火针联合中药治疗强直性脊柱炎的临床疗效观察

发布时间：2018-04-15 18:41

本文选题：火针 + 中药　；参考：《新疆医科大学》2017年硕士论文

【摘要】：目的:观察火针联合中药治疗强直性脊柱炎的临床疗效。将火针联合中药治疗与西医常规治疗进行对比,以提供临床研究依据。方法:本研究以强直性脊柱炎患者为研究对象,共选取60例,并将患者平均分成2组,分别作为治疗组和对照组。对照组采取的治疗方法为西医常规治疗,而治疗组则采取火针联合中药治疗。以中医症状积分、主要体征(胸廓活动度、脊柱活动度、臀地距、病情活动指数)及实验室指标(ESR、CRP)对随机选好的受试者进行治疗前后比较。结果:两组对于强直性脊柱炎均有较好的临床疗效,但治疗组比对照组疗效更显著。治疗前两组主要中医症状积分、主要体征、主要实验室指标无统计学意义(P0.05),治疗后两组主要中医症状积分、主要实验室指标均较治疗前降低(P0.05),治疗组优于对照组。两组主要体征中胸廓活动度、脊柱活动度较治疗前增高(P0.05),臀地距值、病情活动指数较治疗前降低(P0.05),差异有统计学意义。结论:火针联合中药治疗组治疗强直性脊柱炎有显著疗效,具有临床价值。且手法简单、操作方便,无明显不良反应,值得推广实施。
[Abstract]:Objective: to observe the clinical effect of fire acupuncture combined with traditional Chinese medicine on ankylosing spondylitis.In order to provide clinical research basis, the fire acupuncture combined with traditional Chinese medicine treatment and routine western medicine treatment were compared.Methods: 60 patients with ankylosing spondylitis were randomly divided into two groups: treatment group and control group.The control group was treated by routine western medicine, while the treatment group was treated by fire acupuncture combined with traditional Chinese medicine.The subjects were compared before and after treatment with TCM symptom score, main signs (thoracic activity, spinal activity, gluteal distance, disease activity index) and laboratory index (ESR-CRP).Results: both groups had better clinical effect on ankylosing spondylitis, but the treatment group was more effective than the control group.Before treatment, there was no significant difference between the two groups in the score of TCM symptoms, the main signs and the main laboratory indexes. After the treatment, the scores of the main TCM symptoms and the main laboratory indexes in the two groups were lower than those before treatment, and the treatment group was superior to the control group.In the main physical signs of the two groups, the degree of thoracic and spinal movement was higher than that before treatment (P 0.05), the gluteal distance and the index of disease activity were lower than that before treatment (P 0.05), the difference was statistically significant.Conclusion: the treatment group of fire acupuncture combined with traditional Chinese medicine has significant curative effect on ankylosing spondylitis and has clinical value.And the technique is simple, the operation is convenient, has no obvious adverse reaction, is worth popularizing and implementing.
【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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