运动康复疗法联合督脉灸对肾阳虚衰型强直性脊柱炎患者的疗效分析

Analysis of the Curative Effect of Exercise Rehabilitation Therapy Combined with Moxibustion on the Du Meridian in Patients with Ankylosing Spondylitis Due to Deficiency of Kidney Yang

目的探讨运动康复疗法联合督脉灸对肾阳虚衰型强直性脊柱炎(ankylosing spondylitis,AS)患者的疗效.方法选取2018年3月—2020年10月青州市中医院收治的57例肾阳虚衰型强直性脊柱炎患者为对象,按随机编号法分为试验组(n=30)和对照组(n=27).对照组患者采用洛索洛芬钠治疗,试验组患者采用运动康复疗法联合督脉灸治疗.比较两组患者的晨僵时间、疼痛视觉模拟评分(visual analogue scale,VAS)和临床疗效.结果治疗后,两组患者的晨僵时间均短于治疗前,且试验组患者的晨僵时间短于对照组,组间差异有统计学意义(P<0.05).治疗后,两组患者的VAS评分低于治疗前,且试验组患者的VAS评分低于对照组,组间差异有统计学意义(P<0.05).试验组患者的总有效率96.67%高于对照组的77.78%,差异有统计学意义(P<0.05).结论运动康复疗法联合督脉灸可减轻肾阳虚衰型AS患者的疼痛程度,改善晨僵症状,疗效显著.

Objective To explore the clinical effect of exercise rehabilitation therapy combined with moxibustion on the Du Meridian in patients with ankylosing spondylitis(AS)due to deficiency of kidney-yang.Methods A total of 57 patients with ankylosing spondylitis of kidney-yang deficiency type who were admitted to Qingzhou Hospital of Traditional Chinese Medicine from March 2018 to October 2020 were selected as the subjects.According to random numbering method,they were divided into experimental group(n=30)and control group(n=27).The patients in the control group were treated with loxoprofen sodium,and the patients in the experimental group were treated with exercise rehabilitation therapy combined with moxibustion on the Du Meridian.The morning stiffness time,visual analogue scale(VAS)and clinical efficacy were compared between the two groups.Results After treatment,the morning stiffness time of the two groups was shorter than that before treatment,and the morning stiffness time of the experimental group was shorter than that of the control group,the difference was statistically significant(P<0.05).After treatment,the pain VAS scores of the two groups of patients were lower than those before treatment,and the pain VAS scores of the experimental group were lower than those of the control group,and the difference was statistically significant(P<0.05).The total effective rate of patients in the experimental group was 96.67%higher than that in the control group,which was 77.78%,and the difference was statistically significant(P<0.05).Conclusion Exercise rehabilitation therapy combined with moxibustion on the Du Meridian can reduce the pain level and improve morning stiffness symptoms in AS patients with kidney-yang deficiency type,with significant curative effect.