热敏灸配合蜂针治疗强直性脊柱炎的疗效观察(1)
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[摘要] 目的：探讨热敏灸配合蜂针治疗强直性脊柱炎的疗效观察。方法：将我院108例强直性脊柱炎患者随机分为两组，治疗组54例，对照组54例。治疗组采用热敏灸配合蜂针治疗，对照组采用传统针灸治疗。结果：治疗组54例患者坚持持续治疗疼痛均改善，畸形没有明显继续加重，总有效率为74.07%，对照组总有效率为42.31%，两组比较，差异有统计学意义(P<0.05)。结论：热敏灸配合蜂针治疗强直性脊柱炎疗效确切、经济方便，而且该治疗方法简单、副作用小，值得临床推广。
[关键词] 热敏灸；蜂针；强直性脊柱炎
[中图分类号] R681.51 [文献标识码] A [文章编号] 1673-7210(2012)01(a)-098-02
Clinical observation on thermal treatment combined with bees needle in the treatment of ankylosing spondylitis
ZENG Xiaozhi, PENG Qing
Department of Acupuncture, Traditional Chinese Medicine Hospital of Yunfu City, Guangdong Province, Yunfu 527300, China
[Abstract] Objective: To study the clinical observation on thermal treatment combined with bees needle in the treatment of ankylosing spondylitis. Methods: 108 patients with ankylosing spondylitis were randomly divided into two groups, treatment group and control group with 54 cases respectively. The treatment group was given thermal treatment combined with bees needle, the control group was given the traditional acupuncture treatment. Results: 54 patients of treatment group adhered to continue to treat pain were improved, no apparent continue to increase, the total effective rate was 74.07% and 42.31% in control group, there was significant difference between two groups (P<0.05). Conclusion: Thermal treatment combined with bees needle in the treatment of ankylosing spondylitis has definite effect, the effective way of the economy is convenient, and the treatment method is simple, small, and has less side effects of clinical promotion.
[Key words] Thermal treatment with moxa-moxibustion; Bees needle; Ankylosing spondylitis
强直性脊椎炎(AS)是血清反应阴性的多关节炎，又称变形性脊柱炎、韧带萎缩性脊柱炎、竹节状脊柱病等，主要侵犯骶髂关节、髋关节、椎间关节和肋椎关节，早期表现为背痛和背部强直，最后可因脊柱强直而致残疾，偶可引起四肢小关节病变，目前尚无理想治疗方案[1]。笔者运用热敏灸配合蜂针治疗强直性脊柱炎，疗效满意。现报道如下：
1 资料与方法
1.1一般资料
选择我院AS患者108例，并将其随机分为两组。治疗组54例，男40例，女14例；平均年龄(35.32±6.15)岁；平均病程(3.2±1.3)年。对照组54例，男35例，女19例；平均年龄(28.16±4.52)岁；平均病程(1.6±1.3)年。两组性别、年龄及病程比较，差异无统计学意义(P>0.05)，具有可比性。
1.2 诊断标准与纳入标准
诊断标准：符合1984年修订的AS纽约分类标准[2]，①腰椎在所有三个方面(前屈、侧变、后挺)活动皆受限；②胸腰部或腰椎疼痛或疼痛病史；③胸廓扩张受限，在第4肋间隙水平测量，只能扩张2.5 cm或小于2.5 cm。纳入标准：①Ⅲ~Ⅳ级双侧骶髂关节炎，同时至少具备一项临床标准；②Ⅲ~Ⅳ级单侧骶髂关节炎或Ⅱ级双侧骶髂关节炎 ......
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