摘要
目的:探讨傍针刺法治疗强直性脊柱炎疗效。方法:收集2021年12月31日—2022年12月31日在本院收治的强直性脊柱炎患者90例,盲选法分为对照组、针刺组和傍刺组,每组30例,对照组患者予常规药物治疗,针刺组加用普通针刺疗法,傍刺组在针刺组基础上加用傍刺疗法,持续治疗4周,观察各组治疗前后体征、功能以及影像学和实验室指标进行疗效评价。结果:经4周治疗后,傍刺组总有效率为96.67%(29/30),高于针刺组的90.00%(27/30)、对照组的73.33%(22/30),差异具有统计学意义(P<0.05);3组患者晨僵时间、胸廓活动度及枕墙距均明显改善,改善程度傍刺组优于针刺组和对照组,差异具有统计学意义(P<0.05);3组患者肢体功能、身体疼痛程度及骶髂关节骨髓水肿程度也明显好转,BASFI、VAS及SPARCC评分对照组>针刺组>傍刺组,差异具有统计学意义(P<0.05);ESR、CRP、IgA、IgG和IgM水平也明显较治疗前降低,ESR、CRP、IgA、IgG和IgM水平对照组>针刺组>傍刺组,差异具有统计学意义(P<0.05)。结论:傍刺疗法对强直性脊柱炎治疗效果显著,优于普通针药联合,可以有效减轻强直性脊柱炎患者的疼痛、改善肢体功能,并能够显著降低患者炎症因子水平,改善免疫功能,减少患者骶髂关节骨髓水肿程度,值得临床推广应用。
Objective:To explore the therapeutic effect of straight-side acupuncture in treatment of ankylosing spondylitis.Methods:A total of 90 patients with ankylosing spondylitis were randomly divided into the control group,the acupuncture group,and the straight-side acupuncture group,with 30 patients in each group.The control group was treated with conventional medication;on which basis,the acupuncture group was treated with ordinary acupuncture and the straight-side acupuncture group was treated with straight-side acupuncture.The treatment duration was four weeks.The physical signs,functions,as well as imaging and laboratory indicators were observed before and after the treatment in each group.Clinical efficacy was compared among the groups.Results:After 4 weeks of treatment,the overall effective rate was 96.67%(29/30) in the straight-side acupuncture group,which was higher than 90%(27/30) in the acupuncture group and 73.33%(22/30) in the control group(P<0.05).The time of morning stiffness,thoracic mobility,and occiput-wall distance were significantly improved in the three groups;the improvements were more significant in the straight-side acupuncture group than those in the acupuncture group and the control group(P<0.05).The limb function,body pain,and bone marrow edema of sacroiliac joints were also significantly improved in the three groups.The scores of BASFI,VAS and SPARCC were decreased after the treatment in the three groups(P<0.05),and the decreases were more significant in the straight-side acupuncture group than those in the acupuncture group and the control group(P<0.05).The levels of ESR,CRP,IgA,IgG and IgM were significantly decreased after the treatment than those before the treatment in the three groups(P<0.05),and the decreases were more significant than those in the straight-side acupuncture group than those in the acupuncture group and the control group(P<0.05).Conclusion:Straight-side acupuncture has a significant therapeutic effect in treatment of ankylosing spondylitis,which is superior to the combi
作者
赵亚
张印
窦嫦芝
陈洋
耿君
孙钰
ZHAO Ya;ZHANG Yin;DOU Changzhi;CHEN Yang;GENG Jun;SUN Yu(Huaibei Hospital of Traditional Chinese Medicine,Huaibei 235000,China;Huaibei People's Hospital,Huaibei 235000,China)
出处
《针灸临床杂志》
2024年第4期43-47,共5页
Journal of Clinical Acupuncture and Moxibustion
基金
第四批全国中医临床优秀人才研修项目,编号:国中医药人教发[2017]15号
淮北市科技局科技计划(中医类)课题,编号:2021HK038
安徽省中医药传承创新科研课题,编号:2022CCYB18。
关键词
傍针
针刺
强直性脊柱炎
Straight-side acupuncture
Acupuncture
Ankylosing spondylitis
