松杖散配合拔罐、走罐治疗强直性脊柱炎临床观察

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1、松杖散配合拔罐、走罐治疗强直性脊柱炎临床观察【摘要】目的：观察松杖散内服配合拔罐、走罐治疗强直性脊柱炎的临床疗效。方法：将60例强直性脊柱炎患者随机分为治疗组和对照组，每组30例。对照组给予柳氮磺毗噪每次lg,每日2次，口服;双氯芬酸钠双释放肠溶胶囊每次75mg,每日1次，口服。治疗组在对照组的基础上加用松杖散内服，配合督脉及足太阳膀胱经循经走罐、外周关节周围拔罐治疗。3周为1个疗程，治疗结束后按照ASAS方法评价疗效。结果：治疗组显效4例，有效19例，无效7例，总有效率为76.67%；对照组显效2例，有效14例，无效14例，总有

2、效率为53.33%O两组比较，差异有统计学意义(P<；0.05)o两组患者红细胞沉降率、C-反应蛋白、BathAS疾病活动指数(BASDAI)、BathAS功能指数(BASFI)等均有改善，差异有统计意义(P<；0.05)；治疗组在C-反应蛋白、BASDAI.BASFI方面的改善较对照组明显，差异有统计学意义(P<；0.05)o结论：松杖散配合拔罐、走罐治疗强直性脊柱炎有较好疗效。【关键词】脊柱炎，强直性;松杖散;走罐；拔罐；督脉;膀胱经doi：10.3969/j.issn.2095-4174.2015.01.004C

3、linicalObservationofTreatingAnkylosingSpondylitiswithSongzhangSanCombiningCuppingandSlideCuppingANYang,MAWu-kai,WANGYing,HUANGYing,ZHOUJing[ABSTRACT]Objective：ToobservetheclinicalcurativeeffectofSongzhangSan（松杖散，SZS）combinedwithcuppingandslidecuppinginthetrea.tmentofa

4、nkylosingspondylitis・Methods：60casesofankylosingspondylitiswererandomlydividedintoatreatmentgroupandacontrolgroup,30casesineach.Thecontrolgroupwereorallygivensulfasalazine,1geachtimeandtwicedaily；whilethetreatmentgroup,basedonthetreatmentofthecontrolgroup,wereorallygi

5、venSZScombinedwithslidecuppingalongtheGovernorVesselandtheBladderMeridianofFoot-Taiyangandcuppingaroundperipheryjoints.Afteracourseof3weeks,theASASmethodwasusedtoevaluateefficacy.Results：Inthetreatmentgroup,4casesweremarkedlyeffective,19caseswereeffective,and7caseswer

6、einvalid,thetotalefficiencybeing76.67%；whileinthecontrolgroup,2casesweremarkedlyeffective,14caseswereeffective，and14caseswereinvalid,thetotalefficiencybeing53.33%.Thediffereneebetweenthetwogroupswasstatisticallysignificant(P<；0.05)・Theerythrocytesedimentationrate,C~

7、reactiveprotein,BathASDiseaseActivityIndex(BASDAI),andBathASFunctionalIndex(BASFI)ofpatientsinthetwogroupswereallimproved,thedifferencebeingsta/tisticallysignificant(P&It；0.05)・ThetreatmentgroupwasbetterthanthecontrolgroupontheaspectofobviousimprovementinC-reactivepro

8、tein,BASDAIandBASFI,thedifferencebeingstatisticallysignificant(P<；0.05).Conclusion：SZScombinedwithcuppingandslidecuppingha