针刺夹脊穴联合督灸治疗寒湿痹阻型强直性脊柱炎的临床研究

发布时间：2018-03-21 01:01

本文选题：强直性脊柱炎　切入点：督灸　出处：《新疆医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:探讨夹脊穴联合督灸疗法治疗寒湿痹阻型强直性脊柱炎的临床研究。方法:将符合纳入标准的66例强直性脊柱炎患者随机分成两组,治疗组患者33例,结合夹脊穴、督灸与口服西药等方法进行治疗,对照组患者33例,结合夹脊穴、温针灸与口服西药等方法进行治疗,对两组患者接受治疗前后的实验室指标、主要症状分级量化积分、体征改变(胸廓活动度、枕-墙距、指-地距、附着点指数)的具体情况进行仔细观察。结果:治疗组33例患者中5例患者在临床上完全治愈,所占比例为15%,临床治疗效果显著的患者15例,所占比例为46%,产生一定临床效果的患者7例,所占比例为21%,治疗效果全无的患者6例,所占比例为18%,整体临床治疗有效比例达到82%。对比组33例患者中,临床上完全治愈的患者4例,所占比例为12.1%,临床治疗效果显著的患者13例,所占比例为39.4%,产生一定临床效果的患者7例,所占比例为21.2%,疗效全无的患者9例,所占比例为27.3%,整体临床治疗有效比例达到73%,两组疗效比较,经秩和检验,(P0.05),说明治疗组疗效优于对照组,主要症状分级量化积分两组治疗后较本组治疗前均降低(P0.05),主要体征比较改善情况两组治疗后较本组治疗前均降低(P0.05),ESR、CRP结果两组治疗后较本组治疗前均降低(P0.05),说明治疗组疗效优于对照组。结论:对于强直性脊柱炎患者的治疗,夹脊穴联合督灸疗法的效果更理想。
[Abstract]:Objective: to investigate the clinical study on treatment of ankylosing spondylitis of cold and dampness obstruction type with Jiaji acupoint combined with du moxibustion. Methods: 66 cases of ankylosing spondylitis were randomly divided into two groups: treatment group (33 cases), combined with Jiaji point. In the control group, 33 patients were treated with Jiaji point, warm moxibustion and oral western medicine. The laboratory indexes and the main symptoms were classified and quantified before and after treatment. The changes of physical signs (thoracic activity, occipital-wall distance, finger-ground distance, attachment point index) were carefully observed. Results: in the treatment group, 5 of 33 patients were completely cured clinically. The proportion was 15. There were 15 patients with remarkable clinical effects, 46 patients, 7 patients who had certain clinical effects, 21 patients, and 6 patients who had no effect at all. The proportion was 18 and the effective proportion of the whole clinical treatment reached 82. In the contrast group, 4 patients were completely cured, the proportion was 12.1g, and 13 patients with remarkable clinical treatment effect. The proportion was 39.4. There were 7 patients with certain clinical effect, the proportion was 21.2um, 9 patients had no curative effect, the proportion was 27.3. The effective ratio of the whole clinical treatment was 73. The results of rank sum test showed that the curative effect of the treatment group was better than that of the control group. After treatment, the scores of major symptoms in both groups were lower than those before treatment, and the main signs were improved. After treatment, the levels of P0.05 and ESR-CRP in the two groups were lower than those before treatment. The results showed that the two groups were lower than those before treatment, indicating that the two groups had lower levels of P0.05P than before treatment, indicating that the two groups had lower levels of P0.05U after treatment than before treatment. Conclusion: treatment of ankylosing spondylitis patients, The effect of Jiaji acupoint combined with moxibustion therapy is more ideal.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.1

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