改良督灸联合拔罐疗法在肾虚督寒型强直性脊柱炎患者中的应用观察

Application of modified Du Channel moxibustion combined with cupping therapy on patients with ankylosing spondylitis of kidney deficiency and cold in Du channel type

目的探讨改良督灸与拔罐联合的中医护理技术在肾虚督寒型强直性脊柱炎(AS)患者中的应用效果。方法采用便利抽样法,选取2022年11月—2023年9月青岛市中医医院风湿免疫科收治的99例肾虚督寒型强直性脊柱炎患者作为研究对象,随机分为试验组、对照1组和对照2组,各33例。在常规西药治疗的基础上,试验组实施改良督灸及拔罐治疗;对照1组实施改良督灸治疗;对照2组实施拔罐治疗,干预时长均为4周。比较3组干预前、干预2周及干预4周时中医证候积分、强直性脊柱炎病情活动指数(BASDAI)、强直性脊柱炎功能指数(BASFI)及强直性脊柱炎生活质量(ASQoL)问卷的差异。结果共脱落6例,最终试验组30例、对照1组32例、对照2组31例完成研究。3组患者中医证候积分、BASDAI、BASFI、ASQoL的时间、组间及交互效应差异均具有统计学意义(P<0.05),干预2周、干预4周时试验组各指标均优于对照1组和对照2组(P<0.05)。结论改良督灸联合拔罐疗法可以有效降低肾虚督寒型强直性脊柱炎患者疼痛程度,改善脊柱功能,提高生活质量。

Objective To explore the application effect of traditional Chinese medicine(TCM)nursing technology combined with modified Du channel moxibustion and cupping therapy on patients with ankylosing spondylitis of kidney deficiency and cold in Du channel type.Methods Convenience sampling method was used to select 99 patients with ankylosing spondylitis of kidney deficiency and cold in Du channel type admitted to the Rheumatology and Immunology Department of Qingdao Traditional Chinese Medicine Hospital from November 2022 to September 2023 as research subjects.They were randomly divided into an experimental group,a control group 1 and a control group 2,with 33 patients in each group.On the basis of conventional western medicine treatment,the experimental group implemented modified Du channel moxibustion and cupping therapy;the control group 1 received modified Du channel Moxibustion therapy;the control group 2 were treated with cupping therapy,and the intervention duration of all groups was 4 weeks.The differences in the TCM syndrome scores,Bath Ankylosing Spondylitis Disease Activity Index(BASDAI),Bath Ankylosing Spondylitis Functional Index(BASFI),and Ankylosing Spondylitis Quality of Life(ASQoL)questionnaire among three groups before intervention,2 weeks after intervention and 4 weeks after intervention were compared.Results A total of 6 cases were dropped,and finally 30 cases in the experimental group,32 cases in the control group 1 and 31 cases in the control group 2 finished the study.The time,intra group,and interaction effects of the TCM syndrome score,BASDAI,BASFI and ASQoL in the three groups of patients were statistically significant(P<0.05).The indexes of the experimental group were better than those in the control group 1 and control group 2 at 2 weeks,4 weeks after intervention(P<0.05).Conclusions Modified Du channel moxibustion combined with cupping therapy can effectively reduce the severity of pain,improve spinal function and improve quality of life for patients with ankylosing spondylitis of kidney deficiency and cold in Du channel type.