隔姜蒜督灸治疗强直性脊柱炎及对影像学影响的临床研究

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1、提要目的：观察隔姜蒜督灸治疗强直性脊柱炎的临床疗效及不良事件发生情况，分析隔姜蒜督灸对骶髂关节CT的影响，为强直性脊柱炎的治疗提供新思路和影像学客观依据。方法：筛选60例强直性脊柱炎患者，随机分为治疗组与对照组。治疗组采用隔姜蒜督灸治疗，对照组采用隔姜督灸治疗。每组30例患者，治疗三次，每月一次，分别观察患者治疗前后症状、体征和CTBASRI评分的变化。结果：1.两种治疗方法均可有效改善临床症状（P﹤O.01），治疗组总有效率为90%；对照组总有效率为80%，治疗组疗效优于对照组。2.治疗前后两组

2、症状积分组内比较均有显著性差异(P﹤O.01)；治疗后组间比较有显著性差异(P﹤0.05)，治疗组优于对照组。3.两种治疗方法治疗前后体征积分组内比较均有显著性差异(P﹤O.05)，治疗后两组间比较无差异(P﹥0.05)。4.治疗前后治疗组与对照组骶髂关节CTBASRI评分比较无统计学意义(P﹥0.05)，治疗后两组间比较无差异（P﹥0.05）。5.观察期间治疗组和对照组均无不良事件发生。结论：隔姜蒜督灸可以改善强直性脊柱炎患者的临床症状、体征，但是短期内对骶髂关节CT影响不明显，观察期间无不良事

3、件发生，是治疗强直性脊柱炎安全有效的方法之一，值得临床推广应用。关键词隔姜蒜督灸；强直性脊柱炎；CT；临床研究TheClinicalResearchofDu-MoxibustionacrossGingerandGarliconCTInfluenceinTreatingASSpeciality：AcupunctureandMoxibustionAuthor：MaHuainianYangTutor：AssociateProf.ZhangTongAbstractObject:Thisstudyistoo

4、bservetheclinicalcurativeeffectandadverseeventsofDu-Moxibustionacrossgingerandgarlicintreatingankylosingspondylitis(AS),analysetheimpactevaluationofthesacroiliacjointCTscans,andtoexploreanewwayandtoprovideimagingbasisfortreatmentofAS.Method:60patients

5、withASweredividedintotreatmentgroupandcontrolgroupatrandom.30casesweretreatedwithDu-Moxibustionacrossgarlicandgingertherapy,whiletheother30casesweretreatedwithDu-Moxibustionacrossgingertherapy.Eachgroupweretreated3timesinallandweretreatedonceamonth.Th

6、echangesofsymptoms,signsandsacroiliacjointCTscansofpatientswereobservedbeforeandafterthetreatmentandanalyzedwithstatisticmethodtodrawconclusions.Result:1.Bothofthetwomethodscanimprovetheclinicalsymptoms(P<0.01)effectively,Theefficientrateofthetreatmen

7、tgroupwas90％andthecontrolgroupwas80％.Thetreatmentgroupisbetterthanthecontrolgroup.2.Symptom-scorecomparisonbeforeandafterthetreatmenthadagreatlysignificantdifference(P<0.01)ineachgroup,comparisonbetweenthetwogroupshadsignificantdifference(P<0.05),andt

8、hetreatmentgroupisbetterthanthecontrolgroup.3.Sign-scorecomparisonbeforeandaftertreatmentshowedsignificantdifference(P<0.05)ineachgroup,comparisonbetweenthetwogroupsshowednosignificantdifferences(P﹥0.05)afterthetreatment.4.BASRI-scoreforthesac