中医综合疗法治疗强直性脊柱炎的疗效观察

摘要

Objective:To investigate the clinical efficacy of TCM comprehensive therapy in the treatment of ankylosing spondylitis(AS).Methods:190 AS patients were randomly divided into the observation group and the control group,with 95 cases in each group.The observation group was treated with acupuncture,Chinese medication,and Huolong moxibustion;whereas the control group was only given the conventional western medication.The laboratory indexes and functional indexes were analyzed before and after the treatment in the two groups;also,the clinical efficacy was compared in the both groups.Results:The total efficacy was 96.84％ in the observation group,which was significantly higher than 81.05％ in the control group (P ＜ 0.05).There were also significant difference before and after the treatment in the two groups in terms of laboratory indexes,morning stiffness,rachialgia,BASDAI,BASFI,and BASMI (P ＜ 0.05).Conclusion:The TCM comprehensive therapy of acupuncture,Chinese medication and Huolong moxibustion has better curative effect on AS with its high practicability and achievable desired results,which can be popularized in clinical practice.%目的:探讨针灸等综合疗法在强直性脊柱炎治疗中的临床疗效及应用价值.方法:选取我科接受保守治疗的190例强直性脊柱炎患者,采用分层随机化方法分为治疗组和对照组,各95例,治疗组患者予针灸、中药配合火龙灸治疗,对照组患者予常规的药物(西药)治疗.分别对两组治疗前后实验室指标、功能性指标进行对比分析,对临床疗效进行比较.结果:治疗组总有效率为96.84％,对照组总有效率为81.05％,两组比较差异有统计学意义(P＜0.05).两组在治疗前与治疗后各实验室指标、晨僵时间、脊柱痛评分、夜间痛评分、BASDAI、BASFI、BASMI评分比较具有统计学差异(P＜0.05);治疗组治疗后与对照组治疗后各指标参数比较具有统计学意义(P＜0.05).结论:针灸、中药配合火龙灸治疗强直性脊柱炎有较好疗效,实用性较高,达到预期的效果,可在临床上推广使用.