温肾通督法治疗肾虚督寒型强直性脊柱炎的临床疗效观察

Clinical Curative Effect Observation on Treating Ankylosing Spondylitisof Kidney-deficiency and Du-Channel-coldness by Warming Kidney And Unblocking Du Channel

目的：探讨温肾通督法治疗肾虚督寒型强直性脊柱炎的临床疗效及安全性。方法：选取河南中医学院第二附属医院风湿骨病科的年龄在16～45岁强直性脊柱炎患者138例，随机分为治疗组和对照组各69例。治疗组采用温肾通督法（服用温肾通督汤配合督灸）治疗；对照组采用西医联合用药方案；观察期12周；随访期24周。结果：经过治疗，两组患者的症状均有不同程度的缓解，温’肾通督法组总有效率为92．8％，西药组总有效率为72．5％，组间差异有统计学意义（P〈0．05）。结论：温肾通督法治疗肾虚督寒型强直性脊柱炎疗效确切，不良反应少，值得临床推广。

Objective： To investigate the clinical efficacy and safety of warming kidney and unblocking Du Channel in the treatment of ankylosing spondylitis （AS） of kidney-deficiency and Du Channel coldness. Methods： 138 AS cases treated in rheumatic osteopathy Department of the Second Affiliated Hospital of Henan University of Traditional Chinese Medicine,aged from 16 to 45 years old, were randomly divided into treatment group and control group with 69 cases in each group. The treatment group was treated by warming kidney and unblocking Du Channel Supervision Law （taking orally Warming-Kidney and Unblocking-Du decoction combined with Du moxibustion） treatment; the control group was treated with combination schemes; observation period of 12 week and follow-up period of 24 weeks. Results： after treatment,both two groups of patients got some improvements. The warming kidney and unblocking Du Channel treatment had the total effective rate of 92.8% while the western medicine had the total effective rate of 72.5% that there was significant difference between the groups （P 〈 0.05）. Conclusion： the effect warming kidney and unblocking Du Channel supervision method for the treatment of AS of kidney-deficiency and Du Channel coldness, is accurate with less adverse reaction and it is worth the clinical promotion.