| ObjectivesThe strong straight rachitis (AS) is on the clinical common one kind of chronic inflammation disease, its disease incidence rate has the rise tendency, is big to the patient daily life quality influence, the western medicine treats this sickness effect to be unsatisfactory, the medical expense is quite high, and easy to manifest suddenly repeatedly, procrastinates does not recover, therefore effective against effects a permanent cure sickness to become present clinical and the scientific research hot spot. Acupunture therapy this sickness is characteristic, curative effect affirmation. This topic clamps the keel hole through the piquada to coordinate the acupuncture point injection to treat this sickness, in clinical research's foundation, around the observation treatment the cardinal symptoms, the main symptom, the laboratory target's change, the discussion acupuncture treats the strong straight rachitis's action mechanism, further explores the acupuncture to treat the strong straight rachitis's security effective plan.Methods1 Clinical material:60 example strong straight rachitis patient originates from the Wuhan cooperation of Chinese and Western medicine hospital acupuncture branch special clinic and in-patient department. Chooses the patient age between 15 years old to 50 years old, uses, Shan Mang, the masculine comparison method to divide into two groups stochastically, namely treatment group and control group, each group of 30 examples. Two group of patients in aspects and so on sex, age, course after statistics processing, do not have the significance difference, has the commeasurability.2 Method of treatment:The treatment group uses the piquada to clamp the keel hole to coordinate the acupuncture point injection treatment, the acupoint selection:Clamps the keel hole, the partial conventional disinfection, after the needle insertion in acupuncture brings about the desired sensation, joins the electronic acupunctoscope, keeps the needle 30 minutes, daily 1 time, treats 12 weeks later observes the curative effect. The control group gives Lu Guaduo the peptide dilutes after 0.9% sodium chloride inoculation fluid the vein drop note, each time 20mg, daily 1 time, treats 12 weeks later observes the curative effect. When the few patient ache is hard to endure, uses judgment to take the Luo Solow profuse sodium temporarily, each time 60mg, daily 3 times, does not make the conventional treatment (symptom to reduce, then stops medicine). In addition, does not use and treats in this case related other, west the medicine.3 Observation target:Secure target including common physical examination, heart, lung, liver, kidney function and blood, urine, then inspections and so on convention; The curative effect target includesâ‘ Cardinal symptoms:The waist shinbone ache, the back ache, the waist keel activity is limited, the lumbodorsal region early morning to be stiff, the joint ache, the joint swelling, the waist knee worn out and aching sleepy heavy, gives off heat.â‘¡Main symptom: The ache 10cm value table, the pillow wall is apart from, refers to is apart from, the Schober experiment, the chest gallery activity, " 4 " the character experiment, the pelvis extrusion, the separation experiment.â‘¢Laboratory target:HLA-B27, ESR, CRP, LgA, ALP.â‘£Radioactivity inspection:Two-sided shinbone ge joint X normal position piece.4 Statistical method:Uses the SPSS13.0 software package to carry on the data statistical analysis, in the measurement dataset compares uses the pair mean value T-test, the group compares uses two independent sample mean value T-test; The ranked data examines with Ridit, the grouped data uses X examination, P<0.05 was considered examines the difference has statistics significance.ResultsTwo group of altogether 60 example patients complete the treatment course, the compliance are good, has not appeared falls off, rejection case.1 After two group of patients treat, the total treatment course passes through the analysis, treatment group total effectiveness 93.33, will control obviously (near future to control and appearance) rate 66.67; Control group total effectiveness 76.67 , controls obviously leads 40, two group of total curative effect comparisons have statistics significance (P<0.05).2 After two group of patients treat, the Chinese medicine card period of five days curative effect passes through the analysis, the treatment group overall effectiveness index 86.67%, controls obviously leads 56.67%; Control group total effectiveness 76.67 %, control obviously leads 22.22%, two group of Chinese medicine card period of five days curative effect comparison has statistics significance (P<0.05).3 Clinical efficacy, the treatment group before and after treatment were significantly different (P<0.05); control group, except for an integral value of joint swelling weeks before and after treatment showed no significant difference (P> 0.05), the remaining owners, sub-points before and after treatment patients were significantly difference (P<0.05); after treatment between the two groups-were significantly difference (P<0.05).4 The main signs of comparison, two groups of patients with pain 10cm numerical tables, pillows away from the wall, means to distance, Schober test, thoracic activity, the treatment group (P<0.05) before and after treatment there was significant difference (P <0.05), control group before and after treatment are also significantly different (P<0.05), and the patient group after treatment between the two groups had significant difference (P <0.05); "4" character test, pelvic compression, separation tests, the treatment two groups of patients between the two groups there was significant difference (P<0.05).5 Laboratory indicators, to ESR, CRP, LgA, ALP as an observation target, the test group before and after treatment ESR, CRP, LgA There was a significant difference between values (P<0.05), ALP values were significantly different (P<0.05); treatment comparison between the two groups after the ESR, CRP, LgA also a significant difference (P<0.05), ALP has a very significant difference (P<0.01).6 Sacroiliac joint X-ray films, the treatment groups Sacroiliac joint X-ray films of change was no significant difference (P> 0.05).7 Adverse reactions after treatment, the treatment group, five cases of patients with transient mild fever; control group, two cases of patients with moderate skin rash,12 patients, a mild fever. Adverse reactions of the two groups had significant difference between poor (P<0.05).ConclusionsThe clinical trial studies have shown that electro-acupuncture with acupoint-injection treatment of ankylosing spondylitis more effective than the deer melon peptide group, and significantly reduced the incidence of side effects, there is a very good synergy is indeed safe and effective treatment of disease-oriented approach, its operation is easy, it is worth promoting, for the mechanism of acupuncture treatment of the disease and its long-term efficacy should be further studied in depth. |
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