岭南挑筋法治疗强直性脊柱炎疗效观察

目的 :客观评估岭南挑筋法治疗强直性脊柱炎 (AS)的临床疗效和安全性。方法 :将符合AS纳入标准的 81例患者用分层随机方法分为挑筋组 41例 ,对照组 40例 ,以强直性脊柱炎临床常见的 14种症状和体征的分级量化分值作为评价指标进行临床观察。结果 :挑筋组的总有效率为85 4% ,对照组为 5 5 0 % ,两组比较有非常显著性差异 (P <0 0 5 )。挑筋组治疗后除个别患者针挑口偶有瘙痒外 ,余无任何不良反应。结论 :岭南挑筋法能消除或减轻腰背僵痛等临床症状 ,改善脊柱功能活动 ,且安全无副作用 ,是治疗AS较理想的方法

Observation on the Therapeutic Effect of Lingnan Muscle-pricking Therapy for Treatment of Ankylosing Spondylitis

Objective: To evaluate the clinical therapeutic effect and saf et y of Lingnan (referring to Guangdong and Guangxi Provinces) Muscle-pricking The rapy in the treatment of ankylosing spondylitis (AS). Methods: 81 AS patients were divided into treatment group ( n =41) and control group ( n = 40) with stratified random method. In treatment group, Jiaji (EX-B 2), back- sh u points of the Bladder Meridian and other acupoints of the Governor Meridian as well as Ashi-points at the neck and the thoracic back and in the lumbar region were used. Following routine sterilization and local anesthesia by subcutaneous injection of 2% procaine, used Gauge-1 needle to break the superficial skin an d pull out the subcutaneous white fibrous tissue slowly, once daily, 4 acupoints every time, with 15 days being a therapeutic course. In control group, AS patie nts were asked to take salicylazosulfapyridine. Results: Following one month's treatment, in treatment and control groups, one and 0 case were cured, 6 and 2 cases had remarkable improvement, 28 and 20 were effective, 6 and 18 failed, with the total effective rates being 85. 4% and 55.0% respectively. Conclusion: Lingnan Muscle-pricking t reatment can effec tively relieve lumbago, stiffness, etc. of AS patients and has no side-effects.