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视察.pdfVIP

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（ankylosing spondylitis，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，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 The Clinical Observation on Improving Backbone lean range of Flexion of Ankylosing Spondylitis by Du-Moxibustion Combined with Acupuncture at JiaJi Points. Speciality：Acupuncture and Moxibustion Author ：Shi Huanxia Tutor：Prof.Yang Jiguo Abstract Objective ： To observe the improvement of backbone lean range of flexion,including syndromes and signs,rate of functional movement and loss rate of thoracic and lumbar vertebra.To analyse the clinical effect of Du-Moxibustion combined with acupuncture in improving the disfunction of spinal movement of ankylosing spondylitis patients,and select better method of improving the movement disfunction to provide reliable proof for clinical treatment.Method ：The study select 62 AS patients with disfunction of backbone lean range of flexion and randomly divided into treatment group and control group, with 31 patients each.Record the main syndromes and signs,rate of functional movement and losses rate of thoracic and lumbar vertebra,change of before and after the treatment.And further evaluate different effects of the 2 therapies on impro