督灸治疗强直性脊柱炎疗效观察及热像图相关性探讨.pdfVIP

提 要 目的：观察督灸治疗强直性脊柱炎的临床疗效，并运用红外热像图技术初步探讨 强直性脊柱炎患者症状、体征、实验室指标与热像图的相关性以及督灸疗法对 AS 患 者热像图的影响，为进一步建立直观、简便的 AS 热像图诊断与疗效评价标准奠定基 础。 方法：筛选AS肾阳虚证患者30例，采用督灸治疗，检测脊背的红外热像图、检 测CRP、ESR等实验室指标，记录症状、体征，探讨热像图与检测项目的相关性。 结果：经督灸一疗程后，AS 肾阳虚证患者的积分前后对照有显著性差异（P＜ 0.05），有效率达90%；AS肾阳虚证患者脊背高温区中心温度与周围组织温度之差 （⊿ T）与治疗前相比有显著性差异（P＜0.05）；温差（⊿T）与枕墙距、指地距呈正相关 性（P＜0.05），与胸廓活动度呈负相关性；温差⊿T与ESR、CRP呈正相关（P＜0.05）。 结论：督灸治疗 AS 肾阳虚证患者，疗效明显。强直性脊柱炎患者症状、体征、 实验室指标与温差（⊿T）具有相关性。督灸疗法对AS肾阳虚证患者脊背热像具有显 著影响。可以运用红外热像技术进一步探讨AS的热像图诊断与疗效评价标准。 关键词 督灸；强直性脊柱炎；疗效观察；热像图；相关性；临床研究 The exploration of the relevance between the curative effect of Du-moxibustion on AS and Infrared thermograms Speciality：Acupuncture and Moxibustion Author ：Sun Shan Tutor：Prof.Yang Jiguo Abstract Objective: Observing the clinical curative effect of treating AS by Du-moxibustion. Exploring the relevance between the thermal image and inspection item. To Lay the foundation for a more direct and simple diagnosis and effect evaluation standard by thermal image. Methods: Select 30 AS （kidney Yang deficiency ）patients who were treated by Du-moxibustion ， detect infrared thermograms,CRP,ESR.Recording the symptoms and signs to discuss the relevance between the thermography and detection items. Results: By the Du-moxibustion, the effective rate was 90%. There are significant difference （p 0.05 ）of the temperature gap ( ⊿T) between spinal area and tissues around compared with treatment before in AS patients；The temperature gap ( ⊿T) was positive correlated with the pillow wall distance （p0.05 ）and negatively correlated with the thoracic movement ；the temperature gap ( ⊿T) was positively correlated with ESR and CRP(p0.05).