松杖散配合拔罐、走罐治疗强直性脊柱炎临床观察

摘要

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.%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。