三伏天灸治疗强直性脊柱炎临床观察

Therapeutic Effect of Moxibustion During Dog-days for Ankylosing Spondylitis

目的:观察三伏天灸治疗强直性脊柱炎的疗效。方法:将40例患者随机分成2组,对照组使用常规治疗,治疗组在常规治疗基础上加用三伏天灸治疗,2组均随访1年后观察疗效。结果:治疗组总有效率为94.74%,愈显率为42.11%;对照组总有效率为95.23%,愈显率为33.33%。2组总有效率比较,差异无显著性意义(P>0.05);2组愈显率比较,差异有显著性意义(P<0.05)。2组患者治疗后疼痛、压痛、整体功能、活动障碍和晨僵时间积分时间分别与治疗前比较,差异有显著性或非常显著性意义(P<0.05,P<0.01)。治疗组治疗后疼痛、压痛和晨僵时间分别与对照组比较,差异均有显著性意义(P<0.05)。2组治疗后血清中血沉(ESR)和C反应蛋白(CRP)分别与治疗前比较,差异均有非常显著性意义(P<0.01);治疗组治疗后ESR、CRP分别与对照组比较,差异均有显著性意义(P<0.05)。治疗组治疗后免疫球蛋白IgA、IgG、IgM分别与治疗前比较,差异均有显著性意义(P<0.05)。结论:三伏天灸疗法在改善强直性脊柱炎风寒湿痹型患者的疼痛和功能活动方面具有较好的效果。

Objective:To observe the therapeutic effect of moxibustion during dog days for the treatment of ankylosing spondylitis (AS) . Methods:Forty AS patients were randomized into 2 groups:the control group was given routine treatment, and the treatment group was given moxibustion during dog days on the basis of routine treatment. The therapeutic effect was evaluated after one year follow up. Results:The total effective rate was 94. 74% in the treatment group and 95. 23% in the control group, the difference being insignificant between the two groups ( P > 0. 05 ). The markedly effective rate was 42. 11% in the treatment group and 33. 33% in the control group, the difference being significant between the two groups ( P < 0. 05). Pain, tenderness, allomeric function, disorder of motion and morning stiffness were improved in both groups after treatment ( P < 0. 05 or P < 0. 0 1), and the improvement of pain, tenderness and morning stiffness was obvious in the treatment group ( P < 0. 05 compared with the control group). After treatment, erythrocyte sedimentation rate and serum C reactive protein level were also improved in both groups ( P < 0. 01), and the improvement was obvious in the treatment group ( P < 0. 05 compared with the control group). Conclusion:Moxibustion during dog days is effective on relieving pain and improving spinal function for the treatment of ankylosing spondylitis with blockage of wind cold and dampness.