艾灸疗法联合康复训练对强直性脊柱炎的临床疗效分析

Clinical efficacy analysis of moxibustion therapy combined with rehabilitation training for ankylosing spondylitis

目的进行艾灸疗法联合康复训练治疗强直性脊柱炎(AS)的临床疗效分析。方法选择2021年4月至2023年4月医院收治的72例入院的AS患者作为研究对象,随机分为治疗组、对照组,各为36例。治疗组运用艾灸疗法联合康复训练治疗,对照组使用康复训练治疗,两组分别治疗12周。艾灸疗法每周治疗2次;康复训练每日2 h。治疗12周后比较两组的临床疗效,治疗6、12周比较两组的实验指标(ESR、IL-6、CRP、TNF-α)、各项评分(VAS评分、BASFI评分及BASDAI评分)及Schorber试验、胸廓活动度、枕墙距、指地距。结果治疗12周后,治疗组总有效率为86.11%,高于对照组的63.89%(P<0.05);治疗6、12周后,两组ESR、IL-6、CRP、TNF-α数值,较治疗前均降低(P<0.05),治疗组低于对照组(P<0.05);两组VAS评分、BASFI评分及BASDAI评分,较治疗前均降低(P<0.05),治疗组低于对照组(P<0.05);两组Schorber试验、胸廓活动度数,较治疗前均提高(P<0.05),治疗组改善优于对照组(P<0.05);枕墙距、指地距数值,较治疗前均降低(P<0.05),治疗组改善优于对照组(P<0.05)。结论艾灸疗法联合康复训练治疗AS,在减轻患者临床症状、改善不良体征和实验室指标、控制疾病发展方面疗效确切,值得临床推广。

Objective To analyze the clinical efficacy of moxibustion therapy combined with rehabilitation training in the treatment of ankylosing spondylitis(AS).Methods 72 AS patients admitted to the hospital from April 2021 to April 2023 were selected as the study subjects and randomly divided into a treatment group and a control group,with 36 patients in each group.The treatment group received moxibustion therapy combined with rehabilitation training treatment,while the control group received rehabilitation training treatment.The two groups were treated for 12 weeks each.Moxibustion therapy treats twice a week;Rehabilitation training lasts for 2 hours per day.Compare the clinical efficacy of the two groups after 12 weeks of treatment,and compare the experimental indicators(ESR,IL-6,CRP,TNF),Various scores(VAS score,BASFI score,and BASDAI score)and Schorber test,chest range of motion,occipital wall distance,and finger to ground distance of the two groups after 6 and 12 weeks.Results After 12 weeks of treatment,the total effective rate of the treatment group was 86.11%,which was higher than the control group’s 63.89%(P<0.05);After 6 and 12 weeks of treatment,two groups of ESR,IL-6,CRP,TNF-αThe values decreased compared to before treatment(P<0.05),and the treatment group was lower than the control group(P<0.05);The VAS score,BASFI score,and BASDAI score of both groups decreased compared to before treatment(P<0.05),and the treatment group was lower than the control group(P<0.05);The Schorber test and chest range of motion in both groups increased compared to before treatment(P<0.05),and the improvement in the treatment group was better than that in the control group(P<0.05);The values of pillow wall distance and finger ground distance decreased compared to before treatment(P<0.05),and the improvement in the treatment group was better than that in the control group(P<0.05).Conclusion Moxibustion therapy combined with rehabilitation training is effective in reducing clinical symptoms,improving adverse signs and indicators,controlling disease progression in patients with AS,and is worthy of clinical promotion.