电针夹脊穴治疗强直性脊柱炎的疗效分析
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作者单位:

1. 厦门大学附属福州第二医院康复科,福建 福州 350007;2. 河北省人民医院骨科,河北 石家庄 050051

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R246.2

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* 基金项目: 河北省医药卫生一般研究计划(2012KYB112)
收稿日期: 2017 - 11- 26
作者简介: 陈昕(1971-),男,福建莆田人,副主仼医师,研究方向:骨科疾病的临床康复。


Clinical Effect on Ankylosing Spondylitis with Electroacupuncture at Jiaji Acupoint
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Affiliation:

1. Department of Rehabilitation, Second Affiliated Hospital of Fuzhou, Xiamen University, Fuzhou 350007, China;2. Department of Orthopedics, Hebei Provincial People’s Hospital, Shijiazhuang 050051, China

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    摘要:

    目的 观察电针夹脊穴方法治疗强直性脊柱炎的临床效果。方法 以2014年1月-2017年1月我院收治的108例强直性脊柱炎患者为研究对象,治疗组和对照组各54例,治疗组采用电针夹脊穴治疗,对照组采用常规西医方法治疗。治疗后对2组治疗效果、症状改善情况、实验室指标等进行评价。结果 ①治疗组临床总有效率为92.59%,对照组临床总有效率为77.78%,组间比较差异有统计学意义(P<0.05)。②治疗组中医症状评分、视觉模拟评分(VAS)、晨僵时间均低于对照组,脊柱活动度、胸廓活动度则高于对照组,2组比较差异有统计学意义(P<0.05)。③治疗组红细胞沉降率(ESR)、C反应蛋白(CRP)均低于对照组,比较差异有统计学意义(P<0.05)。结论 与常规西医治疗相比,电针夹脊穴方法治疗强直性脊柱炎临床疗效更好,能缓解症状,改善实验室指标。

    Abstract:

    Objective To observe the clinical effect of electroacupuncture at Jiaji acupoint in the treatment of ankylosing spondylitis. Methods In 108 cases of ankylosing spondylitis patients in January 2014~2017 in January in our hospital as the research object, randomly divided into observation group and control group, 54 cases in each group, the observation group were treated by electroacupuncture at Jiaji acupoint, the control group was treated with conventional treatment of Western medicine. After treatment, the treatment effect, symptom improvement and laboratory index of the two groups were evaluated and compared. Results(1) The total clinical effective rate of the observation group was 92. 59%, and the total clinical effective rate of the control group was 77.78%, and the difference between the groups was statistically significant(P<0.05). After the treatment the observation of TCM symptom score, visual analogue score group(VAS), time of morning stiffness were lower than that of control group, spine, thoracic activity is higher than that of the control group, there were significant differences between the two groups(P<0.05). After treatment, the erythrocyte sedimentation rate(ESR) and C reactive protein(CRP) of the patients in the observation group were lower than those of the control group, and there was a significant difference between the groups(P<0.05). Conclusions Compared with conventional western medicine, electroacupuncture at Jiaji acupoint has better clinical effect in treating ankylosing spondylitis. It can significantly improve the clinical symptoms and laboratory indicators of patients.

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