Application of modified Du Channel moxibustion combined with cupping therapy on patients with ankylosing spondylitis of kidney deficiency and cold in Du channel type

DU Yunhong; HUANG Ju; WANG Tingting; MA Xiaoye; WANG Li

doi:10.16025/j.1674-1307.2024.08.005

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Application of modified Du Channel moxibustion combined with cupping therapy on patients with ankylosing spondylitis of kidney deficiency and cold in Du channel type

更新时间：2024-09-19

- Application of modified Du Channel moxibustion combined with cupping therapy on patients with ankylosing spondylitis of kidney deficiency and cold in Du channel type
- Beijing Journal of Traditional Chinese Medicine Vol. 43, Issue 8, Pages: 865-870(2024)
- 作者机构：
  
  青岛大学附属青岛市海慈医院（青岛市中医医院），青岛 266033
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2024.08.005
  CLC：
- Published：25 August 2024，
  
  Received：12 June 2024，
- 稿件说明：
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杜云红，黄菊，王婷婷，等.改良督灸联合拔罐疗法在肾虚督寒型强直性脊柱炎患者中的应用观察［J］.北京中医药，2024，43（8）：865-870.

DU Yunhong,HUANG Ju,WANG Tingting,et al.Application of modified Du Channel moxibustion combined with cupping therapy on patients with ankylosing spondylitis of kidney deficiency and cold in Du channel type[J]. Beijing Journal of Traditional Chinese Medicine,2024,43(08):865-870.
杜云红，黄菊，王婷婷，等.改良督灸联合拔罐疗法在肾虚督寒型强直性脊柱炎患者中的应用观察［J］.北京中医药，2024，43（8）：865-870. DOI： 10.16025/j.1674-1307.2024.08.005.

DU Yunhong,HUANG Ju,WANG Tingting,et al.Application of modified Du Channel moxibustion combined with cupping therapy on patients with ankylosing spondylitis of kidney deficiency and cold in Du channel type[J]. Beijing Journal of Traditional Chinese Medicine,2024,43(08):865-870. DOI： 10.16025/j.1674-1307.2024.08.005.

摘要

目的

探讨改良督灸与拔罐联合的中医护理技术在肾虚督寒型强直性脊柱炎（AS）患者中的应用效果。

方法

采用便利抽样法，选取2022年11月—2023年9月青岛市中医医院风湿免疫科收治的99例肾虚督寒型强直性脊柱炎患者作为研究对象，随机分为试验组、对照1组和对照2组，各33例。在常规西药治疗的基础上，试验组实施改良督灸及拔罐治疗；对照1组实施改良督灸治疗；对照2组实施拔罐治疗，干预时长均为4周。比较3组干预前、干预2周及干预4周时中医证候积分、强直性脊柱炎病情活动指数（BASDAI）、强直性脊柱炎功能指数（BASFI）及强直性脊柱炎生活质量（ASQoL）问卷的差异。

结果

共脱落6例，最终试验组30例、对照1组32例、对照2组31例完成研究。3组患者中医证候积分、BASDAI、BASFI、ASQoL的时间、组间及交互效应差异均具有统计学意义（

0.05），干预2周、干预4周时试验组各指标均优于对照1组和对照2组（

0.05）。

结论

改良督灸联合拔罐疗法可以有效降低肾虚督寒型强直性脊柱炎患者疼痛程度，改善脊柱功能，提高生活质量。

Abstract

Objective

To explore the application effect of traditional Chinese medicine （TCM） nursing technology combined with modified Du channel moxibustion and cupping therapy on patients with ankylosing spondylitis of kidney deficiency and cold in Du channel type.

Methods

Convenience sampling method was used to select 99 patients with ankylosing spondylitis of kidney deficiency and cold in Du channel type admitted to the Rheumatology and Immunology Department of Qingdao Traditional Chinese Medicine Hospital from November 2022 to September 2023 as research subjects. They were randomly divided into an experimental group， a control group 1 and a control group 2，with 33 patients in each group. On the basis of conventional western medicine treatment， the experimental group implemented modified Du channel moxibustion and cupping therapy； the control group 1 received modified Du channel Moxibustion therapy； the control group 2 were treated with cupping therapy， and the intervention duration of all groups was 4 weeks. The differences in the TCM syndrome scores， Bath Ankylosing Spondylitis Disease Activity Index（BASDAI），Bath Ankylosing Spondylitis Functional Index（BASFI），and Ankylosing Spondylitis Quality of Life（ASQoL）questionnaire among three groups before intervention， 2 weeks after intervention and 4 weeks after intervention were compared.

Results

A total of 6 cases were dropped， and finally 30 cases in the experimental group， 32 cases in the control group 1 and 31 cases in the control group 2 finished the study. The time， intra group， and interaction effects of the TCM syndrome score， BASDAI， BASFI and ASQoL in the three groups of patients were statistically significant（

0.05）.The indexes of the experimental group were better than those in the control group 1 and control group 2 at 2 weeks， 4 weeks after intervention（

0.05）.

Conclusions

Modified Du channel moxibustion combined with cupping therapy can effectively reduce the severity of pain， improve spinal function and improve quality of life for patients with ankylosing spondylitis of kidney deficiency and cold in Du channel type.

关键词

强直性脊柱炎肾虚督寒督灸循经闪罐中医护理

Keywords

Ankylosing spondylitiskidney deficiency and cold in Du channel typeDu channel moxibustionflash cupping along the channeltraditional Chinese medicine nursing

references

刘越,赵艳梅,夏群.强直性脊柱炎的诊断与治疗进展[J]. 中国矫形外科杂志,2015,23(3):235-238.

周东海,冯炯,王俏,等.强直性脊柱炎湿邪致病病机与治法初探[J].中华中医药杂志,2020,35(4):1814-1816.

汪青春,谢贵四.强直性脊柱炎高致残率探析与防治对策[C].第三届世界中西医结合大会论文摘要集,2007:720-721.

刘影,牛瑞,张雪梅,等.某市强直性脊柱炎住院患者疾病负担分析[J]. 医药导报,2018,37(8):955-960.

王木杉.督灸配合走罐治疗肾虚督寒型强直性脊柱炎的临床观察[D]. 成都:成都中医药大学,2020.

LINDEN SVD, VALKENBURG HA, CATS A. Evaluation of diagnostic criteria for ankylosing spondylitis: A proposal for modification of the New York criteria[J]. Arthritis & Rheumatism,1984,27(4):361-368.

郑筱萸. 中药新药临床研究指导原则（试行）[M]. 北京: 中国医药科技出版社,2002:119-123.

国家市场监督管理总局,国家标准化管理委员会.中医临床诊疗术语第2部分:证候:GB/T 16751.2-2021[S].北京:中国标准出版社,2021.

于东林, 胡镜清. 关于中医证候诊断标准研究的思考[J]. 中华中医药杂志,2021,36(7):4110-4113.

苏小军, 王海东. 中医辨证治疗强直性脊柱炎的临床研究[J]. 中华中医药杂志,2017,32(8):3580-3584.

GARRETT S, JENKINSON T, KENNEDY LG, et al. A new approach to defining disease status in ankylosing spondylitis: the Bath Ankylosing Spondylitis Disease Activity Index[J]. J Rheumatol,1994,21(12):2286-2291.

CALIN A, GARRETT S, WHITELOCK H, et al. A new approach to defining functional ability in ankylosing spondylitis: the development of the Bath Ankylosing Spondylitis Functional Index[J]. J Rheumatology, 1994, 21(12): 2281-2285.

DOWARD LC, SPOORENBERG A, COOK SA, et al. Development of the ASQoL: a quality of life instrument specific to ankylosing spondylitis[J]. Ann Rheum Dis,2003,62(1):20-26.

岳铭, 刘蔚翔, 姜泉, 等. 从标本缓急论治强直性脊柱炎[J]. 中华中医药杂志,2022,37(2):820-824.

许睿, 鲁明源. 基于精气神理论探讨命门学说构建的原理与价值[J]. 中国中医基础医学杂志,2023,29(9): 1407-1411.

柯正强, 王志新, 柯于麟, 等. 应用独活寄生汤联合按、灸足太阳膀胱经治疗腰背痛的临床研究[J]. 时珍国医国药,2022,33(9):2214-2215.

范强芳 ,王凤英, 李灿华, 等. 中药隔姜八髎灸治疗中重度原发性痛经临床研究[J]. 针灸临床杂志,2020,36(6):51-55.

陈瑶, 肖莹, 邓玲. 择时按摩八髎穴联合分段式盆底肌锻炼对子宫切除术患者膀胱功能的影响[J]. 护士进修杂志,2024,39(5):477-481.

王振萍, 习亚炜. 拔罐技术的量化研究进展[J]. 护理研究,2018,32(20):3166-3168.

张新路, 刘宏潇, 冯兴华. 冯兴华辨病、辨证、辨症诊治强直性脊柱炎经验[J].北京中医药,2022,41(8):858-861.

徐晓涵, 刘宏潇. 从“疏邪滞理经隧、补真元养血气”辨治强直性脊柱炎思路探析[J].北京中医药,2022,41(10): 1177-1180.

张津萌, 刘宏潇. 治血三法辨治强直性脊柱炎经验[J]. 北京中医药,2023,42(9):1015-1017.

常天诺, 柯可. 非药物治疗强直性脊柱炎的研究现状[J]. 北京中医药,2023,42(10):1153-1155.

HE Q, LUO J, CHEN J, et al. The validity and reliability of quality of life questionnaires in patients with ankylosing spondylitis and non-radiographic axial spondyloarthritis: a systematic review and meta-analysis[J]. Health Qual of Life Out,2022,20(1):116.

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