本文關(guān)鍵詞： 強(qiáng)直性脊柱炎 任督周天大艾灸 艾灸 隨機(jī)對(duì)照試驗(yàn)　出處：《中國針灸》2016年10期 　論文類型：期刊論文

【摘要】：目的:觀察比較在柳氮磺胺吡啶治療基礎(chǔ)上任督周天大艾灸與常規(guī)艾灸治療強(qiáng)直性脊柱炎的臨床療效差異。方法:選擇62例強(qiáng)直性脊柱炎患者隨機(jī)分為兩組,每組31例,各脫落1例。兩組均給予口服柳氮磺胺吡啶,觀察組采用特制灸粉、姜粒、艾絨于背部(大椎穴至腰俞穴之間)及腹部(劍突下至恥骨聯(lián)合上)行任督周天大艾灸;對(duì)照組予常規(guī)艾灸治療,將艾灸盒放置于背部及腹部施灸,兩組均每次治療2h,7d治療1次,3次為一療程。治療3個(gè)療程后,觀察兩組患者治療前后的癥狀積分、視覺模擬量表(VAS)評(píng)分、晨僵時(shí)間、Schober試驗(yàn)、枕墻距、胸廓活動(dòng)度,并評(píng)定兩組臨床療效。結(jié)果:觀察組總有效率為86.7%(26/30),優(yōu)于對(duì)照組的73.3%(22/30),觀察組療效優(yōu)于對(duì)照組(P0.05)。兩組的全部觀察指標(biāo)均較治療前明顯改善(均P0.01),且治療后觀察組的癥狀積分、VAS評(píng)分、晨僵時(shí)間及Schober試驗(yàn)改善程度明顯優(yōu)于對(duì)照組(均P0.01)。結(jié)論:在柳氮磺胺吡啶治療基礎(chǔ)上,任督周天大艾灸治療強(qiáng)直性脊柱炎療效確切,優(yōu)于常規(guī)艾灸治療。
[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.
【作者單位】： 河南省中醫(yī)藥研究院附屬醫(yī)院疼痛風(fēng)濕科;河南中醫(yī)藥大學(xué)針灸推拿學(xué)院;
【基金】：河南省省屬科研單位社會(huì)公益項(xiàng)目預(yù)研專項(xiàng)資金項(xiàng)目:09YY0059
【分類號(hào)】：R593.23
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本文編號(hào)：1493450