罗诗玲　黄平

【摘要】 目的：观察和合治疗仪治疗强直性脊柱炎（ankylosing spondylitis，AS）腰骶疼痛的疗效。方法：选取2017年3-11月本院收治的AS腰骶痛患者44例。按住院先后顺序随机分为观察组和对照组，各22例。对照组常规给予塞来昔布胶囊治疗，观察组在对照组基础上给予和合治疗仪治疗，均治疗两疗程。观察两组治疗前后压痛、疼痛改善情况及治疗效果。结果：治疗后，两组腰骶压痛、疼痛评分均低于治疗前，且观察组均低于对照组，比较差异均有统计学意义（P<0.05）；观察组总有效率为95.45%，高于对照组的72.73%，比较差异有统计学意义（字2=4.247，P=0.039）。结论：和合治疗仪治疗AS腰骶疼痛临床效果确切，具有显著地临床意义。

【关键词】 和合治疗仪； 强直性脊柱炎； 疗效

Clinical Observation of Hehe Therapeutic Apparatus in Treating Lumbosacral Pain of Ankylosing Spondylitis/LUO Shiling，HUANG Ping.//Medical Innovation of China，2018，15（13）：079-082

【Abstract】 Objective：To observe the efficacy of Hehe Therapeutic Apparatus in treating lumbosacral pain of ankylosing spondylitis（AS）.Method：A total of 44 AS patients with lumbosacral pain in our hospital from March to November 2017 were selected.According to the order of hospitalization，they were randomly divided into observation group and control group，22 cases in each group.The control group was given Celecoxib Capsules treatment，and observation group was given Hehe Therapeutic Apparatus on the basis of control group，they were treated for two courses.The lumbosacral tenderness，pain improvement before and after treatment and therapeutic effect between two groups were observed.Result：After treatment，the scores of lumbosacral tenderness and pain in two groups were lower than those of before treatment，and observation group were lower than those of control group，the differences were statistically significant（P<0.05）.The total effective rate of observation group was 95.45%，which was higher than 72.73% of control group，the difference was statistically significant（字2=4.247，P=0.039）.Conclusion：The Hehe Therapeutic Apparatus is effective in treating lumbosacral pain of AS，and has significant clinical significance.

【Key words】 Hehe Therapeutic Apparatus； Ankylosing spondylitis； Curative effect

First-authors address：Southern Medical University Southern Hospital，Guangzhou 510515，China

doi：10.3969/j.issn.1674-4985.2018.13.021

強直性脊柱炎（ankylosing spondylitis，AS）是以骶髂关节和脊柱附着点炎症为主要症状的疾病，是椎间盘纤维环及其附近结缔组织纤维化和骨化，可累及全部骶髂关节以及关节强直为病变特点的慢性炎性疾病。常见于男性青壮年，主要临床表现为反复发作的腰痛、腰骶部疼痛及僵硬感[1]，间歇性或两侧交替出现腰痛和两侧臀部疼痛，可放射至大腿，患者半夜痛醒，常伴有翻身困难，久坐后或晨起起立时腰部僵硬明显，活动后可减轻，该病病程长，致残率高。目前AS尚未有根治方法。近年来本院中医科采用和合治疗仪治疗本病，取得较好的临床效果。现报道如下。

1 资料与方法

1.1 一般资料 选取2017年3-11月本院诊断为AS的住院患者44例，均有AS引起的腰骶痛症状。（1）西医诊断标准：根据1984年修订的纽约AS标准：①单侧骶髂关节炎达到Ⅲ～Ⅳ级或双侧骶髂关节炎到达Ⅱ～Ⅳ级；②腰椎在向侧面方向屈曲及向前后方向屈曲受限；③胸廓活动度小于同等年龄、同等性别的正常人群；……