针罐结合治疗强直性脊柱炎临床观察

Clinical observation on acupuncture combined with cupping therapy for treatment of ankylosing spondylitis

目的寻求治疗强直性脊柱炎的有效疗法。方法将针罐组(32例)采用针刺和拔罐结合治疗,针刺组(30例)采用单纯针刺治疗,进行观察治疗40天。结果针罐组临床缓解率62.5%,针刺组临床缓解率33.3%,经χ2检验,P<0.01,差异有非常显著性意义;针罐组总有效率93.8%,优于针刺组的83.3%(P<0.01)。随访1年后复发率分别为3.3%与24.0%(P<0.01)。结论针罐组治疗强直性脊柱炎疗效优于针刺组,且疗程短,复发率低。

Objective To search for an effective method for treatment of ankylosing spondylitis （AS）, Methods The treatment group （n=32） were treated by acupuncture combined with cupping therapy and the control group （ n = 30） by simple acupuncture for 40 days, Results The clinical remission rate was 62.5% in the treatment group and 33.3% in the control group with a significant difference between the two groups （P〈0.01）; the total effective rate in the treatment group was 93.8% which was better than 83.3% in the control group （P〈0.01） ; the recur- rence rate after one year was 3.3 % in the treatment group and 24.0 % in the control group with significant difference between the two groups （P〈0.01）. Conclusion Acupuncture combined with cupping therapy in the therapeutic effect on ankylosing spondylitis is better than simple acupuncture, with shorter therapeutic course and lower recurrence rate.