西部中医药
西部中醫藥
서부중의약
GANSU JOURNAL OF TRADITIONAL CHINESE MEDICINE
2013年
11期
5-7
,共3页
强直性脊柱炎%补肾强督%祛风通络%早中期
彊直性脊柱炎%補腎彊督%祛風通絡%早中期
강직성척주염%보신강독%거풍통락%조중기
ankylosing spondylitis%kidney-nourishing Du-meridian-strengthening%wind-dispelling collateral-dredging%early and medium stages
目的：观察补肾强督祛风通络法治疗早中期强直性脊柱炎的临床疗效。方法：将100例强直性脊柱炎患者随机分为治疗组和对照组各50例，治疗组采用中药内服外敷治疗，对照组口服柳氮磺胺吡啶治疗，2组均治疗3个月后观察临床总疗效，治疗前后中医症状积分与患者功能指数（BASFI）、病情活动指数（BASDAI）以及体征、ESR、CRP变化情况。结果：有效率治疗组为90.00%，对照组为80.00%，2组比较差异有统计学意义（P＜0.05）；治疗组治疗后中医症状积分，BASDAI、BASFI评分，中轴关节压痛指数，晨僵时间，Schober试验，指地距，脊柱活动度以及ESR、CRP等指标与治疗前比较差异均有统计学意义（P＜0.05），与对照组比较，差异有统计学意义（P＜0.05）；治疗组不良反应明显少于对照组。结论：补肾强督祛风通络法治疗早中期强直性脊柱炎疗效肯定，安全无副作用。
目的：觀察補腎彊督祛風通絡法治療早中期彊直性脊柱炎的臨床療效。方法：將100例彊直性脊柱炎患者隨機分為治療組和對照組各50例，治療組採用中藥內服外敷治療，對照組口服柳氮磺胺吡啶治療，2組均治療3箇月後觀察臨床總療效，治療前後中醫癥狀積分與患者功能指數（BASFI）、病情活動指數（BASDAI）以及體徵、ESR、CRP變化情況。結果：有效率治療組為90.00%，對照組為80.00%，2組比較差異有統計學意義（P＜0.05）；治療組治療後中醫癥狀積分，BASDAI、BASFI評分，中軸關節壓痛指數，晨僵時間，Schober試驗，指地距，脊柱活動度以及ESR、CRP等指標與治療前比較差異均有統計學意義（P＜0.05），與對照組比較，差異有統計學意義（P＜0.05）；治療組不良反應明顯少于對照組。結論：補腎彊督祛風通絡法治療早中期彊直性脊柱炎療效肯定，安全無副作用。
목적：관찰보신강독거풍통락법치료조중기강직성척주염적림상료효。방법：장100례강직성척주염환자수궤분위치료조화대조조각50례，치료조채용중약내복외부치료，대조조구복류담광알필정치료，2조균치료3개월후관찰림상총료효，치료전후중의증상적분여환자공능지수（BASFI）、병정활동지수（BASDAI）이급체정、ESR、CRP변화정황。결과：유효솔치료조위90.00%，대조조위80.00%，2조비교차이유통계학의의（P＜0.05）；치료조치료후중의증상적분，BASDAI、BASFI평분，중축관절압통지수，신강시간，Schober시험，지지거，척주활동도이급ESR、CRP등지표여치료전비교차이균유통계학의의（P＜0.05），여대조조비교，차이유통계학의의（P＜0.05）；치료조불량반응명현소우대조조。결론：보신강독거풍통락법치료조중기강직성척주염료효긍정，안전무부작용。
Objective: To observe curative effects of kidney-nourishing Du-meridian-strengthening Wind-dispelling collaterals-dredging method in treating the patients with ankylosing spondylitis at early and medium stages. Method: All 100 patients were randomized into the treatment group and the control group. The treatment group accepted TCM for internal and external use and the control group oral salazosulfapyridine. Clinical effects, changes of CRP, ESR, body signs, symptom scales, BASFI and BASDAI were observed before and after treating for three months. Result:Effective rates of both groups were 90.00%and 80.00%, the difference had statistical meaning between both groups (P<0.05);the difference had statistical meaning in symptom scale, BASDAI, BASFI scale, tenderness index of axial joints, the time of morning stiffness, Schober test, mean distance, spinal mobility, clinical and experimental indexes including ESR, CRP and others, when the treatment group after treating was compared with that before treating(P<0.05), the difference had statistical meaning compared with the control group(P<0.05);adverse reactions occurred in the treatment group were less than those occured of the control group. Conclusion:The method of kidney-nourishing Du-meridian-strengthening Wind-dispelling collaterals-dredging could obtain definite effects in treating ankylosing spondylitis at early and medium stages, which is safe and without side-effects.
