国际中医中药杂志
國際中醫中藥雜誌
국제중의중약잡지
INTERNATIONAL JOURNAL OF TRIDITIONAL CHINESE MEDICINE
2014年
11期
982-984
,共3页
脊柱炎,强直性%穴位,督脉%灸法%针刺
脊柱炎,彊直性%穴位,督脈%灸法%針刺
척주염,강직성%혈위,독맥%구법%침자
Spondylitis,Ankylosing%Points,Governor vessel%Moxibustion%Acupuncture
目的：探讨督灸配合针刺对强直性脊柱炎（ankylosing spondylitis，AS）的影响。方法收集2009年10月至2012年10月青岛大学医学院第二附属医院康复科门诊AS患者30例，辨证均为肾阳亏虚型，均采用督灸配合针刺疗法治疗。评价强直性脊柱炎生存质量量表（SQOL-AS）、Bath 强直性脊柱炎疾病活动指数（BASDAI）、Bath强直性脊柱炎功能性指数（BASFI）、疲劳评定量表（FAI）和红细胞沉降率（ESR）。结果治疗后患者BASDAI[(0.427±0.381)分对(6.107±1.375)分；t＝28.986，P＜0.01]、BASFI[(0.753±0.504)分对(7.480±1.152)分；t＝36.580，P＜0.01]、FAI[(40.067±14.746)分对(146.967±26.283)分；t＝24.520，P＜0.01]评分均较治疗前显著性降低，ESR 也较治疗前显著性降低[(19.833±13.929)mm/h 对(31.567±20.065)mm/h；t＝3.708，P＜0.01]。治疗后 SQOL-AS 的躯体功能[(33.000±1.930)分对(12.033±1.790)分；t＝62.165， P＜0.01]心理状态[(25.367±2.059)分对(14.067±2.303)分；t＝30.139，P＜0.01]、社会功能[(21.267±4.025)分对(8.767±1.977)分；t＝26.643， P＜0.01]和健康总体感知[(22.733±2.690)分对(9.767±2.738)分；t＝25.729，P＜0.01]分项评分较治疗前显著性增高。结论督灸配合针刺可改善AS患者躯体功能，降低疾病活动性。
目的：探討督灸配閤針刺對彊直性脊柱炎（ankylosing spondylitis，AS）的影響。方法收集2009年10月至2012年10月青島大學醫學院第二附屬醫院康複科門診AS患者30例，辨證均為腎暘虧虛型，均採用督灸配閤針刺療法治療。評價彊直性脊柱炎生存質量量錶（SQOL-AS）、Bath 彊直性脊柱炎疾病活動指數（BASDAI）、Bath彊直性脊柱炎功能性指數（BASFI）、疲勞評定量錶（FAI）和紅細胞沉降率（ESR）。結果治療後患者BASDAI[(0.427±0.381)分對(6.107±1.375)分；t＝28.986，P＜0.01]、BASFI[(0.753±0.504)分對(7.480±1.152)分；t＝36.580，P＜0.01]、FAI[(40.067±14.746)分對(146.967±26.283)分；t＝24.520，P＜0.01]評分均較治療前顯著性降低，ESR 也較治療前顯著性降低[(19.833±13.929)mm/h 對(31.567±20.065)mm/h；t＝3.708，P＜0.01]。治療後 SQOL-AS 的軀體功能[(33.000±1.930)分對(12.033±1.790)分；t＝62.165， P＜0.01]心理狀態[(25.367±2.059)分對(14.067±2.303)分；t＝30.139，P＜0.01]、社會功能[(21.267±4.025)分對(8.767±1.977)分；t＝26.643， P＜0.01]和健康總體感知[(22.733±2.690)分對(9.767±2.738)分；t＝25.729，P＜0.01]分項評分較治療前顯著性增高。結論督灸配閤針刺可改善AS患者軀體功能，降低疾病活動性。
목적：탐토독구배합침자대강직성척주염（ankylosing spondylitis，AS）적영향。방법수집2009년10월지2012년10월청도대학의학원제이부속의원강복과문진AS환자30례，변증균위신양우허형，균채용독구배합침자요법치료。평개강직성척주염생존질량량표（SQOL-AS）、Bath 강직성척주염질병활동지수（BASDAI）、Bath강직성척주염공능성지수（BASFI）、피로평정량표（FAI）화홍세포침강솔（ESR）。결과치료후환자BASDAI[(0.427±0.381)분대(6.107±1.375)분；t＝28.986，P＜0.01]、BASFI[(0.753±0.504)분대(7.480±1.152)분；t＝36.580，P＜0.01]、FAI[(40.067±14.746)분대(146.967±26.283)분；t＝24.520，P＜0.01]평분균교치료전현저성강저，ESR 야교치료전현저성강저[(19.833±13.929)mm/h 대(31.567±20.065)mm/h；t＝3.708，P＜0.01]。치료후 SQOL-AS 적구체공능[(33.000±1.930)분대(12.033±1.790)분；t＝62.165， P＜0.01]심리상태[(25.367±2.059)분대(14.067±2.303)분；t＝30.139，P＜0.01]、사회공능[(21.267±4.025)분대(8.767±1.977)분；t＝26.643， P＜0.01]화건강총체감지[(22.733±2.690)분대(9.767±2.738)분；t＝25.729，P＜0.01]분항평분교치료전현저성증고。결론독구배합침자가개선AS환자구체공능，강저질병활동성。
ObjectiveTo investigate the effect of moxibustion on the Governor Vessel in combination with acupuncture on ankylosing spondylitis.MethodsThirtypatetints with ankylosing spondylitis(kidneyyang deficiency pattern) were recruited and treated with moxibustion on the Governor Vessel in combination with acupuncture. The scores of Scale of Quality of Life for Ankylosing Spondylitis (SQOL-AS), Bath Ankylosing Spondylitis Disease Activity Index(BASDAI), Bath Ankylosing Spondylitis Functional Index(BASFI), Fatigue Assessment Instrument(FAI)and erythrocyte sedimentation rate(ESR) before and after treatment were evaluated.ResultsThe scores of BASDAI(0.427±0.381vs. 6.107±1.375;t=28.986,P<0.01), BASFI(0.753±0.504 vs. 7.480±1.152;t=36.580,P<0.01), FAI(40.067±14.746vs. 146.967±26.283;t=24.520,P<0.01)after treatment were significantly lower than those before treatment; ESR after treatment were significantly lower than that before treatment(19.833±13.929 mm/hvs. 31.567± 20.065 mm/h;t=3.708,P<0.01). The subscores of Physical Functioning(33.000±1.930vs. 12.033±1.790;t=62.165,P<0.01), Mental Health(25.367±2.059vs. 14.067±2.303;t=30.139,P<0.01), Social Functioning(21.267±4.025vs. 8.767±1.977;t=26.643,P<0.01) and General Health Perception (22.733± 2.690vs. 9.767±2.738;t=25.729,P<0.01) of SQOL-AS after treatment were significantly lower than that before treatment.ConclusionsMoxibustion on the Governor Vessel in combination with acupuncture can improve physical functioning and reduce disease activity in patients with ankylosing spondylitis.
