任督周天大艾灸联合柳氮磺胺吡啶治疗强直性脊柱炎临床观察

发布时间：2018-02-06 03:19

  本文关键词： 强直性脊柱炎 任督周天大艾灸 艾灸 随机对照试验　出处：《中国针灸》2016年10期 　论文类型：期刊论文

【摘要】：目的:观察比较在柳氮磺胺吡啶治疗基础上任督周天大艾灸与常规艾灸治疗强直性脊柱炎的临床疗效差异。方法:选择62例强直性脊柱炎患者随机分为两组,每组31例,各脱落1例。两组均给予口服柳氮磺胺吡啶,观察组采用特制灸粉、姜粒、艾绒于背部(大椎穴至腰俞穴之间)及腹部(剑突下至耻骨联合上)行任督周天大艾灸;对照组予常规艾灸治疗,将艾灸盒放置于背部及腹部施灸,两组均每次治疗2h,7d治疗1次,3次为一疗程。治疗3个疗程后,观察两组患者治疗前后的症状积分、视觉模拟量表(VAS)评分、晨僵时间、Schober试验、枕墙距、胸廓活动度,并评定两组临床疗效。结果:观察组总有效率为86.7%(26/30),优于对照组的73.3%(22/30),观察组疗效优于对照组(P0.05)。两组的全部观察指标均较治疗前明显改善(均P0.01),且治疗后观察组的症状积分、VAS评分、晨僵时间及Schober试验改善程度明显优于对照组(均P0.01)。结论:在柳氮磺胺吡啶治疗基础上,任督周天大艾灸治疗强直性脊柱炎疗效确切,优于常规艾灸治疗。
[Abstract]:Objective: to observe and compare the clinical curative effect between Zhoutian moxibustion and routine moxibustion in treating ankylosing spondylitis. Methods: 62 patients with ankylosing spondylitis were randomly divided into two groups. There were 31 cases in each group and 1 case in each group. Both groups were given oral sulfamyridine, and the observation group were treated with special moxibustion powder and ginger granule. Moxibustion was performed on the back (between Dazhui point and Yaoshu point) and abdomen (under the sword process to the pubic joint). The control group was treated with routine moxibustion, and the moxibustion box was placed on the back and abdomen for moxibustion. Symptom scores, visual analogue scale (VAS) scores, morning stiffness time and Schober test, occipital-wall distance and thoracic activity were observed in both groups. Results: the total effective rate of the observation group was 86.7 / 30%, which was better than that of the control group (73.3% 22 / 30). The curative effect of the observation group was better than that of the control group (P 0.05). All the observation indexes of the two groups were obviously improved compared with those of the control group (P 0.01), and the symptom score and the VAS score of the observation group after treatment were significantly improved. The time of morning stiffness and the improvement of Schober test were significantly better than those of the control group (all P 0.01). Conclusion: based on the treatment of sulfadiazine, Zhoutian moxibustion is effective in the treatment of ankylosing spondylitis. It is superior to conventional moxibustion treatment.
【作者单位】： 河南省中医药研究院附属医院疼痛风湿科;河南中医药大学针灸推拿学院;
【基金】：河南省省属科研单位社会公益项目预研专项资金项目:09YY0059
【分类号】：R593.23
，

本文编号：1493450