补肾通督推拿法治疗强直性脊柱炎60例临床观察

Clinical observation of Bushentongdu massage on 60 cases with ankylosing spondylitis

关键词:  强直性脊柱炎  临床观察  推拿

Key words:  ankylosing spondylitis  clinical observation  massage

摘要:

[目的] 观察补肾通督推拿法治疗强直性脊柱炎(AS)的临床疗效。[方法] 将60例AS患者随机分为对照组和治疗组, 每组各30例。对照组采用柳氮磺吡啶肠溶片(SASP)口服, 治疗组在口服SASP基础上予以补肾通督推拿法治疗, 7 d为1个疗程, 4个疗程为观察期, 以静息痛的视觉模拟评分(VAS)、Bath计量指数、晨僵时间及外周关节肿胀作为观察指标。[结果] 分别于治疗2个疗程和4个疗程时两组进行比较, 在Bath计量指数(P=0.013 5;P=0.037 2)、VAS评分(P=0.037 7;P=0.016 0)、晨僵时间(P=0.000 1;P=0.000 1)的改善程度上, 治疗组均优于对照组, 差异有统计学意义;治疗2个疗程和4个疗程时的关节肿胀积分的改善程度, 两组比较差异无统计学意义(P=0.143 8;P=0.310 4).[结论] 补肾通督推拿法治疗强直性脊柱炎疗效明确, 与口服SASP联合应用要明显优于单纯口服西药。

Abstract:

[Objective] To observe effect of Bushentongdu massage on ankylosing spondylitis. [Methods] The 60 cases of AS was divided into two groups, the control group of 30 cases, treatment group of 30 cases. The control group was treated with oral salazosulfapyridine enteric coatel tablet (SASP), and the treatment group was treated with Bushentongdu massage on the basis of oral SASP, 7 days as a course of treatment, 4 courses of treatment were observed, taking resting pain VAS score, Bath measurement index, the time of morning stiffness, and peripheral joint swelling as observation index. [Results] The Bath dose index (P=0.013 5;P=0.037 2), VAS scores (P=0.037 7;P=0.016 0), morning stiffness scores (P=0.000 1;P=0.000 1) in the treatment group was better than control group after 2 courses of treatment and 4 courses of treatment, it had significant differences. Compared with control group, the joint smelling scores after 2 courese of treatment and 4 courses of treatment in treatment group had no obvious improving, and there was no significant differeces(P=0.143 8;P=0.310 4). [Conclusion] Bushentongdu massage has clear effect on ankylosing spondylitis, and the combination with oral SASP is better than that oral Western medicine only.