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1、督灸治疗强直性脊柱炎的临床效果[摘要]目的观察督灸疗法治疗强直性脊柱炎(AS)的有效性、安全性及远期疗效。方法选取我院2014年3月〜2015年6月住院治疗的AS患者111例,分为治疗组55例,进行督灸,对照组56例,常规口服柳氮磺毗噪肠溶片等药物,治疗前后均检查体征,包括“4”字试验、指地距、枕墙距、胸廓活动度,以及检测血沉(ESR)、C反应蛋白(CRP),通过疼痛VAS表对疼痛改善情况评分,记录治疗中不良事件。结果治疗组总有效率85.45%,对照组为66.07%,治疗组疗效优于对照组(x2=5.66,P<0.05)o两组治疗后6个月随访,治疗组41例维持治疗后效
2、果,总有效率58.18%,对照组19例维持治疗后效果,总有效率35.72%,比较差异有统计学意义(x2=5・62,P<0.05)o两组均未见不可逆的不良反应。结论应用督灸治疗AS不仅在短期及长期能有效控制并减轻症状,且能改善患者体质,提高患者生活质量。[关键词]督灸;强直性脊柱炎;疗效[中图分类号]R259[文献标识码]A[文章编号]1674-4721(2016)05(a)-0157-04ClinicaleffectsofmonitormoxibustiontherapyintreatingankylosingspondylitisTAOJiang-taoRONGY
3、iDepartmentofTraditionalChineseMedicine,NanyangNanshiHospitalinllermnProvince,Nanyang473000,China[Abstract]ObjectiveToobservetheeffective,safetyandIong-termeffectofmonitormoxibustiontherapyintreatingankylosingspondylitis(AS).Methods111patientswithASfromMarch2014toJune2015ofourhospitalw
4、ereselectedanddividedintotreatmentgroup(n二55cases,andwhoweregivenmonitormoxibustion)andcontrolgroup(n二56cases,andwhoweregivenroutineoralsulfasalazineenteric-coatedtablets)・Beforeandaftertreatment,thephysicalsignincludingfourwordstest,finger-floordistance,occipitowallgap,thoracicmobilit
5、y,ESRandCRPweretested,thepainimprovementweretestedbyusingVAStable.Theadverseeffectsintreatmentwererecorded.ResultsThetotaleffectiverateintreatmentgroupwas85.45%,with66.07%incontrolgroup,andthediffereneewasstatisticalsignificanee(x2=5.66,P<0.05).Afterfollowedupfor6monthsintwogroups,41ca
6、sesmaintainedposttreatmenteffectswerefoundandthetotaleffectiveratewas58.18%intreatmentgroup,whichwasrespectively19casesand35.72%incontrolgroup,theeffectsintreatmentgroupwasbetterthanthatofcontrolgroup,andthediffereneewasstatisticalsignificance(x2=5・62,P<0.05)・Irreversibleadverseeffects
7、werenotfoundintwogroups.ConclusionUsingmonitormoxibustiontherapyintreatingAScannotonlycontrolandalleviatesymptomsintheshorttermandlongterm,butalsoimprovephysiqueandlifequalityofpatients.[Keywords]MonitorMoxibustion;Ankylosingspondylitis:Efficacy强直性脊柱炎(ankylosingspondylitis,AS)是临床常见的血