隔姜蒜督灸治疗强直性脊柱炎和对影像学影响的临床研究.pdfVIP

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CT BASRI 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CT BASRI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 The Clinical Research of Du-Moxibustion across Ginger and Garlic on CT Influence in Treating AS Speciality：Acupuncture and Moxibustion Author ：Ma HuainianYang Tutor ： Associate Prof. Zhang Tong Abstract Object: This study is to observe the clinical curative effect and adverse events of Du-Moxibustion across ginger and garlic in treating ankylosing spondylitis (AS), analyse the impact evaluation of the sacroiliac joint CT scans , and to explore a new way and to provide imaging basis for treatment of AS. Method: 60 patients with AS were divided into treatment group and control group at random. 30 cases were treated with Du-Moxibustion across garlic and ginger therapy,while the other 30 cases were treated with Du-Moxibustion across ginger therapy. Each group were treated 3 times in all and were treated once a month. The changes of symptoms, signs and sacroiliac joint CT scans of patients were observed before and after the treatment and analyzed with statistic method to draw conclusions. Result: 1. Both of the two methods can improve the clinical symptoms (P 0.01) effectively, The efficient rate of the treatment group