CAJ | 학술논문

目的：观察夹脊穴盘龙刺配合温针灸及中药熏蒸治疗强直性脊柱炎(AS)的临床疗效。方法将80例AS患者随机分为治疗组、对照组，每组40例。治疗组予夹脊穴盘龙刺配合温针灸及中药熏蒸治疗；对照组用柳氮磺胺吡啶(SASP)治疗。观察病情活动指数(BASDAI)、患者总体评价、患者躯体功能(BASFI)、肿胀关节总数、骨骼和肌肉系统活动度评估(BASMI)、实验室炎性指标血沉(ESR)、血小板(PLT)和C反应蛋白(CRP)。结果两组显效率比较差异有统计学意义(P＜0.05)；两组患者治疗后病情活动指数、躯体功能等临床指标，以及ESR、PLT和CRP等实验室指标均有所改善(P＜0.05)；治疗2个疗程后，治疗组疗效更为显著，与对照组比较差异有统计学意义(P＜0.05)。结论夹脊穴盘龙刺配合温针灸及中药熏蒸治疗能有效缓解AS患者的临床症状，减轻活动期的炎症反应，是一种治疗AS的有效的方法。
목적：관찰협척혈반룡자배합온침구급중약훈증치료강직성척주염(AS)적림상료효。방법장80례AS환자수궤분위치료조、대조조，매조40례。치료조여협척혈반룡자배합온침구급중약훈증치료；대조조용류담광알필정(SASP)치료。관찰병정활동지수(BASDAI)、환자총체평개、환자구체공능(BASFI)、종창관절총수、골격화기육계통활동도평고(BASMI)、실험실염성지표혈침(ESR)、혈소판(PLT)화C반응단백(CRP)。결과량조현효솔비교차이유통계학의의(P＜0.05)；량조환자치료후병정활동지수、구체공능등림상지표，이급ESR、PLT화CRP등실험실지표균유소개선(P＜0.05)；치료2개료정후，치료조료효경위현저，여대조조비교차이유통계학의의(P＜0.05)。결론협척혈반룡자배합온침구급중약훈증치료능유효완해AS환자적림상증상，감경활동기적염증반응，시일충치료AS적유효적방법。
ObjectiveTo investigate the clinical efficacy of coiling-dragon warm needling atHuatuo jiaji points plus Chinese herbal fumigation in treating ankylosing spondylitis (AS).MethodEighty AS patients were randomly allocated to treatment and control groups, 40 cases each. The treatment group received coiling-dragon warm needling at Huatuo jiaji points plus Chinese herbal fumigation and the control group, oral administration of salicylazosulfapyridine (SASP). An investigation was made of the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), the patients’ overall assessment, the Bath Ankylosing Spondylitis Functional Index (BASFI), the total number of swollen joints, the Bath Ankylosing Spondylitis Measurement Index (BASMI) and laboratory inflammatory indices: erythrocyte sedimentation rate (ESR), platelet (PLT) and C reactive protein (CRP).ResultThere was a statistically significant difference in the marked efficacy rate between the two groups (P<0.05). Clinical indices: disease activity index and functional index and laboratory indices: ESR, PLT and CRP improved somewhat inboth groups of patients after treatment (P<0.05). After two courses of treatment, the therapeutic effect was better in the treatment group and there was a statistically significant difference compared with the control group (P<0.05).ConclusionCoiling-dragon warm needling at Huatuo jiaji points plus Chinese herbal fumigation can effectively relieve the clinical symptoms and reduce inflammatory reactions in the active stage in AS patients. It is an effective way to treat AS.