督灸与红外线照射治疗强直性脊柱炎肾阳亏虚证患者临床疗效对比分析

目的:对比分析督灸与红外线照射疗法治疗强直性脊柱炎肾阳亏虚证患者的疗效。方法:选取强直性脊柱炎肾阳亏虚证患者72例,采用随机数字表法分为两组各36例。治疗组患者予口服柳氮磺吡啶加督灸疗法治疗7 d,对照组患者予口服柳氮磺吡啶加红外线照射治疗7 d,比较两组患者临床疗效、满意度、脊柱痛视觉模拟评分(VAS)、Bath活动指数(BASDAI)评分和功能指数(BASFI)评分情况。结果:治疗组总有效率为88.89%(32/36),对照组总有效率为58.33%(21/36),治疗组优于对照组,差异有统计学意义(P<0.05);与治疗前比较,两组患者治疗后VAS、BASDAI、BASFI评分均降低,差异均有统计学意义(P<0.05);治疗后两组比较,治疗组患者VAS、BASDAI、BASFI评分均低于对照组(P<0.05)。治疗组总满意度为86.11%(31/36),对照组总满意度为66.67%(24/36),两组比较,差异无统计学意义(P>0.05)。结论:督灸治疗强直性脊柱炎肾阳亏虚证疗效优于红外线照射治疗。

Comparative Analysis on Clinical Effect between Du-Moxibustion and Infrared Irradiation on Ankylosing Spondylitis Patients of Kidney Yang Deficiency Syndrome

Objective: To compare the clinical effect between Du-moxibustion and infrared irradiation on ankylosing spondylitis patients of kidney Yang deficiency syndrome. Methods: The study selected 72 cases of ankylosing spondylitis patients of kidney Yang deficiency syndrome. The patients were randomly divided into two groups by random number table, 36 cases in each group. Patients were given Sulfasalazine orally and Du-Moxibustion treatment in treatment group, and Sulfasalazine orally and infrared irradiation in control group for seven days. Clinical effect, patients’ satisfaction degree, visual analogue scale(VAS), Bath activity index(BASDAI) and functional index(BASFI) score were compared between the two groups before and after treatment. Results: The total effective rate was 88.89%(32/36) in treatment group and 58.33%(21/36) in control group. The treatment group showed higher total effective rate than control group and the difference was statistically significant(P <0.05). The scores of VAS, BASDAI and BASFI were significantly reduced in the two groups after treatment and the difference was statistically significant(P<0.05). The treatment group showed lower scores of VAS, BASDAI and BASFI than control group after treatment and the difference was statistically significant(P <0.05). The satisfaction rate was 86.11%(31/36) in treatment group and 66.67%(24/36) in control group. The difference in satisfaction rate between the two groups showed no statistically significance(P>0.05). Conclusion: Compared with infrared radiation therapy, Du-moxibustion shows more significant effect on ankylosing spondylitis of kidney Yang deficiency syndrome.