督灸配合针刺对强直性脊柱炎患者生存质量的影响

Effect of moxibustion on the Governor Vessel in combination with acupuncture on ankylosing spondylitis

目的：探讨督灸配合针刺对强直性脊柱炎（ankylosing spondylitis，AS）的影响。方法收集2009年10月至2012年10月青岛大学医学院第二附属医院康复科门诊AS患者30例，辨证均为肾阳亏虚型，均采用督灸配合针刺疗法治疗。评价强直性脊柱炎生存质量量表（SQOL-AS）、Bath 强直性脊柱炎疾病活动指数（BASDAI）、Bath强直性脊柱炎功能性指数（BASFI）、疲劳评定量表（FAI）和红细胞沉降率（ESR）。结果治疗后患者BASDAI[（0.427±0.381）分对（6.107±1.375）分；t＝28.986，P＜0.01]、BASFI[（0.753±0.504）分对（7.480±1.152）分；t＝36.580，P＜0.01]、FAI[（40.067±14.746）分对（146.967±26.283）分；t＝24.520，P＜0.01]评分均较治疗前显著性降低，ESR 也较治疗前显著性降低[（19.833±13.929）mm/h 对（31.567±20.065）mm/h；t＝3.708，P＜0.01]。治疗后 SQOL-AS 的躯体功能[（33.000±1.930）分对（12.033±1.790）分；t＝62.165， P＜0.01]心理状态[（25.367±2.059）分对（14.067±2.303）分；t＝30.139，P＜0.01]、社会功能[（21.267±4.025）分对（8.767±1.977）分；t＝26.643， P＜0.01]和健康总体感知[（22.733±2.690）分对（9.767±2.738）分；t＝25.729，P＜0.01]分项评分较治疗前显著性增高。结论督灸配合针刺可改善AS患者躯体功能，降低疾病活动性。

ObjectiveTo investigate the effect of moxibustion on the Governor Vessel in combination with acupuncture on ankylosing spondylitis.MethodsThirtypatetints with ankylosing spondylitis（kidneyyang deficiency pattern） were recruited and treated with moxibustion on the Governor Vessel in combination with acupuncture. The scores of Scale of Quality of Life for Ankylosing Spondylitis （SQOL-AS）, Bath Ankylosing Spondylitis Disease Activity Index（BASDAI）, Bath Ankylosing Spondylitis Functional Index（BASFI）, Fatigue Assessment Instrument（FAI）and erythrocyte sedimentation rate（ESR） before and after treatment were evaluated.ResultsThe scores of BASDAI（0.427±0.381vs. 6.107±1.375;t=28.986,P〈0.01）, BASFI（0.753±0.504 vs. 7.480±1.152;t=36.580,P〈0.01）, FAI（40.067±14.746vs. 146.967±26.283;t=24.520,P〈0.01）after treatment were significantly lower than those before treatment; ESR after treatment were significantly lower than that before treatment（19.833±13.929 mm/hvs. 31.567± 20.065 mm/h;t=3.708,P〈0.01）. The subscores of Physical Functioning（33.000±1.930vs. 12.033±1.790;t=62.165,P〈0.01）, Mental Health（25.367±2.059vs. 14.067±2.303;t=30.139,P〈0.01）, Social Functioning（21.267±4.025vs. 8.767±1.977;t=26.643,P〈0.01） and General Health Perception （22.733± 2.690vs. 9.767±2.738;t=25.729,P〈0.01） of SQOL-AS after treatment were significantly lower than that before treatment.ConclusionsMoxibustion on the Governor Vessel in combination with acupuncture can improve physical functioning and reduce disease activity in patients with ankylosing spondylitis.