Clinical Observation On Treatment Of Ankylosing Spondylitis With Acupotomy Loosing Ankle Joint With Drugs

OBJECTIVE:Observed the clinical efficacy of CT-guided needle-knife release of ankle joint with drugs for the treatment of ankylosing spondylitis,in order to find a safe,effective,and easy to operate treatment of ankylosing spondylitis.METHODS:To be divided into treatment group and control group according to the method of random number table,60 patients will be included in the standard of outpatient and inpatient treatment of orthopaedics department of Longyan City Hospital between December 2016 and December 2016 and meet the diagnosis of ankylosing spondylitis.Each of 30 cases.The control group only used conventional drug therapy(oral sulfasalazine tablets orally),and the treatment group took a CT-guided needle knife to release the ankle joint on the basis of drug treatment.Statistical analysis software SPSS20.0 for statistical analysis of two groups before and after treatment spinal pain visual analogue sc.ale(VAS),Bath ankylosing spondylosis disease activity index(BASDAI)score,Bath ankylosing spondylitis functional index(BASFI)score,lumbar activity Increase,erythrocyte sedimentation rate and CRP levels change,observe the treatment effect of the two groups.Results:The visual analog scale scores(VAS),Bath Ankylosing spondylosis disease activity index(BASDAI)score,and Bath Ankylosing spondylitis functional index(BASFI)score were compared between the two groups after treatment.The average score of the treatment group was less than that of the control group.Statistical significance,P<0.05,indicating that the treatment group for patients with ankylosing spondylitis is better in symptomatic relief and signs improvement;compared with the increase in lumbar activity after treatment in the two groups,the effect of the treatment group was better than that of the control group,with statistical significance.P<0.05,indicating that the lumbar activ.ity of patients with ankylosing spondylitis was better in the treatment,group than in the control group;Erythrocyte sedimentation rate and CRP were decreased after treatment in the two groups(P<0.05).However,the difference between the two groups was not significant in the treatment group.Obviously;the two groups showed no significant difference after treatment(P>0.05).The overall curative effect was better than that of the control group after the needle knife was used to release the ankle joint and the conventional medication was used.The study was conducted under the guidance of a CT.The operation can be performed quickly and accurately,and the patient’s pain is reduced.There are obvious advantages over other methods.Conclusion:Using an acupotomy to release the sacroiliac joint with drugs to treat AS can effectively relieve the patient’s pain symptoms and improve their lumbar activity.The effect is better than conventional drug therapy.This therapy is safe and simple,suitable for clinical promotion.