内热针治疗肾虚督寒型强直性脊柱炎的疗效观察

Observation on curative effect of needles heated in the treatment of ankylosing spondylitis with kidney deficiency cold type

目的观察内热针治疗肾虚督寒型强直性脊柱炎(AS)患者的疗效。方法选取我院诊治的肾虚督寒型AS患者68例,随机数字法分为观察组(34例)和对照组(34例)。两组均给予常规西医抗风湿药物治疗,对照组给予普通电针治疗,观察组给予内热针治疗。比较两组临床疗效、中医症候积分、症状体征指标改善情况、脊柱痛VAS评分、BASDAI评分、BASFI评分及CRP、ESR水平变化,并记录治疗期间不良反应发生情况。结果观察组疗效总有效率91. 18%,显著高于对照组70. 59%,差异有统计学意义(P <0. 05);治疗后观察组中医症状积分、VAS评分、BASDAI评分、BASFI评分、指地距、枕墙距显著小于对照组,腰椎活动度显著大于对照组,CRP、ESR水平显著低于对照组,差异均有统计学意义(P <0. 05);且两组不良反应发生率比较差异无统计学意义(P> 0. 05)。结论常规抗风湿药物联合内热针治疗可以有效缓解肾虚督寒型AS患者全身症状体征,延缓病情进展,提高肢体运动能力,并明显下调CRP、ESR炎症因子水平,是一种安全有效的治疗方法。

Objective To observe the effect of inner heating dry needle therapy in the treatment of patients with kidney deficiency and governor vessel cold type of ankylosing spondylitis( AS).Methods 68 patients with kidney deficiency and governor vessel cold type of AS diagnosed and treated in our hospital were randomly divided into observation or control group,34 in each group. Both groups were treated with anti-rheumatic drugs of conventional western medicine.The control group was given ordinary electroacupuncture while the observation group was treated with inner heating dry needle therapy.The clinical efficacy,TCM symptom scores,improvement of symptoms and signs,spinal pain VAS score,BASDAI score,BASFI score and levels changes of CRP and ESR were compared between the two groups.At the same time,the incidence of adverse reactions during treatment was recorded.Results The total effective rate of the observation group was 91. 18% that was significantly higher than that of the control group( 70. 59%,P < 0. 05).The TCM symptom score,VAS score,BASDAI score and BASFI score of the observation group were significantly lower than those of the control group.The distance from finger to ground and distance from pillow to wall were significantly in the observation group smaller than those of the control group.The range of motion in the lumbar vertebra in the observation group was significantly greater than that of the control group.The levels of CRP and ESR in the observation group were significantly lower than those of the control group( P < 0. 05).There was no statistical significance in the incidence of adverse reactions between the observation and the control group( P > 0. 05).Conclusion Conventional anti-rheumatic drugs combined withinner heating dry needle therapy can effectively alleviate the systemic symptoms and signs of patients with kidney deficiency and governor vessel cold type of AS,delay the progression of the disease,improve the ability of limb movement,and significantly down-regulate the levels of CRP and ESR inflammatory factors.It is a safe and effective treatment.