[1]张梦雨,鲍铁周,田江波.督脉隔姜灸联合柳氮磺吡啶肠溶片口服及 功能锻炼治疗强直性脊柱炎[J].中医正骨,2015,27(09):44-45.
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督脉隔姜灸联合柳氮磺吡啶肠溶片口服及 功能锻炼治疗强直性脊柱炎()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年09期
页码:
44-45
栏目:
临床报道
出版日期:
2015-09-30

文章信息/Info

作者:
张梦雨1; 鲍铁周2; 田江波2
1.湖南中医药大学,湖南 长沙 410000;
2.河南省洛阳正骨医院/河南省骨科医院,河南 洛阳 471002
关键词:
脊柱炎; 强直性;  督脉;  隔姜灸;  柳氮磺胺吡啶;  运动疗法
摘要:
目的:探讨督脉隔姜灸联合柳氮磺吡啶肠溶片口服及功能锻炼治疗强直性脊柱炎(ankylosing spondylitis,AS)的临床疗效。方法:2014年9月至2015年3月收治18例AS患者,男13例、女5例。年龄23～47岁,中位数40岁。均未发生关节畸形和(或)脊柱强直,未合并虹膜炎。近1个月内未发生过消化道疾病,近1个月内未服用过激素类药物,近2周内未服用过非甾体类抗炎药。病程6～120个月,中位数60个月。采用督脉隔姜灸联合柳氮磺吡啶肠溶片口服及功能锻炼治疗。督脉隔姜灸每天2次; 柳氮磺吡啶肠溶片,每次2 g,每天2次; 功能锻炼每天1次,每次30 min; 共治疗30 d。分别于治疗前及治疗结束后评定患者的Bath强直性脊柱炎疾病活动指数(Bath ankylosing spondylitis disease activity index,BASDAI)、Bath强直性脊柱炎功能指数(Bath ankylosing spondylitis function index,BASFI)、疼痛视觉模拟评分(visual analogue score,VAS)、C反应蛋白(C-reaction protein,CRP)、红细胞沉降率(erythrocyte sedimentation rate,ESR)、胸廓活动度及腰椎活动度,其中腰椎活动度采用改良Schober试验测定。结果:与治疗前相比,治疗30 d后本组患者的BASDAI、BASFI、疼痛VAS评分、CRP、ESR均降低,胸廓活动度及腰椎活动度均增大[5.00±0.17,2.18±0.05,t=16.017,P=0.000; 4.50±0.11,2.75±0.08,t=12.987,P=0.000;(5.00±0.31)分,(2.11±0.21)分,t=7.638,P=0.000;(18.75±1.33)mg·L-1,(9.59±1.19)mg·L-1,t=5.138,P=0.000;(33.60±2.56)mm·h-1,(17.52±1.12)mm·h-1,t=5.748,P=0.000;(3.67±0.21)cm,(4.66±0.17)cm,t=-3.624,P=0.001;(4.38±0.15)cm,(5.16±0.11)cm,t=-4.225,P=0.000]。结论:督脉隔姜灸联合柳氮磺吡啶肠溶片口服及功能锻炼,短期内可有效缓解AS患者的疼痛症状,改善关节僵硬和功能障碍,促进脊柱功能恢复,提高患者生活质量。

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备注/Memo

备注/Memo:
2015-05-28收稿 2015-07-26修回
通讯作者:鲍铁周 E-mail:Baotzll@126.com
更新日期/Last Update: 2015-09-30