益肾蠲痹汤配合火攻疗法治疗强直性脊柱炎

Clinical Observtion on Yishen Juanbi Decoction Plus Fire Attack Therapy in Teating Ankylosing Spondylitis

目的:观察益肾蠲痹汤配合火攻疗法治疗强直性脊柱炎的临床疗效。方法:将49例患者随机分为治疗组(A)26例和对照组(B)23例,A组采用常规药物口服配益肾蠲痹汤合火攻疗法治疗。常规药物选用洛索洛芬钠片(60 mg,tid,口服)+柳氮磺吡啶肠溶片(首次服用者由小剂量开始,逐渐加至1 000 mg,bid,口服,既往服用者直接按上述剂量口服)+来氟米特片(20 mg,qn,口服);火攻疗法选用河南省中医院风湿骨病科自制药酒,沿患者腰背部督脉及膀胱经穴施治。B组采用常规药物口服治疗,治疗2个月比较治疗前后的相关数据。结果:治疗组和对照组的总有效率分别为96.15%,82.61%,具有统计学差异(P<0.05)。两组治疗前后各观察指标比较A组均具有统计学差异(P<0.05),B组除腰背痛VAS积分、晨僵时间具有统计学差异(P<0.05)外,余指标无差异性;两组治疗后各指标比较差异有显著性(P<0.05)。结论:益肾蠲痹汤配合火攻疗法治疗强直性脊柱炎(AS)在改善腰背痛、脊柱强直和晨僵症状方面疗效肯定,值得临床进一步推广应用。

Objective： To observe clinical effects of Yishen Juanbi decoction plus fire attack therapy on ankylosing spondylitis in. Method： Forty-nine patients were randomly divided into treatment group （group A） with 26 cases and control group （group B） with 23 cases, group A was treated with Yishen Juanbi decoction plus fire attack therapy, group B was treated with conventional drug for 2 months. Result： The total effective rate in treatment group and control group was 96.15% and 82.61% , respectively, the difference was significant （P 〈 O. 05）. Conclusion： Yishen Juanbi decoction plus fire attack therapy in the treatment of ankylosing spondylitis （AS） can improve back pain, spinal ankylosis and morning stiffness symptoms.