任督周天灸配合药酒灸治疗强直性脊柱炎性髋关节滑膜炎的临床研究

Moxibustion of Conception Vessel and Governor Vessel Combined with Medicinal Liquor Moxibustion Treating Transient Synovitis of AS: A Clinical Study

目的:观察比较基于柳氮磺吡啶片、美洛昔康片的任督周天灸与普通艾盒灸治疗强直性脊柱炎性髋关节滑膜炎的临床疗效。方法:利用随机数字表法将64例强直性脊柱炎性髋关节滑膜炎患者随机分为观察组和对照组,各32例。两组均给予柳氮磺吡啶片、美洛昔康片,观察组给予任督周天灸配合药酒施灸于患者任脉、督脉;对照组给予普通艾盒灸,施灸于受试者背部及腹部。两组治疗均1周1次,每次2 h,4次为一疗程,共治疗4个疗程。治疗结束后比较两组患者的Harris评分、ASDAS、BASFI、视觉模拟量表(VAS)评分情况CRP水平及ESR。结果:观察组总有效率为90. 5%,明显优于对照组(P <0. 05);两组间比较观察组Harris评分、ASDAS、BASFI、视觉模拟量表(VAS)评分、CRP及ESR改善均优于对照组(P <0. 05)。结论:基于柳氮磺吡啶片、美洛昔康片治疗上,任督周天灸配合药酒灸治疗强直性脊柱炎性髋关节滑膜炎疗效显著,Harris评分、ASDAS、BASFI、视觉模拟量表(VAS)评分改善均优于普通艾盒灸。

Objective:To observe the clinical efficacy of moxibustion of Conception Vessel and Governor Vessel and common moxibustion,on the treatment basis of Sulfasalazine and Meloxicam,when treating transient synovitis of ankylosing spondylitis(AS).Methods:64 patients with transient synovitis of AS were randomly divided into the observation group(n=32)and the control group(n=32).Both groups were treated with Sulfasalazine Tablets and Meloxicam Tablets;on which basis,the observation group was also treated with moxibustion of Conception Vessel and Governor Vessel combined with medicinal liquor moxibustion;the control group was treated with common moxibustion on back and abdomen.Both groups were treated for four courses(once a week,2 hours for each time,4 times for one course).Scores of Harris,ASDAS,BASFI,and VAS were compared between the two groups after the treatment.Results:The total effective rate of the observation group was better than that of the control group(P<0.05).The score improvements of Harris,ASDAS,BASFI and VAS were better in the observation group than those in the control group(P<0.05).Conclusion:Based on the treatment of Sulfasalazine Tablets and Meloxicam Tablets,moxibustion of Conception Vessel and Governor Vessel combined with medicinal liquor moxibustion is effective for transient synovitis of AS,and its effect on the improvements of the scores of Harris,ASDAS,BASFI,and VAS were more significant than common moxibustion.