The Clinical Observation Of Electronic Moxibustion To Influence The Pain And Stiffness Of The Lower Back In Treating Ankylosing Spondylitis On HanShiBiZu Type Of Syndrome

[Objective]It intents to find a better therapeutic regimen for treating the Ankylosing spondylitis(AS)on HanShiBiZu type of syndrome in clinic through observing and comparing the improvement of lower back pain and stiffness of both the warm electronic moxibustion therapy and conventional moxibustion therapy,provide the basis for therapy in treatment of HanShiBiZu type of AS,to improve patients with lower back pain and stiffness symptoms,then promote the application of moxibustion in clinical.[Method]The design is a randomized、controlled clinical research design.In the standard of 93 cases of HanShiBiZu type of syndrome in patients with AS were enrolled and randomly divided into three groups,each group have thirty-one persons.Namely control group,observe 1 group and observe 2 group.The control group was given conventional medications.The observe 1 group was given conventional moxibustion and routine treatment.The observe 2 group was given warm electronic moxibustion and routine treatment.Both observe 1 and 2 groups were given 30 minutes a day,one time a day on consecutive two weeks one treatment course for a total two treatment.The Mingmen and Shenshu point were the main points,cooperating with Ashi point.Observed before and after treatment in three groups the change of indicators of clinical therapeutic effects,just as total points of TCM symptoms,BASDAI index(lower back pain VAS score,time of morning stiffness,degree of morning stiffness),BASMI index(the mobility of the lower back),Inflammation index(ESR、CRP),by Chinese medicine symptom score、effective rate compared integrated to love that reviews waist back stiff pain symptoms effect,and observe the course of treatment groups in patients with Burns incidence for safety evaluation.By observe 1 group and observe 2 group nurse each operation average time-consuming comparison for human cost comparison.All data analyses were performed using SPSS17.0.[Result]Baseline data:There is no correlation of gender、age、course and severity among three groups(P>0.05).Low back pain VAS scores:there is no difference among three groups of pre-treatment(P>0.05)、VAS scores is significantly reduced in three groups compared with pre-treatment(P<0.05、P<0.01、P<0.01),there is no difference between observed 1 group and 2 group(P>0.05).Morning stiffness overall level VAS scores:there is no difference among three groups of pre-treatment(P>0.05).There is significantly reduced in three groups compared with pre-treatment(P<0.01、P<0.01、P<0.01),there is no difference between observed 1 group and 2 group(P>0.05).Morning stiffness time:there is no difference among three groups of pre-treatment(P>0.05).There is significantly reduced in three groups compared with pre-treatment(P<0.01、P<0.01、P<0.01),there is no difference between observed 1group and 2 group(P<0.01).Schober test scores:there is no difference among three groups of pre-treatment(P>0.05).There is significantly reduced in three groups compared with pre-treatment(P<0.05、P<0.01、P<0.01),there is no difference between observed 1 group with 2 group(P>0.05).ESR:there is no difference among three groups of pre-treatment(P>0.05).There is significantly reduced in three groups compared with pre-treatment(P<0.01、P<0.01、P<0.01),there is no difference between observed 1group and 2 group(P>0.05).CRP:there is no difference among three groups of pre-treatment(P>0.05).There is significantly reduced in three groups compared with pre-treatment(P<0.01、P<0.01、P<0.01),there is no difference between observed 1group and 2 group(P>0.05).Chinese medicine symptom score:there is no difference among three groups of pre-treatment(P>0.05).There is significantly reduced in three groups compared with pre-treatment(P<0.01、P<0.01、P<0.01),there is no difference between observed 1group and 2 group(P>0.05).Efficient:There is significantly reduced in two groups compared with control group(P<0.01、P<0.01),there is no difference between observed lgroup and 2 group(P>0.05).The average time consumption of each operation:there was significant difference between observed 1 group with 2 group(P<0.01).Burns incidence:there is significantly difference between observed 1group and 2 group(P<0.01).[Conclusions]Both the warm electronic moxibustion therapy and conventional moxibustion therapy can improve the lower back pain and stiffness of AS on HanShiBiZu type of syndrome,which based on warm electronic moxibustion group curative effect is remarkable and more secure.The electronic moxibustion therapy can avoid the accumulation of damage to human body by moxa smoke for a long time.It is worth of clinical application and further study.