督灸联合游泳操治疗强直性脊柱炎的临床观察

目的观察督灸联合游泳操治疗强直性脊柱炎(ankylosing spondylitis,AS)的临床疗效及对生活质量的影响。方法将60例AS(肾虚督寒型)患者随机分为观察组和对照组,每组30例。对照组口服塞来昔布胶囊(每次0.2 g,2次/d)、柳氮磺吡啶肠溶片(每次1 g,2次/d)联合督灸治疗,观察组在对照组基础上联合游泳操锻炼。4周为1个疗程。治疗1个疗程后观察两组临床疗效以及治疗前后中医证候积分、视觉模拟评分法(visual analogue scale,VAS)疼痛程度、健康调查简表(the MOS item short from health survey,SF-36)生活质量的变化。结果两组疗效评价,观察组总有效率达86.7%,高于对照组的73.3%,差异有统计学意义(P<0.05)。两组患者治疗后中医证候积分、VAS评分均较同组治疗前明显降低(P<0.05),生活质量评分均较同组治疗前明显改善(P<0.05),且治疗后观察组中医证候积分、VAS评分均低于对照组,生活质量评分高于对照组,差异均有统计学意义(P<0.05)。结论督灸联合游泳操对AS具有较好的治疗作用,对改善症状、减轻疼痛、提高生活质量方面有显著作用,值得临床推广应用。

Clinical Observation on Du-moxibustion Along with Swimming Exercise in the Treatment of Ankylosing Spondylitis

Objective To observe the clinical efficacy of Du-moxibustion combined with swimming exercise in the treatment of ankylosing spondylitis(AS)and its impact on the quality of life.Methods 60 AS patients were randomly divided into the observation group and the control group,30 cases in each group.The control group was given celecoxib capsules(0.2 g,twice daily),sulfasalazine enteric coated tablets(1 g,twice daily)and Du-moxibustion,while the observation group was given swimming exercise on the basis of the control group.Four weeks as a course of treatment.After one course of intervention,the clinical efficacy,traditional Chinese medicine(TCM)syndrome score,visual analogue scale(VAS)pain degree,and the MOS item short from health survey(SF-36)quality of life of the two groups before and after treatment were observed.Results The total effective rate of the observation group was 86.7%,which was higher than 73.3%of the control group(P<0.05).After treatment,the TCM syndrome score and VAS score of the two groups were significantly lower than those of the same group before treatment(P<0.05),and the quality of life score was significantly improved than that of the same group before treatment(P<0.05).After treatment,the TCM syndrome score and VAS score of the observation group were lower than those of the control group,and the quality of life score of the observation group was higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion Du-moxibustion combined with swimming exercise has a good intervention effect on AS,and has a significant effect on improving symptoms,relieving pain and improving quality of life,which is worthy of clinical application.