督灸配合针刺夹脊穴改善强直性脊柱炎脊柱活动障碍的临床观察

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1、提要目的：本文通过临床研究，主要观察一个疗程治疗前后强直性脊柱炎（ankylosingspondylitis，AS）患者的脊柱活动障碍的改变，包括治疗前后主要症状、体征、功能活动指数及颈、胸腰椎活动度丧失率的改变，以分析督灸配合针刺改善强直性脊柱炎患者脊柱活动障碍的临床疗效，筛选改善强直性脊柱炎活动障碍的更佳方案，为临床治疗提供可靠依据。方法：本研究筛选强直性脊柱炎脊柱关节活动障碍的患者62例，随机分为督灸配合针刺组（治疗组）和督灸组（对照组）各31例，记录一个疗程治疗前后主要症状、体征、功能活动指数及颈、胸腰椎活动度丧失率的改变,进而评价两种治疗方法对AS脊柱关节活动障碍患者的不同治疗效果

2、，指导临床治疗。结果：经督灸和督灸配合针刺治疗一个疗程后，两组强直性脊柱炎脊柱活动障碍患者的主要症状、体征、功能活动指数及颈、胸腰椎活动度丧失率等指标自身前后对照有显著性差异（P＜0.05），两组组间对照有显著性差异（P＜0.05）。结论：督灸可以改善强直性脊柱炎脊柱活动障碍患者的症状、体征、功能活动指数及颈、胸腰椎活动度丧失率等指标，能够有效的缓解病情，具有明显的临床疗效，且配合针刺治疗疗效更加明显。关键词督灸；针刺；夹脊穴；强直性脊柱炎；活动障碍；临床观察TheClinicalObservationonImprovingBackboneleanrangeofFlexionofAnkylo

3、singSpondylitisbyDu-MoxibustionCombinedwithAcupunctureatJiaJiPoints.Speciality：AcupunctureandMoxibustionAuthor：ShiHuanxiaTutor：Prof.YangJiguoAbstractObjective：Toobservetheimprovementofbackboneleanrangeofflexion,includingsyndromesandsigns,rateoffunctionalmovementandlossrateofthoracicandlumbarvertebr

4、a.ToanalysetheclinicaleffectofDu-Moxibustioncombinedwithacupunctureinimprovingthedisfunctionofspinalmovementofankylosingspondylitispatients,andselectbettermethodofimprovingthemovementdisfunctiontoprovidereliableproofforclinicaltreatment.Method：Thestudyselect62ASpatientswithdisfunctionofbackbonelean

5、rangeofflexionandrandomlydividedintotreatmentgroupandcontrolgroup,with31patientseach.Recordthemainsyndromesandsigns,rateoffunctionalmovementandlossesrateofthoracicandlumbarvertebra,changeofbeforeandafterthetreatment.Andfurtherevaluatedifferenteffectsofthe2therapiesonimprovingthefunctionofspinalmove

6、ment.Result：AfteroneperiodoftreatmentofDu-MoxibustionandDu-Moxibustioncombinedwithacupuncture.Themainsyndromesandsigns,rateoffunctionalmovementandlossesrateofthoracicandlumbarvertebrahaveobviousdifference(P＜0.05)beforeandaftertreatment,andthereareobviousdiferencebetweenthetwogroups.Conclusions：Du-m

7、oxibustionhavesignificantclinicalefficacyonimprovingthesyndromesandsigns,rateoffunctionalmovementandlossesrateofthoracicandlumbarvertebra,delayingthedevelopmentofdisease,andthereisbetterobviouseffectofDu-Mo