激光针刀配合中药外敷治疗强直性脊柱炎疗效观察

Therapeutic Observation of Laser Needle-knife plus External Application of Chinese Herbal Medicine for Ankylosing Spondylitis

目的观察激光针刀配合中药外敷治疗强直性脊柱炎的临床疗效。方法将70例强直性脊柱炎患者随机分为治疗组和对照组,每组35例。治疗组采用激光针刀配合中药外敷治疗,对照组采用单纯激光针刀治疗。治疗1个疗程后进行疗效评定。结果治疗组总有效率为94.3%,对照组为88.6%,两组比较差异具有统计学意义(P<0.05)。两组治疗后各项功能指数(schober试验、胸廓活动度、指地距、枕墙距、颌胸距)与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后各项功能指数与对照组比较,差异均具有统计学意义(P<0.05)。结论激光针刀配合中药外敷是一种治疗强直性脊柱炎的有效方法,能改善schober试验、胸廓活动度、指地距、枕墙距、颌胸距等功能指数。

Objective To observe the clinical efficacy of laser needle-knife plus external application of Chinese herbal medicine in treating ankylosing spondylitis. Methods Seventy patients with ankylosing spondylitis（AS） were randomized into a treatment group and a control group, 35 each. The treatment group was intervened by laser needle-knife plus external application of Chinese herbal medicine, while the control group was by laser needle-knife alone. The therapeutic efficacies were evaluated after a treatment course. Results The total effective rate was 94.3% in the treatment group versus 88.6% in the control group, and the difference was statistically significant（P 0.05）. After intervention, the functional indexes（Schober test, chest expansion, finger-to-floor distance, occiput-to-wall distance, and mandible-to-sternum distance） were significantly changed in the two groups（P〈0.05）. The functional indexes of the treatment group were significantly different from that of the control group（P〈0.05）. Conclusion Laser needle-knife plus external application of Chinese herbal medicine is an effective method in treating AS, and it can improve functional indexes such as Schober test, chest expansion, finger-to-floor distance, occiput-to-wall distance, and mandible-to-sternum distance.