督灸配合药罐改善强直性脊柱炎脊背僵硬的临床探究.pdfVIP

提 要 目的：本文通过临床研究，观察督灸配合药罐改善强直性脊柱炎(Ankylosing Spnodylitis，简称AS) 肾阳亏虚证患者脊背僵硬症状的疗效，并初步探讨其作用机理， 为临床治疗 AS 提供有效的综合疗法。 方法：筛选强直性脊柱炎肾阳亏虚证患者 60 例，随机分为两组，以督灸+药罐组 30 例为观察组，督灸组 30 例为对照组。分别观察治疗前后患者晨僵指标（晨僵时间、 晨僵的整体水平），体征指标（“4 ”字试验、指地距、枕墙距、胸廓呼吸度），炎症指 标（ESR 、CRP ），骨代谢指标（骨钙素N 端中分子（N-MID ））。 结果：经治疗一疗程后，与对照组相比晨僵指标（晨僵时间、晨僵的整体水平） 有统计学意义 (P ﹤0.05) 。观察组总有效率为93.3%，对照组总有效率为 83.3%。 结论：督灸配合药罐能有效改善强直性脊柱炎肾阳亏虚证患者的脊背僵硬症状， 其作用是通过消除局部炎症、抑制疼痛，缓解肌肉痉挛，修复肌端病变，阻止肌腱、 韧带的纤维化、硬化或钙化来实现的，且对晨僵指标的改善作用优于单纯督灸疗法。 关键词 督灸；药罐；强直性脊柱炎；僵硬；疗效；临床研究 Clinical Study on Du Moxibustion Accompanied by Herbal Cupping in Treating Spine Stiffness of Ankylosing Spondylitis Speciality：Acupuncture and Moxibustion Author ：Wang Jianhui Tutor：Prof.Yang Jiguo Abstract Objective ：This article is to observe the curative effeect of Du moxibustion accompanied by herbal cupping on back stiffness of AS patient (kidney yang deficiency syndrome), and primarilly discusses its mechanism, in order to provide a new comprehensive therapy of AS. Method: The study select 60 cases of AS patient (kidney yang deficiency syndrome), divided into two groups randomly with 30 cases of du moxibustion + herbal cupping as observation group 30 cases of Du moxibustion as control group .Morning stiffness index (degree of morning stiffness, time of morning stiffness), physical signs (Number “4” experiment ,distance referring to the from the wall pillow, rotation of the cervical spine, Thoracic respiration rate), Inflammation index （ESR 、CRP ）、Bone supersession index(BGP N-BID) were observed before and after the treatment. Results ：After one period of treatment, the morning stiffness index (degree of morning stiffness, time of morning stiffness) of observation group has statistical signi