通导督脉针刺治疗强直性脊柱炎随机平行对照研究

Ankylosing Spondylitis Randomized Parallel Group Study Guide Du Treatment Through Acupuncture

[目的]观察通导督脉针刺治疗强直性脊柱炎疗效。[方法]使用随机平行对照方法,将78例门诊及住院患者按病志号抽签法简单随机分为两组。对照组38例温针灸,卧姿,1.5寸针透刺夹脊穴、风池、大椎、肾俞脊柱方向,提插感觉酸胀后,针柄末端插1.5cm艾条,1次/d。治疗组40例通导督脉,卧姿,腰俞、腰阳关、命门、脊中、筋缩、至阳、身柱、大椎、风府、百会为主穴,平补平泻法,1.5寸针,据患者体质及病情持续30min,感受酸麻胀痛感觉后留针30min,1次/d。连续治疗10d为1疗程。观测临床症状、关节功能、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组显效19例,有效18例,无效3例,总有效率92.50%。对照组显效13例,有效14例,无效11例,总有效率71.05%。治疗组疗效优于对照组(P<0.05)。[结论]通导督脉针刺治疗强直性脊柱炎疗效满意,无严重不良反应,值得推广。

[Objective] To observe through guide Du Acupuncture treatment of ankylosing spondylitis. [Methods]Using random parallel control method, 78 cases of outpatient and inpatient numbers lottery law by disease Chi simple randomized into two groups. Warm acupuncture control group, 38 cases, take the prone position, 1.5 Jiaji deposit needle in, the wind pool, Ojo, shenshu points spine direction, lifting and thrusting feel soreness after the end of the needle shank inserted 1.5cm moxa, 1 / d. Acupuncture treatment group of 40 patients, prone position, waist Yu, Yaoyangguan, Vital, ridges, muscle contraction, to the sun, the body column, wind House, Point Baihui main points, reinforcing-reducing method using 1.5 inch needle for acupuncture, physical fitness and disease, according to the patient continued 30 min, feel tingling feeling pain after needle 30 min, 1 times / d. 10 d is a continuous course of treatment. Observation of clinical symptoms and joint function, adverse reactions. Continuous treatment of two courses, determine efficacy. [Results] treatment group 19 cases, effective in 18 cases, three cases, the total efficiency of 92.50%. Control group, 13 cases markedly effective in 14 cases, 11 cases, the total efficiency of 71.05%. Treatment group than the control group（P〈0.05）. [Conclusion]Guided Du Acupuncture treatment of ankylosing spondylitis, the effect is significant, it is worth promoting.