对照组总有效率76.92%(30/39),治疗组总有效率高于对照组(P<0.05)。2组治疗后颈部旋转、腰椎侧弯、扩胸度、Schober试验结果均较本组治疗前升高(P<0.05),且治疗组均较对照组高(P<0.05)。治疗后,2组疼痛VAS、ASDAS-CRP均较本组治疗前下降(P<0.05),且治疗组低于对照组(P<0.05)。治疗后,2组健康状况调查简表(SF-36)生理职能、活力、情感职能、精神健康、躯体疼痛评分均较本组治疗前升高(P<0.05),且治疗组各维度评分均高于对照组(P<0.05)。结论太极强脊操可改善AS患者脊柱活动度及生活质量,减轻患者疼痛程度,效果显著。Objective To explore the effect of Taiji spine exercises on spinal motion and quality of life in patients with ankylosing spondylitis(AS).Methods Seventy-eight patients with AS visited the Department of Rheumatology,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University from January 2023 to October 2023 were assigned into treatment group(39 cases)and control group(39 cases)according to a random number table.All patients were managed by conventional treatment(taking loxoprofen sodium tablets+medium frequency therapy),and those in the treatment group additionally received Taiji spine exercises.The clinical efficacy,visual analogue scale(VAS)for pain,spinal motion(neck rotation,thoracic enlargement,lumbar scoliosis,chober test),Ankylosing Spondylitis Disease Activity Score-C reactive protein(ASDAS-CRP)and quality of life before and after treatment were included as comparisons between groups.Results The curative effect of the treatment group was significantly higher than the control group(94.87%[37/39]vs 76.92%[30/39],P<0.05).After treatment,the levels of neck rotation,lumbar scoliosis,chest expansion,and Schober test in both groups were significantly higher than those before treatment,and those in the treatment group were significantly higher than those in the control group(all P<0.055).After treatment,the both groups had significantly lower scores of VAS and ASDAS-CRP,higher 36-item short-form health survey(SF-36)scores(physiological function,vitality,emotional function,mental health and body pain)than those before treatment(all P<0.05),and the improvements in the treatment group were more pronounced than in the control group(all P<0.05).Conclusion Taiji spine exercises can improve the spinal motion and quality of life of AS patients,and reduce the degree of pain.

关 键 词：脊柱炎 强直性 太极拳 生活质量 疼痛脊柱活动度 

分 类 号：R593.23[医药卫生—内科学] R247.44[医药卫生—临床医学]