来源：风湿病与关节炎,2024,13（3）:29-31,40.

通督强脊操对强直性脊柱炎脊柱功能的影响（临床研究）

王珊珊¹，吴艳柳¹，王忠丽¹，夏　桃¹，杨　帆¹，茶琦祺¹，杨　晨¹，普勇斌²

　　【摘　要】目的：观察通督强脊操对强直性脊柱炎患者脊柱功能的影响。方法：采用随机数字表法将72例强直性脊柱炎患者分为治疗组和对照组，每组36例。2组均给予基础治疗，对照组采用“小燕飞”锻炼治疗，治疗组采用通督强脊操锻炼治疗。2组均干预3个月。比较2组患者治疗前后晨僵时间、Schöber试验、枕墙距、指地距、胸廓活动度、疼痛视觉模拟评分法（VAS）评分、强直性脊柱炎功能指数（BASFI）评分。结果：治疗后，2组患者晨僵时间、Schöber试验、枕墙距、指地距、胸廓活动度、VAS评分、BASFI评分较治疗前均有改善（P < 0.05）；且治疗组优于对照组（P < 0.05）。结论：通督强脊操既能改善强直性脊柱炎患者的脊椎功能，又能使患者的消极情绪得到缓解，生活质量得到提高，值得临床推广使用。

　　【关键词】　强直性脊柱炎；通督强脊操；“小燕飞”；脊柱功能

The Effect of Du Meridian-dredging and Spine-strengthening Exercise on Spinal Function in Ankylosing Spondylitis

WANG Shan-shan,WU Yan-liu,WANG Zhong-li,XIA Tao,YANG Fan,CHA Qi-qi,YANG Chen,PU Yong-bin

　　【ABSTRACT】Objective:To observe the effect of Du Meridian-dredging and Spine-strengthening Exercise on spinal function in patients with ankylosing spondylitis.Methods:Seventy-two patients with ankylosing spondylitis were randomly divided into a treatment group and a control group,with 36 cases in each group.Based on basic treatment,the control group was treated with "Xiaoyanfei"（an exercise imitating flying swallows）and the treatment group with Du Meridian-dredging and Spine-strengthening Exercise.Both groups were intervened for 3 months.The morning stiffness time,Schöber test,occipital wall distance,finger ground distance,chest range of motion,VAS,and BASFI of both groups were compared before and after treatment.Results:After treatment,the morning stiffness time,Schöber test,occipital wall distance,finger ground distance,chest range of motion,VAS,and BASFI of patients in both groups improved compared to before treatment（P < 0.05）;and the treatment group was better than the control group（P < 0.05）.Conclusion:Du Meridian-dredging and Spine-strengthening Exercise can not only improve the spinal function of patients with ankylosing spondylitis,but also alleviate their negative emotions and improve their quality of life.It is worthy of clinical promotion and application.

　　【Keywords】 ankylosing spondylitis;Du Meridian-dredging and Spine-strengthening Exercise;"Xiaoyanfei";spinal function