温针灸联合中药熏蒸治疗活动期强直性脊柱炎疗效观察

Observation of warm acupuncture combined with Chinese medicine fumigation in the treatment for activity mandatory spondylitis

目的观察温针灸联合中药熏蒸治疗活动期强直性脊柱炎患者的临床疗效。方法将114例活动期强直性脊柱炎患者随机分为观察组和对照组,每组57例。2组均给予常规西医治疗,对照组在常规治疗基础上给予温针灸夹脊穴治疗,观察组在对照组治疗基础上给予自拟中药熏蒸治疗,2组疗程均为3个月。检测2组治疗前后C反应蛋白(CRP)、红细胞沉降率(ESR)、碱性磷酸酶水平,观察2组治疗前后临床症状积分、关节肿胀个数、骨骼和肌肉活动情况、腰骶脊背疼痛及关节疼痛评分及生活质量评分变化情况,并统计2组临床疗效。结果 2组治疗后CRP、ESR、碱性磷酸酶水平均显著降低(P均<0.05),巴氏强直性脊柱炎功能指数(BASFI)、巴氏强直性脊柱炎疾病活动指数(BASDAI)、关节肿胀数目、胸廓活动度、Schober试验、枕墙距、指地距、腰椎侧屈角度、腰椎后仰角度、腰骶脊背疼痛及关节疼痛评分均显著改善(P均<0.05),且观察组上述指标改善情况均明显优于对照组(P均<0.05);2组治疗后生活质量SF-36问卷调查表各项评分均显著提高(P均<0.05),且观察组各项评分均明显高于对照组(P均<0.05);2组治疗期间均未发现严重不良反应。结论温针灸联合中药熏蒸治疗能够显著缓解活动期强直性脊柱炎患者的临床症状体征,提高患者骨骼和肌肉活动功能,明显减轻疼痛,并显著改善患者生活质量。

Objective It is to observe the clinical curative effect of warm acupuncture combined with Chinese medicine fumigation treatment in patients with activity mandatory spondylitis. Methods 114 cases of active period of ankylosing spondylitis patients were randomly divided into observation group（ 57 cases） and control group（ 57 cases） and both were given conventional western medicine treatment,additionally the control group was given clip ridge warm acupuncture point while the observation group were given traditional Chinese medicine fumigation treatment on the treatment in control group. Both treatment courses were 3 months. The changes of clinical symptoms integral,joint swelling,laboratory examination indexes,bone and muscle activity and pain,quality of life before and after treatment were observed in both group,and the statistics of two groups of clinical curative effect were compared. Results After treatment pap ankylosing spondylitis functional index（ BASFI）,pap ankylosing spondylitis disease activity index（ BASDAI）,joint swelling number,C-reactive protein（ CRP）,erythrocyte sedimentation rate（ ESR） and alkaline phosphatase levels were significantly reduced（ P〈0. 05）,and the index set of improvement was better than that of control group（ P〈0. 05）; thoracic mobility,Schober＇s test,pillow wall distance,refers to ground test,lumbar lateral flexion,lumbar back pain and joint pain,lumbosacral spine and were improved significantly（ P〈0. 05）,and the index set of improvement was better than that of control group（ P〈0. 05）; The quality of life of SF-36 questionnaire scores all items were significantly increased（ P〈0. 05）,in the observation group the score was higher than that in the control group（ P〈0. 05）; during treatment no serious adverse drug events were found. Conclusion Warm acupuncture combined with Chinese medicine fumigation treatment can significantly alleviate the clinical symptoms and signs of activity ankylosing spondylitis patients,improve the function of patients with bone and muscle activity,relieve pain,and significantly improve patients＇ quality of life.