北京中医药2025，Vol.44Issue(12)：1526-1530,5.DOI:10.16025/j.1674-1307.2025.12.005
捏脊通督法结合髋关节功能训练治疗强直性脊柱炎的临床效果观察
Clinical efficacy of spine-pinching and governor vessel-dredging method combined with hip joint functional exercise in treatment of ankylosing spondylitis
摘要
Abstract
Objective To observe the clinical efficacy of spine-pinching and governor vessel-dredging method combined with hip joint functional exercise in patients with ankylosing spondylitis(AS).Methods A total of 69 AS patients admitted to the Department of Rheumatology,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,from January 2022 to January 2024 were randomly divided using the random number table method into an observation group(n=35)and a control group(n=34).Both groups received conventional medication and rehabilitation exercise training.On this basis,the observation group was additionally treated with spine-pinching and governor vessel-dredging method combined with hip joint functional exercise.Each treatment course lasted 12 weeks,with a total of 2 courses.AS traditional Chinese medicine(TCM)syndrome scores,physical signs(occiput-to-wall distance,finger-to-floor distance,cervical range of motion,thoracic range of motion,Schober test,morning stiffness duration),and functional activity scores[Bath Ankylosing Spondylitis Functional Index(BASFI),Bath Ankylosing Spondylitis Disease Activity Index(BASDAI),Visual Analogue Scale(VAS)]were compared before treatment and at 12 and 24 weeks of treatment.Results At 12 and 24 weeks,TCM syndrome scores in the observation group decreased compared with baseline(P<0.05).At 24 weeks,TCM syndrome scores in the control group decreased compared with baseline(P<0.05),and scores in the observation group were lower than those in the control group(P<0.05).At 24 weeks,occiput-to-wall distance,finger-to-floor distance,Schober test,cervical range of motion,and morning stiffness duration in the observation group improved compared with baseline and were superior to the control group(P<0.05).At 24 weeks,finger-to-floor distance and morning stiffness duration in the control group improved compared with baseline(P<0.05).At 12 and 24 weeks,BASFI and VAS scores in the observation group decreased compared with baseline;at 24 weeks,these scores were lower than those in the control group(P<0.05).At 24 weeks,BASFI and VAS scores in the control group decreased compared with baseline(P<0.05).Conclusion Spine-pinching and governor vessel-dredging method combined with hip joint functional exercise can effectively improve stiffness in patients with stable-phase AS.关键词
强直性脊柱炎/捏脊通督/髋关节功能训练/康复训练Key words
ankylosing spondylitis/spine-pinching and governor vessel-dredging method/hip joint functional exercise/rehabilitation引用本文复制引用
张硕,张秦..捏脊通督法结合髋关节功能训练治疗强直性脊柱炎的临床效果观察[J].北京中医药,2025,44(12):1526-1530,5.基金项目
2023中医药循证能力建设项目——基于确有疗效的脊柱关节炎中医综合治疗方案的循证研究 （）
