长圆针为主综合疗法治疗强直性脊柱炎临床研究

Clinical Study on AS Treated with Comprehensive Therapy Based on Long Round Needling

目的:探讨长圆针为主的综合疗法对强直性脊柱炎的治疗效果。方法:将60例稳定期强直性脊柱炎患者随机分为对照组和观察组,每组30例。两组均予益赛普常规治疗两周,观察组加用长圆针1次、拔罐1次、穴位敷贴3次和中药口服2周。评价两组治疗前后血沉、CRP、枕墙距、指地距、胸廓活动度、schober test、BASDAI评分、ASAS20达标率及临床疗效变化情况。结果:与本组治疗前比较,观察组治疗后血沉、CRP无明显变化(P>0.05),枕墙距、指地距、胸廓活动度、Schober试验和BASDAI评分明显改善,差异具有统计学意义(P<0.05);对照组治疗后上述指标无明显变化(P>0.05)。组间治疗后比较,与对照组相比,观察组除血沉、CRP外,上述其他各指标差异均有统计学意义(P<0.05),观察组明显优于对照组。ASAS20达标率两者比较,差异具有统计学意义(P<0.05)。观察组、对照组总有效率比较,差异具有统计学意义(P<0.05)。结论:综合疗法治疗强直性脊柱炎疗效显著,能有效控制强直性脊柱炎患者的症状和体征。

Objective:To investigate the clinical effect of comprehensive therapy based on long round needling in the treatment of ankylosing spondylitis(AS).Methods:60 patients with AS,who met the inclusion criteria,were randomly divided into the observation group and the control group,with 30 cases in each group.Both groups were given routine treatment of Etanercept for 2 weeks;on which basis,the observation group was also treated with once long round needling and once cupping,3 times of acupoint application,and 2 weeks of TCM decoction.ESR,CRP,occipital-wall distance,finger-ground distance,thoracic range of motion,the scores of Schober test and BASDAI,the ASAS20 reaching standard rate and the total effective rate were evaluated in the two groups.Results:ESR and CRP had no significant changes in the observation group after the treatment(P>0.05),however occipital-wall distance,finger-ground distance,thoracic range of motion,the scores of Schober test and BASDAI were significantly improved after the treatment compared with those before the treatment in the observation group(P<0.05).There were no significant changes in the above indexes in the control group(P>0.05).There were no statistical difference in ESR and CRP between the observation group and the control group after the treatment(P>0.05).Compared with those in the control group,occipital-wall distance,finger-ground distance,thoracic range of motion,the scores of Schober test and BASDAI were significantly improved in the observation group after the treatment(P<0.05).The ASAS20 reaching standard rate were significantly better in the observation group than that in the control group(P<0.05).The total effective rate was significantly higher in the observation group than that in the control group(P<0.05).Conclusion:Comprehensive therapy is effective in the treatment of AS,which can effectively control the symptoms and signs of the disease.