风湿病与关节炎
風濕病與關節炎
풍습병여관절염
Rheumatism and Arthritis
2015年
1期
18-20
,共3页
安阳%马武开%王莹%黄颖%周静
安暘%馬武開%王瑩%黃穎%週靜
안양%마무개%왕형%황영%주정
脊柱炎,强直性%松杖散%走罐%拔罐%督脉%膀胱经
脊柱炎,彊直性%鬆杖散%走罐%拔罐%督脈%膀胱經
척주염,강직성%송장산%주관%발관%독맥%방광경
spondylitis,ankylosing%Songzhang San%cupping%slide cupping%the Governor Vessel%the Bladder Meridian
目的:观察松杖散内服配合拔罐、走罐治疗强直性脊柱炎的临床疗效。方法:将60例强直性脊柱炎患者随机分为治疗组和对照组,每组30例。对照组给予柳氮磺吡啶每次1 g,每日2次,口服;双氯芬酸钠双释放肠溶胶囊每次75 mg,每日1次,口服。治疗组在对照组的基础上加用松杖散内服,配合督脉及足太阳膀胱经循经走罐、外周关节周围拔罐治疗。3周为1个疗程,治疗结束后按照ASAS方法评价疗效。结果:治疗组显效4例,有效19例,无效7例,总有效率为76.67%;对照组显效2例,有效14例,无效14例,总有效率为53.33%。两组比较,差异有统计学意义(P<0.05)。两组患者红细胞沉降率、C-反应蛋白、Bath AS疾病活动指数(BASDAI)、Bath AS功能指数(BASFI)等均有改善,差异有统计意义(P<0.05);治疗组在C-反应蛋白、BASDAI、BASFI方面的改善较对照组明显,差异有统计学意义(P<0.05)。结论:松杖散配合拔罐、走罐治疗强直性脊柱炎有较好疗效。
目的:觀察鬆杖散內服配閤拔罐、走罐治療彊直性脊柱炎的臨床療效。方法:將60例彊直性脊柱炎患者隨機分為治療組和對照組,每組30例。對照組給予柳氮磺吡啶每次1 g,每日2次,口服;雙氯芬痠鈉雙釋放腸溶膠囊每次75 mg,每日1次,口服。治療組在對照組的基礎上加用鬆杖散內服,配閤督脈及足太暘膀胱經循經走罐、外週關節週圍拔罐治療。3週為1箇療程,治療結束後按照ASAS方法評價療效。結果:治療組顯效4例,有效19例,無效7例,總有效率為76.67%;對照組顯效2例,有效14例,無效14例,總有效率為53.33%。兩組比較,差異有統計學意義(P<0.05)。兩組患者紅細胞沉降率、C-反應蛋白、Bath AS疾病活動指數(BASDAI)、Bath AS功能指數(BASFI)等均有改善,差異有統計意義(P<0.05);治療組在C-反應蛋白、BASDAI、BASFI方麵的改善較對照組明顯,差異有統計學意義(P<0.05)。結論:鬆杖散配閤拔罐、走罐治療彊直性脊柱炎有較好療效。
목적:관찰송장산내복배합발관、주관치료강직성척주염적림상료효。방법:장60례강직성척주염환자수궤분위치료조화대조조,매조30례。대조조급여류담광필정매차1 g,매일2차,구복;쌍록분산납쌍석방장용효낭매차75 mg,매일1차,구복。치료조재대조조적기출상가용송장산내복,배합독맥급족태양방광경순경주관、외주관절주위발관치료。3주위1개료정,치료결속후안조ASAS방법평개료효。결과:치료조현효4례,유효19례,무효7례,총유효솔위76.67%;대조조현효2례,유효14례,무효14례,총유효솔위53.33%。량조비교,차이유통계학의의(P<0.05)。량조환자홍세포침강솔、C-반응단백、Bath AS질병활동지수(BASDAI)、Bath AS공능지수(BASFI)등균유개선,차이유통계의의(P<0.05);치료조재C-반응단백、BASDAI、BASFI방면적개선교대조조명현,차이유통계학의의(P<0.05)。결론:송장산배합발관、주관치료강직성척주염유교호료효。
Objective:To observe the clinical curative effect of Songzhang San(松杖散,SZS)combined with cupping and slide cupping in the treatment of ankylosing spondylitis.Methods:60 cases of ankylosing spondylitis were randomly divided into a treatment group and a control group,30 cases in each.The control group were orally given sulfasalazine,1 g each time and twice daily; while the treatment group,based on the treatment of the control group,were orally given SZS combined with slide cupping along the Governor Vessel and the Bladder Meridian of Foot-Taiyang and cupping around periphery joints.After a course of 3 weeks,the ASAS method was used to evaluate efficacy. Results:In the treatment group,4 cases were markedly effective,19 cases were effective,and 7 cases were invalid,the total efifciency being 76.67%; while in the control group,2 cases were markedly effective,14 cases were effective,and 14 cases were invalid,the total efficiency being 53.33%.The difference between the two groups was statistically significant(P < 0.05).The erythrocyte sedimentation rate,C-reactive protein,Bath AS Disease Activity Index (BASDAI),and Bath AS Functional Index (BASFI) of patients in the two groups were all improved,the difference being statistically signiifcant(P< 0.05).The treatment group was better than the control group on the aspect of obvious improvement in C- reactive protein,BASDAI and BASFI,the difference being statistically signiifcant (P< 0.05).Conclusion:SZS combined with cupping and slide cupping had a better effect in the treatment of ankylosing spondylitis.