摘要
目的探讨针对强直性脊柱炎实施中医针灸综合治疗方法的临床效果和应用价值。方法选取成都大学附属医院2010年12月～2012年12月100例强直性脊柱炎患者,实施专业的中医针灸综合疗法,对比患者治疗前以及治疗后3个月的病情状态,观察晨僵时间、臀地距、脊柱活动度、胸廓活动度、红细胞沉降率(ESR)等指标,对结果使用统计学软件SPSS 13.0分析,以P<0.05作为差异有统计学意义的判断标准。结果经过中医针灸综合治疗后,42例患者达到了显效的状态,占42.00%,50例患者达到了有效的状态,占50.00%,治疗总有效率达到了92.00%。经过治疗后,患者晨僵时间为(11.28±12.72)h,中医症状积分为(19.73±14.22)分,改良Schober结果为(4.76±1.46)cm,臀地距结果为(12.55±10.76)cm,脊柱活动度为(44.11±11.79)cm,胸廓活动度为(4.72±1.66)cm,治疗前后对比差异有统计学意义(P<0.05或P<0.01)。经过治疗后ESR指标为(18.23±15.25)mm/h,C反应蛋白(CRP)指标为(1.09±1.02)mm/dL,前后对比差异有统计学意义(P<0.05)。结论对强直性脊柱炎患者采用中医针灸综合治疗的方法临床效果好,患者治疗后生活质量显著提高,具有较高的临床价值,值得推广应用。
Objective To explore the clinical effect and application value of Chinese medicine and acupuncture therapy for ankylosing spondylitis. Methods 100 eases of ankylosing spondylitis patients in Affiliated Hospital of Chengdu University from December 2010 to December 2012 were chosen and given the implementation of professional traditional Chinese medicine and acupuncture therapy. The illness state before treatment and after treatment for 3 months was compared, and the time of morning stiffness, hip distance, spinal mobility, thoracic activity, erythrocyte sedimentation rate （ESR） and other indicators were observed, the results were analyzed by statistical software SPSS 13, with P 〈0.05 as a standard to judge that the difference was statistically significant. Results After acupuncture treatment, 42 patients achieved excellent state, accounting for 42.00%, 50 patients achieved effective state, accounting for 50.00%,the total efficiency of 92.00% had been achieved. After treatment, morning stiffness time was （11.28±12.72） h, TCM symptom score was （19.73±14.22） points; result of modified Schubert was （4.76±1.46） cm, hip distance was （12.55±10.76） cm, spinal activity was （44.11±11.79） cm, chest activities were （4.72±1.66） cm, with statistically significant differences before and after treatment （P 〈 0.05 or P 〈 0.01）. After treatment, ESR index was （18.23±15.25） mm/h, CRP index was （1.09±1.02） mm/dL, there was statistically significant differences before and after treatment （P 〈 0.05）. Conclusion The clinical effect of traditional Chinese medicine and acupuncture therapy for patients with ankylosing spondylitis is good, which can significantly improve the quality of life of patients after treatment, with a high clinical value, it is worthy of popularization and application.
出处
《中国医药导报》
CAS
2013年第20期90-91,94,共3页
China Medical Herald
基金
新疆医科大学科研创新基金项目(编号XJC201190)
关键词
强直性脊柱炎
中医
针灸综合疗法
临床效果
Ankylosing spondylitis
Traditional Chinese medicine
Acupuncture therapy
Clinical effect
