酉时雷火灸对强直性脊柱炎寒湿痹阻证患者脊柱功能康复的影响

Effects of Youshi thunder-fire moxibustion on the rehabilitation of spinal function in patients with ankylosing spondylitis of cold-dampness syndrome

目的:探讨子午流注理论指导下雷火灸对强直性脊柱炎寒湿痹阻证患者脊柱功能康复的疗效。方法:将75例强直性脊柱炎患者随机分为对照组、试验1组、试验2组各25例。对照组采用常规口服药物治疗结合常规护理;试验1组在对照组基础上予非酉时雷火灸治疗,每日1次,每次30min;试验2组在对照组基础上予酉时(17:00—19:00)雷火灸治疗,每日1次,每次30min。雷火灸治疗6d为1个疗程,满6d休息1d,共2个疗程。于2个疗程结束时、干预结束后30d观察患者脊柱功能的康复效果。结果:干预2个疗程后,试验1组、试验2组在脊柱活动度BASMI(腰背疼痛VAS、晨僵程度VAS、Schober试验)、中医证候积分、血沉(ESR)方面优于本组治疗前及同期对照组(P<0.05,P<0.01),且试验2组优于试验1组(P<0.05,P<0.01),但C反应蛋白(CRP)改善不明。干预结束后30d,试验1组、试验2组在中医证候积分、脊柱活动度BASMI(腰背疼痛VAS、Schober试验)、ESR优于本组治疗前及同期对照组(P<0.05,P<0.01),且试验2组优于试验1组(P<0.05,P<0.01),但晨僵及CRP改善不明显。结论:在酉时对强直性脊柱炎寒湿痹阻证患者进行雷火灸可明显促进脊柱功能康复,提高临床治疗效果及患者生活质量。

Objective: To observe the effects of thunder-fire moxibustion on the rehabilitation of spinal function in patients with ankylosing spondylitis(AS) of cold-dampness syndrome under the guidance of midnight-midday ebb flow theory. Methods: According to random number table, 75 patients with As were randomly divided into a control group(oral drug treatment group) 25 cases, test 1 group(oral drug treatment with thunder-fire moxibustion group) 25 cases and test 2 group(oral drug treatment with unitary time thunderfire moxibustion group) 25 cases. The control group was treated with conventional oral medication combined with conventional nursing;the test 1 group was treated with thunder-fire moxibustion on the basis of the control group, once a day(non-unitary time), 30 min each time;the test 2 group was treated with thunder-fire moxibustion treatment, once a day(unitary time: 17:00—19:00, 30 min each time);Thunder-fire moxibustion treatment used by test 1 and test 2 for 6 days as a course, 6 days of rest for a day, a total of 2 courses. At the end of the two courses and 30 d after treatment, observe the results of the rehabilitation effect of patients’ spinal function of the three groups.Results: After 2 courses of intervention, the test 1 group and test 2 group were better than befor treatment the control group in terms of BASMI(the VAS of low back pain and morning stiffness, Schober test), TCM syndrome integral, and ESR, and the test 2 group was better than the test 1 group(P<0.05, P<0.01), but the CRP value did not improve significantly. Thirty days after the intervention, the test group 1 and group 2 were better than the control group in TCM syndrome score, spine mobility BASMI(low back pain VAS, Schober test) and ESR(P<0.05, P<0.01), and test 2 group was better than test 1 group(P<0.05, P<0.01), but the morning stiffness and CRP value did not improve significantly. Conclusion: Thunder-fire moxibustion for AS patients with cold-dampness syndrome during Youshi can significantly promote the recovery of spinal function, improve clinical treatment effect and patients’ quality of life.