针灸联合乌头汤治疗强直性脊柱炎的疗效探究

Therapeutic effect of acupuncture combined with Aconitum decoction on ank ylosing spondylitis

目的:探讨用中医针灸疗法联合乌头汤治疗强直性脊柱炎的临床疗效。方法:选取西安市高陵区中医医院于2020年1月至2021年3月收治的126例强直性脊柱炎患者,采用随机数表法将其分为研究组和对照组(63例/组)。对对照组患者进行常规药物治疗,在此基础上为研究组患者采用中医针灸疗法和乌头汤进行治疗。然后对比两组患者的临床疗效、C反应蛋白(CPR)的水平、红细胞沉降率(ESR)、晨僵持续时间、脊柱活动度和胸廓活动度。结果:研究组患者治疗的总有效率(93.65%)高于对照组患者治疗的总有效率(80.98%),P<0.05。治疗后,研究组患者CPR的水平、ESR均低于对照组患者,P<0.05;其晨僵持续时间短于对照组患者,P<0.05;其脊柱活动度、胸廓活动度均大于对照组患者,P<0.05。结论:联用中医针灸疗法与乌头汤治疗强直性脊柱炎的疗效显著,可有效地缓解患者的疼痛症状,消除其脊柱的炎症反应,改善其脊柱的活动功能。

Objective:To explore the clinical efficacy of Chinese acupuncture and moxibustion combined with Aconitum decoction in the treatment of ankylosing spondylitis.Methods:A total of 126 patients with ankylosing spondylitis admitted to Gaoling Hospital of Traditional Chinese Medicine in Xi‘an from January 2020 to March 2021 were selected and divided into study group and control group(63 cases/group)by random number table method.Patients in the control group were treated with conventional drugs,and patients in the study group were treated with traditional Chinese acupuncture and aconitum decoction.Then,the clinical efficacy,C-reactive protein(CPR)level,erythrocyte sedimentation rate(ESR),morning stiffness duration,spinal motion and thoracic motion were compared between the two groups.Results:The total effective rate of study group(93.65%)was higher than that of control group(80.98%),P<0.05.After treatment,the CPR level and ESR of the study group were lower than those of the control group,P<0.05;The duration of morning stiffness was shorter than that of control group,P<0.05;The range of motion of spine and thorax were higher than those of control group(P<0.05).Conclusion:The combination of traditional Chinese acupuncture therapy and Aconitum decoction is effective in the treatment of ankylosing spondylitis,which can effectively relieve the pain symptoms of patients,eliminate the inflammatory response of their spinal column,and improve the activity of their spinal column.