隔姜蒜督灸治疗强直性脊柱炎寒湿痹阻证和对ESR、CRP影响的研究.pdfVIP

提 要 目的：观察隔姜蒜督灸治疗强直性脊柱炎（ankylosing spondylitis, AS）的临 床疗效，并且比较与隔姜督灸的疗效差异，同时观察对ESR、CRP的改善作用。 方法：筛选强直性脊柱炎寒湿痹阻证患者60例，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，每月治疗一次， 共三次，分别观察每位患者治疗前后症状、体征及ESR、CRP的变化。 结果：1.治疗组与对照组治疗前后症状积分组内比较均有非常显著性差异 (P0.01)；治疗后组间比较有显著性差异(P0.05)，治疗组优于对照组。 2.治疗组与对照组治疗前后体征组内比较均有非常显著性差异(P0.01)；治疗后 组间比较指地距及Schober实验有显著性差异(P0.05)，治疗组优于对照组。 3.治疗组治疗前后ESR、CRP组内比较有非常显著性差异(P0.01)，对照组治疗前 后ESR、CRP组内比较有显著性差异 (P0.05-0.01)；治疗后组间比较有显著性差异 (P0.05)，治疗组优于对照组。 4.治疗组与对照组证候疗效比较有非常显著性差异 (P0.01)，治疗组总有效 率为93.3%；对照组总有效率为80%，治疗组疗效明显优于对照组。 5.治疗组与对照组疾病疗效比较有显著性差异 (P0.05)，治疗组总有效率为 93.3%；对照组总有效率为80%，治疗组疗效优于对照组。 结论：1.隔姜蒜督灸治疗强直性脊柱炎有效。2.隔姜蒜督灸治疗强直性脊柱炎优 于隔姜督灸。3.隔姜蒜督灸对ESR、CRP的改善作用优于隔姜督灸。 关键词 隔姜蒜督灸；强直性脊柱炎；寒湿痹阻证；ESR ；CRP The Research of the Influence of Du-Moxibustion across Ginger and Garlic to ESR and CRP in Treating AS with Cold-damp Blocking Syndrome Speciality：Acupuncture and Moxibustion Author ：Yang Xiaolin Tutor ：Associate Prof. Zhang Tong Abstract Object: To observe the clinical effect of Du-Moxibustion across ginger and garlic in treating ankylosing spondylitis (AS), and to compare its efficacy difference with Du-Moxibustion across ginger, by observing the ESR and CRP improvement. Method: 60 patients with AS diagnosed as cold-damp blocking type from TCM point of view were randomly divided into treatment group and control group. Treatment group were treated with Du-Moxibustion across garlic and ginger therapy. Control group were treated with Du-Moxibustion across ginger therapy. Each group had 30 patients. Each group were treated once a month and were treated 3 times in all. The changes of symptom, sign and inflammatory markers (ESR and CRP) o