CAJ | 학술논문

目的：：探讨进展期强直性脊柱炎患者的门诊综合治疗方法及疗效。方法：自2000年3月~2012年3月,门诊治疗进展期强直脊柱炎患者365例,其中男264例,女101例；年龄15~42岁,平均29岁；病程5~9年,平均6.3年；给予心理辅导教育,重视功能锻炼,必要物理治疗,规范药物治疗,配合小针刀应用进行治疗。采用视觉模拟评分法( Visual Analogue Scale,VAS)评价疗效。结果：所有病例均得到长期随访,随访时间24~120个月,17例患者发展为纤维性强直,2例患者出现双侧髋关节骨性强直,股骨头坏死,行双侧人工全髋置换术。其余患者未出现畸形及功能障碍, VAS由初次确诊平均得分6.13分降为末次随访3.16分。结论：进展期强直性脊柱炎患者通过合理门诊综合治疗能有效控制病情发展。
목적：：탐토진전기강직성척주염환자적문진종합치료방법급료효。방법：자2000년3월~2012년3월,문진치료진전기강직척주염환자365례,기중남264례,녀101례；년령15~42세,평균29세；병정5~9년,평균6.3년；급여심리보도교육,중시공능단련,필요물리치료,규범약물치료,배합소침도응용진행치료。채용시각모의평분법( Visual Analogue Scale,VAS)평개료효。결과：소유병례균득도장기수방,수방시간24~120개월,17례환자발전위섬유성강직,2례환자출현쌍측관관절골성강직,고골두배사,행쌍측인공전관치환술。기여환자미출현기형급공능장애, VAS유초차학진평균득분6.13분강위말차수방3.16분。결론：진전기강직성척주염환자통과합리문진종합치료능유효공제병정발전。
Objective:To explore the efficacy and comprehensive outpatient treatment progression in patients with ankylosing spondyli-tis. Methods:From 2000 March to 2012 March, 365 cases of ankylosing spondylitis patients in outpatient treatment mandatory progress pe-riod, of which 264 cases were male, 101 female;age 15 ~ 42 years, average 29 years;the course of disease was 5 to 9 years, average 6. 3 years;to give psychological counseling education, pay attention to functional exercise, the necessary physical therapy, standard drug treatment, with small needle knife used for treatment. By using visual analogue scale ( Visual Analogue Scale, VAS) , curative effect was evaluated. Results:All cases were followed up, the follow-up time ranged from 24 to 120 months, 17 patients developed fibrous ankylo-sis, 2 patients had bilateral hip bony ankylosis, femoral head necrosis, bilateral total hip arthroplasty. The rest of the patients showed no deformity and dysfunction, VAS first diagnosed by averaging 6. 13 points down to the last follow-up 3. 16 points. Conclusion:Advanced ankylosing spondylitis patients can effectively control the progression of the disease through reasonable comprehensive outpatient treatment.