Clinical Effect Evaluation Of Treating Ankylosing Spondylitis With Needling In Du Meridian Plus Bird-Peking Moxibustion

ObjectiveThe subject of the treatment of ankylosing spondylitis (AS) by needling in Du Meridian combined with Bird-peking Moxibustion, was to observe the main symptoms before and after treatment, the mainsigns, based on changes in clinical research. Explore the mechanism of needling in Du Meridian combined with Bird-peking Moxibustion treatment of AS, the search for a safe and effective treatmentof AS.MethodFrom April 2015 to January 2016,60 patients of ankylosingspondylitis with the inclusion criteria were selected from the Guangzhou University ofTCM, First Affiliated Hospital, Division ofRheumatology and Acupuncture Ward.Assigned into test group and control group randomly, in the proportion of 1:1,30 cases were in each group. Patients aged 15 to 45 years old. Test group received needling in Du Meridian combined with Bird-peking Moxibustion, while control group was given ordinary treatment. Two groups of basic medicine for oral TongBiLing and slicecelecoxib capsules. Both therapies were applied six times a week. One week was set as one therapeutic course and three courses of continuous therapy were needed for both groups. Patients were evaluated before and after 3rd course of treatment by the Chinese symptoms grading,as well as disease activity index (BASDAI), the patient pain VAS score, patients’ physical function (BASFI), morning stiffness time, patient global assessment (HAQ). The measurement data was transacted with SPSS19.0 software.Results1.Baseline data:for two groups of patients with gender, age, course of diseases distribution, disease severity and physical function, the results showed that there was no statistically significant difference(P>0.05), between groups of data comparable;2.Compare pain VAS score of two groups after treatment, both groups were effective and the treatment group was better than the control group with the statistically significance(P<0.05);3.In the comparison of post-treanment morning stiffness time of two groups, both were shortened, and the treatment group’s was shorter than the control group’s with statistically significance (P<0.05);4.In the two groups after treatment of TCM symptom classifying quantization integral, overall curative effect comparison, the score of the treatment group was significantly lower than the control group, and the difference was statistically significant (P<0.05);5.In the two groups after treatment BASDAI and BASFI, BASDAI and BASFI of treatment group were reduced obviously, the difference was statistically significant (P<0.05).Conclusions1.The treatment group and control group in treatment of ankylosing spondylitis were effective.2. Two groups in relieving the symptoms and easing pain, shortening the time of morning stiffness, and improving the effect of the active index comparison, the treatment group was better than the control group.3.This clinical study showed that in oral TongBiLing and celecoxib capsules, on the basis of to needle in Du meridian line combination of bird-pecking moxibustion treatment of ankylosing spondylitis curative effect was better than ordinary acupuncture group, worthy of clinical popularization and application.