郭春艳 王祖红 李莉 李丽 黄梅 李绍荣

摘要：目的 观察盘龙穴配合太阳经输穴蜂针刺法对强直性脊柱炎患者的主要临床症状、体征及血沉（ESR）、C反应蛋白（CRP）的影响。方法 将72例强直性脊柱炎患者随机分为观察组和对照组，观察组36例采用盘龙穴配合太阳经输穴蜂针刺法进行治疗，对照组36例采用常规西药治疗，治疗结束后进行疗效评定。结果 观察组的总有效率94.44%，高于对照组72.22%，差异具有统计学意义（P<0.05）;治疗后观察组的主要临床症状、体征及ESR、CRP的改善均优于对照组（P<0.05）。结论 盘龙穴配合太阳经输穴蜂针刺法治疗强直性脊柱炎，不仅可以提高临床疗效，而且能够避免口服西药所产生的不良反应，蜂针疗法可增强患者的免疫功能，提高患者的抗病能力，改善生活质量，值得进一步研究及推广。

关键词：盘龙穴;太阳经输穴;蜂针刺;强直性脊柱炎

中图分类号：R681.5   文献标志码：B   文章编号：1007-2349（2021）07-0058-04

Clinical Observation on Patients with Ankylosing Spondylitis by Bee Acupunctureat Panlong Acupoint and Taiyang Meridian Shu Point

GUO Chun-yan， WANG Zu-hong， LI Li， LI Li， HUANG Mei， LI Shao-rong

（Traditional Chinese Medicine Hospital of Kunming City， Kunming 650011， China）

【Abstract】Objective： To study the effect of Panlong acupoint combined with the bee acupuncture method at the Taiyang Meridian Shu point on the main clinical symptoms， signs， erythrocyte sedimentation rate （ESR） and C-reactive protein （CRP） of patients with ankylosing spondylitis. Methods： 72 patients with ankylosing spondylitis were randomly divided into an observation group and a control group. 36 cases in the observation group were treated with Panlong acupoint combined with the bee acupuncture method at Taiyang Meridian Shu point， and 36 cases in the control group were treated with conventional western medicine. When the treatment was over， the curative effect was evaluated. Results： The total effective rate of the observation group was 94.44%， higher than 72.22% of the control group and the difference was statistically significant （P<0.05）. After treatment， the improvement of main clinical symptoms， signs， ESR and CRP of the observation group were better than that of the control group （P<0.05）. Conclusion： Panlong acupoint combined with the bee acupuncture at the Taiyang meridian Shu point in the treatment of ankylosing spondylitis patients can not only improve the clinical effect， but also avoid the adverse reactions caused by oral western medicine. The bee acupuncture can enhance the patient's immune function and improve their health， disease resistance and quality of life， worthy of further research and application.

【Key words】Panlong Acupoint; Taiyang Meridian Shu Point; Bee Acupuncture; Ankylosing Spondylitis

強直性脊柱炎（ankylosing spondylitis，AS）是一种慢性炎症性的自身免疫性疾病，由遗传、免疫等因素所致，以骶髂关节炎、脊柱炎为表现，患者常常表现为疼痛难忍、脊柱畸形。AS在我国的发病率约为0.3%，发病年龄通常在13～31岁，好发于男性，男女发病率之比约2～3：1[1]。目前该疾病尚无一种能够完全根治的方法，西医主要采用非甾体抗炎药、抗风湿免疫药、生物制剂等药物治疗为主[2]，但西医治疗价格昂贵，用药后的副作用较大，病情易反复发作，患者难以长期坚持。近年来，中医针灸治疗该疾病取得了较好的临床疗效，蜂针作为针灸领域的一种特色自然疗法，治疗强直性脊柱炎取得了显著的临床疗效。现报道如下。

1 资料与方法

1.1 一般资料 所有病例均来自2018年6月—2019年12月昆明市中医医院针灸科及风湿免疫科的门诊患者，经检查诊断为强直性脊柱炎。观察组36例，男22例，女14例;年龄18～56岁，平均年龄（39.67±8.23）岁;病程最短为9个月，最长为22 a，平均病程（42.67±11.18）月。……