温阳通督针法联合内热针治疗寒湿痹阻型强直性脊柱炎的疗效及对血清ESR、CRP和RF水平影响

Efficacy of Wenyang Tongdu Acupuncture Combined with Internal Heated Needling in Treating AS of Cold-Dampness Obstruction and Its Influence to Serum Levels of ESR,CRP and RF

目的:探讨温阳通督针法联合内热针治疗寒湿痹阻型强直性脊柱炎的疗效及对血清ESR、CRP和RF水平影响。方法:选取本院收治的98例强直性脊柱炎患者,采用随机分配原则分为对照组(49例,内热针疗法)和治疗组(49例,温阳通督针法联合内热针疗法),对比两组临床疗效、VAS评分、中医症候积分、枕墙距、BASFI评分及血清ESR、CRP和RF水平。结果:治疗后治疗组总有效率较高,差异具有统计学意义(P<0.05);两组治疗后BASFI评分、中医症候积分、枕墙距和VAS评分明显降低,差异具有统计学意义(P<0.05),且治疗组降低更明显,差异具有统计学意义(P<0.05);两组治疗后血清ESR、CRP和RF水平明显降低,差异具有统计学意义(P<0.05),且治疗组降低更明显,差异具有统计学意义(P<0.05)。结论:强直性脊柱炎患者采用温阳通督针法联合内热针治疗具有较好的临床疗效。

Objective:To explore the therapeutic effect of Wenyang Tongdu acupuncture combined with internal heated needling in the treatment of ankylosing spondylitis(AS)of cold-dampness obstruction and its influence to the serum levels of ESR,CRP and RF.Methods:A total of 98 patients with AS were randomly divided into the control group(n=49)and the treatment group(n=49).The control group was treated with internal heated needling;on which basis,the treatment group was also treated with Wenyang Tongdu acupuncture.Clinical efficacy,VAS score,TCM symptom score,occiput-wall distance and BASFI score,as well as serum levels of ESR,CRP and RF were compared between the two groups after the treatment.Results:The total effective rate of the treatment group was higher than that of the control group(P<0.05).BASFI score,TCM symptom score,occiput-wall distance and VAS score were significantly decreased after the treatment in both groups(P<0.05);of which the decreases in the treatment group were more significant(P<0.05).The serum levels of ESR,CRP and RF were also significantly reduced after the treatment in both groups(P<0.05);of which the reductions in the treatment group were more significant(P<0.05).Conclusion:Wenyang Tongdu acupuncture combined with internal heated needling has a better clinical effect in the treatment of AS.