摘要
目的:比较"通督热针法"与捻转补法治疗早期强直性脊柱炎的临床疗效差异。方法:将68例患者随机分为观察组和对照组,每组34例。两组取穴相同,均以大椎及命门为主穴,观察组采用通督热针法,对照组采用捻转补法针刺治疗。均每天治疗1次,7次为一疗程。观察治疗前、治疗3个疗程后两组患者中医症状分级量化标准评分、巴氏强直性脊柱炎疾病活动指数(BASDAI)、巴氏强直性脊柱炎功能指数(BASFI)评分,并评定两组疗效。结果:观察组总有效率为91.2%(31/34),优于对照组的79.4%(27/34,P<0.05);两组治疗后中医症状分级量化标准评分、BASDAI评分、BASFI评分均有明显改善(均P<0.05),观察组治疗后上述评分较对照组改善更为明显(均P<0.05)。结论:大椎、命门穴操作通督热针法可以有效改善患者症状,无火而温,治疗早期强直性脊柱炎效果优于捻转补法。
Objective To compare the clinical efficacy differences between Tongdu Rezhen method and twirling-reinforcing needling method for ankylosing spondylitis（AS）at early stage.Methods Sixty-eight patients were randomly assigned to an observation group and a control group,34 cases in each one.The acupoint selection in the two groups was identical,taking Dazhui（GV 14）and Mingmen（GV 4）as the main acupoints.Patients in the observation group were treated with Tongdu Rezhen method,while patients in the control group were treated with twirling-reinforcing needling method.The treatment was given once a day,and seven treatments were considered as one course of treatment.The TCM symptom grading quantitative standard score,Barthel ankylosing spondylitis disease activity index（BASDAI）,Bath ankylosing spondylitis ankylosing spondylitis function index（BASFI）were compared in the two groups before and after 3treatment courses;also the efficacy was evaluated.Results The total efficacy rate was 91.2%（31/34）in the observation group,which was superior to 79.4%（27/34）in the control group（P〈0.05）;after treatment,the TCM symptom grading quantitative standard score,BASDAI and BASFI were significantly improved in the two groups（all P〈0.05）,which were more significant in the observation group（all P〈0.05）.Conclusion The Tongdu Rezhen method at Dazhui（GV 14）and Mingmen（GV 4）could effectively improve the symptoms of AS patients at early stage,which was superior to twirling-reinforcing needling method.
出处
《中国针灸》
CAS
CSCD
北大核心
2016年第8期793-796,共4页
Chinese Acupuncture & Moxibustion
基金
国家中医药管理局甘肃郑氏针法学术流派传承工作室项目:2305135901
关键词
强直性脊柱炎
通督热针法
督脉
捻转补法
随机对照试验
ankylosing spondylitis（AS）
Tongdu Rezhen method
governor vessel
randomized controlled trial（RCT）
