摘要
目的:在服药基础上,观察针刺加动力灸疗法与单纯针刺治疗早中期成年型强直性脊柱炎的临床疗效差异。方法:55例成年型强直性脊柱炎患者随机分为针灸组(28例)和针刺组(27例)。两组均予以柳氮磺吡啶片口服。针灸组采用针刺结合动力灸疗法,针刺穴取夹脊穴、肾俞、大肠俞、委中,并于足太阳膀胱经(背部第一侧线)、督脉(大椎至腰俞段)施以动力灸疗法;针刺组采用针刺疗法,取穴及操作同针灸组。均每日1次,每周5次,1个月为一疗程,共治疗3个疗程。比较两组患者治疗前后Bath强直性脊柱炎疾病功能指标(BASFI)、Bath强直性脊柱炎疾病活动指标(BASDAI)评分,并比较两组的临床疗效。结果:针灸组总有效率为96.4%(27/28),优于针刺组的88.9%(24/27,P<0.05)。治疗后两组的BASFI、BASDAI评分均较治疗前下降(均P<0.05),且针灸组优于针刺组,差异具有统计学意义(均P<0.05)。结论:在服药基础上,针刺结合动力灸疗法能够改善强直性脊柱炎患者的临床症状,且优于单纯针刺者。
Objective To observe the clinical efficacy differences between acupuncture combined with dynamic moxibustion and acupuncture alone for adult ankylosing spondylitis （AS） at early-to-mid stage based on medica tion. Methods Fifty-five eases of adult AS were randomly divided into an aeupuneture-moxibustion group （28 caseS） and an acupuncture group （27 eases）. The two groups were treated with oral administration of sulfasalazine tablets. In addition, the acupuncture-moxibustion group was treated with acupuncture at Jiaji （EX-B 2）, Shenshu （BL 23）, Dachangshu （BL 25）, Weizhong （BL 40） as well as dynamic moxibustion at the first line of bladder meridian of foot-taiyang and governor vessel from Dazhui （GV 14） to Yaoshu （GV 2）. The acupuncture group was treated with acupuncture, the acupoints and manipulation of which were identical to acupuncture-moxibustion group. The treatment was given once a day, five days per week; one session was consisted of one-month treatment, and totally three sessions were given. The bath ankylosing spondylitis functional index （BAFI） and bath ankylosing spondylitis disease activity index （BASDAI） were compared before and after treatment ihthe two groups; also the clinical effective rates were compared between the two groups. Results The total effective rate was 96.4% （27/28） in the acupuncture-moxihustion group, which was superior to 88.9% （24/27） in the acupuncture group （P〈0.05）. Compared before treatment, the BASFI and BASDAI were reduced after treatment in the two groups （all P〈0.05）, which were more significant in the acupuncture-moxibustion group （both P〈0. 05）. Conclusion Based on medication, acupuncture combined with dynamic moxibustion could improve the clinical symptoms of AS, which is superior to simple acupuncture.
出处
《中国针灸》
CAS
CSCD
北大核心
2016年第11期1157-1160,共4页
Chinese Acupuncture & Moxibustion
关键词
强直性脊柱炎
针刺
动力灸
ankylosing spondylitis （AS）
acupuncture
dynamic moxibustion
