进展期强直性脊柱炎患者的门诊综合治疗

Comprehensive outpaitent treatment for advanced stage patients with ankylosing spondylitis

目的：探讨进展期强直性脊柱炎患者的门诊综合治疗方法及疗效。方法：自2000年3月-2012年3月,门诊治疗进展期强直脊柱炎患者365例,其中男264例,女101例；年龄15-42岁,平均29岁；病程5-9年,平均6.3年；给予心理辅导教育,重视功能锻炼,必要物理治疗,规范药物治疗,配合小针刀应用进行治疗。采用视觉模拟评分法（ Visual Analogue Scale,VAS）评价疗效。结果：所有病例均得到长期随访,随访时间24-120个月,17例患者发展为纤维性强直,2例患者出现双侧髋关节骨性强直,股骨头坏死,行双侧人工全髋置换术。其余患者未出现畸形及功能障碍, VAS由初次确诊平均得分6.13分降为末次随访3.16分。结论：进展期强直性脊柱炎患者通过合理门诊综合治疗能有效控制病情发展。

Objective：To explore the efficacy and comprehensive outpatient treatment progression in patients with ankylosing spondylitis. Methods：From 2000 March to 2012 March, 365 cases of ankylosing spondylitis patients in outpatient treatment mandatory progress period, of which 264 cases were male, 101 female;age 15 - 42 years, average 29 years;the course of disease was 5 to 9 years, average 6. 3 years;to give psychological counseling education, pay attention to functional exercise, the necessary physical therapy, standard drug treatment, with small needle knife used for treatment. By using visual analogue scale （ Visual Analogue Scale, VAS） , curative effect was evaluated. Results：All cases were followed up, the follow-up time ranged from 24 to 120 months, 17 patients developed fibrous ankylosis, 2 patients had bilateral hip bony ankylosis, femoral head necrosis, bilateral total hip arthroplasty. The rest of the patients showed no deformity and dysfunction, VAS first diagnosed by averaging 6. 13 points down to the last follow-up 3. 16 points. Conclusion：Advanced ankylosing spondylitis patients can effectively control the progression of the disease through reasonable comprehensive outpatient treatment.