大灸疗法治疗强直性脊柱炎临床研究

目的：观察大灸疗法治疗强直性脊柱炎的临床疗效。方法：将103例患者随机分为治疗组53例和对照组50例，对照组单独使用柳氮磺吡啶；治疗组在使用柳氮磺吡啶基础上加用通督开痹药饼（药物组成：淫羊藿15g，狗脊30g，怀牛膝30g，杜仲15g，独活15g，青风藤30g，桂枝12g，川芎15g，红花10g）进行大灸，均治疗3个月，观察治疗前后关节疼痛、腰部晨僵、“4”字试验、扩胸度、枕墙距、接地距；化验室检查C-反应蛋白（cRP）和血沉（ESR）。结果：治疗组有效率96．23％，对照组有效率88．00％。两组有效率经统计处理，差异有统计学意义（P〈0．05）。对于各个观察指标治疗组与治疗前比较，差异有统计学意义（P〈0．05），且关节疼痛、腰部晨僵、“4”字试验、CRP优于对照组（P〈0．05）。结论：大灸疗法治疗强直性脊柱炎疗效显著。

Clinical Research on Moxibustion Therapy for the Treatment of Ankylosing Spondylitis

Objective ：To observe the clinical efficacy of moxibustion for the treatment of ankylosing spondylitis. Methods： 103 patients were randomly divided into the treatment group of 53 cases and control group of 50 cases. The control group was given salazosulfapyridine alone while the treatment group was given Tongdukaibi medicinal cake for moxibustion（ Ingredients of the medicinal cake ：Epimedium 15 g, Woodwardia 30 g, Achyranthes bidentata 30 g, eucommia 15 g, heracleum hemsleyanum michanx 15 g, Canlis 30 g, cinnamom twig 12 g,hemlock parsley 15 g,safflower 10 g） on the basis of the use of salazosulfapyridine. Both groups were treated for 3 months and then joint pain, lower back morning stiffness, Gaenslen＇s test, degree of chest expanding, pillow-wall distance, ground distance were observed before and after treatment; laboratory tests such as C-reactive protein （CRP） and erythrocyte sedimentation rate （ESR） were checked before and after treatment. Results：The effective rate of the treatment group was 96.23%, while that of the control group was 88 %. After statistical processing of the effective rates in both groups, the difference was statistically significant （P 〈 0.05 ）. For each observed indicator,compared with before treatment,the difference between the treatment group and the control group was significant（P 〈 0.05 ）, and the indicators such as joint pain, morning stiffness waist, Gaenslen＇s test and CRP were superior to the control group（ P 〈 0. 05）. Conclusion：Moxibustion therapy shows significant efficacy in treating ankylosing spondylitis.